Subsection 144-101-I-5.02 - CO-PAYMENTSThe Department waives co-payments for the following MaineCare services for all MaineCare members:
A.Pharmacy: All co-payments charged by pharmacies under Section 80, Pharmacy Services.B.Clinical Visits: MaineCare currently requires some members to pay a co-payment for clinical visits based on the member's eligibility coverage group. All co-payments for clinical visits for MaineCare members, regardless of eligibility coverage group, are waived. This includes, but is not limited to, Hospital Services (Sec. 45), Federally Qualified Health Center Services (Sec. 31)*, Rural Health Clinic Services (Sec. 103), Physician Services (Sec. 90)*.C.Medical Imaging Services: All co-payments charged under Section 101, Medical Imaging Services.D.Laboratory Services: All co-payments charged under Section 55, Laboratory Services.E.Behavioral Health Services: All co-payments charged under Section 65, Behavioral Health Services.F.Medical Supplies and Durable Medical Equipment: All co-payments charged under Section 60, Medical Supplies and Durable Medical Equipment.G.Home Health Services: All co-payments charged under Section 40, Home Health Services.H.Consumer Directed Attendant Services: All co-payments charged under Section 12, Allowances for Consumer Directed Attendant Services.*I.Private Duty Nursing and Personal Care Services: All co-payments charged under Section 96, Private Duty Nursing and Personal Care Services.J.Benefit for People Living with HIV/AIDS: All co-payments charged under Chapter X, Section 1. *K. Should COVID-19 specific treatments and/or vaccines become available during the duration of this public health emergency rule, co-payments will be waived. *The Department shall seek and anticipates receiving approval of these changes from CMS retroactive to March 18, 2020. Pending approval, these changes are effective upon adoption.
C.M.R. 10, 144, ch. 101, ch. I, § 144-101-I-5, subsec. 144-101-I-5.02