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 X
Sec2 144-101-X-1 - Benefit for People Living with HIV/AIDS
Subsection 144-101-X-1.06 - NON-COVERED SERVICES
The following MaineCare categories of services and respective policies of the MBM are not included in the enrollee participant package. In the event a service category is placed in a different Section of the MCBM than what is indicated below, the service category will remain non-covered for this benefit.
|
General Category of Service |
Services |
|
Adult Family Care |
MBM Chapter II, Section 2, Adult Family Care Services |
|
Consumer Directed Attendant |
MBM Chapter II, Section 12, Consumer Directed Attendant Services |
|
Home and Community Benefits for the Elderly and Adults with Disabilities |
MBM Chapter II, Section 19, Home and Community Benefits for the Elderly and for Adults with Disabilities |
|
Home and Community Benefits |
MBM Chapter II, Section 21, Home and Community Benefits for Persons with Intellectual Disabilities or Autistic Disorder; Section 29, Support Services for Adults with Intellectual Disabilities or Autistic Disorder; Section 20, Home and Community-Based Services for Adults with Other Related Conditions; Section 18, Home and Community-Based Services for Adults with Brain Injury |
|
Private Non-Medical Institutions |
MBM Chapter II, Section 97, Private Non-Medical Institution Services |
|
Day Health |
MBM Chapter II, Section 26, Day Health Services |
|
Home Health |
MBM Chapter II, Section 40, Home Health Services |
|
Hospice |
MBM Chapter II, Section 43, Hospice Services |
|
Medical Supplies and Durable Medical Equipment |
MBM Chapter II, Section 60, Medical Supplies and Durable Medical Equipment |
|
Nursing Facility |
MBM Chapter II, Section 67, Nursing Facility Services |
|
Optician, Optometrist |
MBM Chapter II, Section 75, V ision Services (Ophthalmologist services are covered if the services are provided by a qualified practitioner billing under MBM Section 90, Physician Services |
|
Physical Therapy |
MBM Chapter II, Section 85, Physical Therapy Services, except when provided by a qualified provider billing under MBM, Section 90, Physician Services, Section 31, Federally Qualified Health Center Services, Section 9, I ndian Health Services, or Section 45, Hospital Services |
|
Private Duty Nursing and Personal Care |
MBM Chapter II, Section 96, Private Duty Nursing and Personal Care Services |
|
Primary Care Case Management |
MBM Chapter VI, Section 1, Primary Care Case Management |
|
Speech-Language Pathology |
MBM Chapter II, Section 109, Speech and Hearing Services, except when provided by a qualified provider billing under MBM, Section 90, Physician Services, Section 31, Federally Qualified Health Center Services, Section 9, I ndian Health Services, or Section 45, Hospital Services |
|
Speech and Hearing Services and Audiology |
MBM Chapter II, Section 109, Speech and Hearing Services |
|
Chiropractic |
MBM Chapter II, Section 15, Chiropractic Services |
|
Dental |
MBM Chapter II, Section 25, Dental Services |
|
Intermediate Care Facility for Persons with Intellectual Disability |
MBM Chapter II, Section 50, I CF-ID Services |
|
Occupational Therapy |
MBM Chapter II, Section 68, Occupational Therapy Services, except when provided by a qualified provider billing under MCBM, Section 90, Physician Services, Section 31, Federally Qualified Health Center Services, Section 9, I ndian Health Services, or Section 45, Hospital Services |
|
Podiatric |
MBM Chapter II, Section 95, Podiatric Services |
|
Rehabilitative Services |
MBM Chapter II, Section 102, Rehabilitative Services |
|
The Department shall seek and anticipates receiving approval for this section from the Centers for Medicare and Medicaid Services (CMS). Pending approval, non-covered services will include Dialysis Services |
MMB Chapter II, Section 7, Free-standing Dialysis Services |
