Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter VI
Section 144-101-VI-01 - Primary Care Case Management (replaced by Section 03 on June 21, 2022)
Subsection 144-101-VI-01.01 - INTRODUCTION

The Restriction Plan is an administrative procedure where certain MaineCare members who have a history of over-utilizing MaineCare benefits must receive their primary medical care from one health care provider, and when indicated, one hospital, one pharmacy and specified additional providers, (such as a behavioral health provider, dentist, eye care provider). The Department of Health and Human Services anticipates that restricting members who over-utilize services to a single primary care provider will result in better health care management and the reduction of the total cost of care.