Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 272 - COORDINATED CARE SERVICES FOR CHILDREN WITH SPECIAL HEALTH NEEDS
Chapter V - C.C.S./C.S.H.N. PROGRAM POLICIES
Section 144-272-V-E - NON-COVERED SERVICES

Current through 2024-38, September 18, 2024

The Coordinated Care Services for Children with Special Health Needs (C.C.S/C.S.H.N.) Program is not a resource for those children whose diagnostic recommendations include monitoring or observation for purposes of keeping track of a potential or stable health problem or developmental delay, unless otherwise specified.

Because of budgetary constraints and limited resources, the C.C.S./C.S.H.N. Program does not provide coverage for:

routine primary and/or acute care; medical therapy that has not been endorsed by the appropriate subspecialty medical society; long term dialysis and related costs; end stage renal disease and related costs; any medical treatment not related to the child's eligible condition or any primary preventive care, immunizations or acute care; any service or treatment not prior authorized as outlined in Section A, Authorization of Services and Providers, of this chapter; out-of-state treatment as outlined in Section A, Authorization of Services and Providers, of this chapter; organ transplants and related costs; bone marrow transplants and related costs; amplification devices for neurosensory hearing loss; cochlear implants and related costs; augmentative communication equipment; vestibular stimulation equipment such as swings and hammocks; orthopedic shoes after first pair of shoes following surgery or casting; neonatal intensive care; immunizations; medical treatment and/or medications for allergies; or authorizations delegated to other providers.