Subsection 144-101-II-12.10 - COPAYMENTRequirements regarding copayment disputes and exemptions are contained in Chapter I of the MaineCare Benefits Manual.
A. A copayment will be charged to each MaineCare member receiving services, with the exception of those exempt, as specified in the MaineCare Eligibility Manual. The amount of the copayment shall not exceed $3.00 per day for services provided, according to the following schedule: MaineCare Payment for Services | Member Copayment |
$10.00 or less | $.50 |
$10.01 - 25.00 | $1.00 |
$25.01 - 50.00 | $2.00 |
$50.01 or more | $3.00 |
B. The member shall be responsible for copayments up to $5.00 per month whether the copayment has been paid or not. After the $5.00 cap has been reached, the member shall not be required to make additional copayments and the provider shall receive full MaineCare reimbursement for covered services. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-12, subsec. 144-101-II-12.10