Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 332 - MAINECARE ELIGIBILITY MANUAL
Part 2 - BASIC ELIGIBILITY CRITERIA
Section 144-332-2-9 - INDIVIDUALS RESIDING IN PUBLIC INSTITUTIONS

Universal Citation: 10 ME Code Rules ยง 144-332-2-9

Current through 2024-38, September 18, 2024

I. Medicaid coverage is authorized for inmates of state prisons, Mountain View Correctional Facility, Long Creek Youth Development Center, and local or county jails, if the individual meets financial and non-financial criteria applicable to non-inmates. Medicaid will only pay for any coverable in-patient service provided to the inmate while they are an in-patient in a hospital, nursing home, Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) or juvenile psychiatric facility.

II. Individuals admitted to a medical institution classified as an IMD (Institution for Mental Disease) for over 30 days. Examples of Institutions for Mental Disease are Spring Harbor, Acadia, Riverview Psychiatric Center, and the Dorothea Dix Psychiatric Center. The following applies:

A. If over age 20 and under age 65, these individuals are not Medicaid eligible until they are released, conditionally or unconditionally, or are on convalescent leave from the facility. Individuals may apply prior to discharge.

B. If under age 21 (through age 20) or age 65 or over, coverage is available for all Medicaid coverable services.

Disclaimer: These regulations may not be the most recent version. Maine may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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