C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-113, subsec. 144-101-II-113.02

Current through 2024-51, December 18, 2024
Subsection 144-101-II-113.02 - NON-EMERGENCY TRANSPORTATION REGIONS

Brokers oversee NET services on a regional basis. Each Broker is responsible for arranging all NET services for eligible Members that reside in its assigned region(s). The Broker may not coordinate transportation for Members who reside outside its region(s) except when: (1) coordination between Brokers is necessary to adequately and timely ensure a Member's access to NET services; or (2) the Member resides out-of-state for medical reasons.

When a MaineCare Member resides out-of-state for medical reasons, as approved by the Department, NET services shall be provided by the Broker located in the region most geographically proximate to the Member's out-of-state residence. Geographic proximity is defined as the shortest straight line distance between the Member's out-of-state residence and any point along the border of the state of Maine.

On a monthly basis, the Department will provide each Broker with a list of approved Members residing out-of-state who are assigned to the Broker's region(s). This list is subject to change between the Department's monthly reporting to the Broker. The Broker may not use the absence of a Member's name on the list as the sole reason to deny NET services to the Member.

The following map details the regional boundaries.

Click to view image

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-113, subsec. 144-101-II-113.02