Current through 2024-51, December 18, 2024
Subsection 144-101-II-23.05 - NON-COVERED SERVICES23.05-1Academic. Any programs, services, or components of services provided to members which are academic in nature are not reimbursable by MaineCare. Academic services are those traditional subjects such as science, history, literature, foreign languages, and mathematics.23.05-2Vocational. Any programs, services or components of service provided to members of which the basic nature is to provide a vocational program not reimbursable by MaineCare. Vocational services are organized programs directly related to the preparation of individuals for paid or unpaid employment, such as vocational skills training, sheltered employment.23.05-3Socialization & Recreational Services. Any programs, services, or components of services of which the basic nature is to provide opportunities for socialization or recreation are not reimbursable under the MaineCare Program unless such services are provided as part of the member's service plan for which the specific goals and objectives must be specifically identified in that plan. These non-covered services include, but are not limited to picnics, dances, ball games, parties, field trips, and social clubs. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-23, subsec. 144-101-II-23.05