C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-40, subsec. 144-101-II-40.07

Current through 2024-51, December 18, 2024
Subsection 144-101-II-40.07 - NON-COVERED SERVICES

The following services are not reimbursable by the MaineCare Program under this Section:

A. Parenting skills training.
B. Nursing services, physical therapy, and occupational therapy exercises that may be carried out by the member, or family member or friend who is trained, willing and able to safely perform the service after receiving instruction from the appropriate home health care professional.
C. Services provided by a personal care attendant.
D. Laboratory services as defined in Section 55 of this Manual.
E. Blood glucose monitoring, i.e. glucometer, if the member is stable and does not need teaching of diabetic management.
F. Routine foot care, unless the member suffers severe circulatory impairment, or metabolic, neurological, or systemic diseases where nonprofessional care may pose a threat to the member's condition.
G. Homemaking services (for example; vacuuming, laundry) and chore services, except when delivered as "incidental" services, as described in Section 40.05(B)(6).
H. RN supervisory visits made for the purpose of supervising home health aide services to the member.
I. Nursing evaluation visits, unless skilled observation and assessment by a licensed nurse would result in a change of the treatment of the member.
J. Visits made solely to remind the member to follow instructions.
K. Services that can be appropriately provided by other community resources, e.g., homemaker services, adult protective services, "Meals on Wheels".
L. Respite services.
M. Venipuncture if this is the sole skilled service provided during the visit.
N. Custodial care.
O. A monthly injection if this is the sole skilled nursing service provided during the visit.
P. Monthly catheter change, beyond the acute phase.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-40, subsec. 144-101-II-40.07