Statutes, codes, and regulations
Maine Administrative Code
Department 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICESDivision 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERALChapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)Chapter II - Specific Policies By Service
Section 144-101-II-101 - Medical Imaging Services
Subsection 144-101-II-101.03 - DURATION OF CARE

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-101, subsec. 144-101-II-101.03

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Current through 2024-51, December 18, 2024
Subsection 144-101-II-101.03 - DURATION OF CARE
101.03-1 Medical Necessity

Each MaineCare member is eligible for as many covered medical imaging services as are medically necessary. The Department reserves the right to request additional information to evaluate and determine medical necessity.

101.03-2 Prior Authorization Requirements

Providers are reminded that some services may require prior authorization and are identified under the "Procedure Code Look Up" link at: http://www.maine.gov/dhhs/oms/providerfiles/prov_portal_tools.html .

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-101, subsec. 144-101-II-101.03