C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-46, subsec. 144-101-II-46.04
Each MaineCare member is eligible for those medically necessary covered services set forth in Section 46.05. See Utilization Review Requirements in Section 46.08.
Katie Beckett Eligibility will be reviewed annually by DHHS, which reserves the right to request additional information to evaluate medical necessity. Responses to requests for additional information must be made available to the Department within sixty (60) days in order to maintain eligibility. The Office of Integrated Access and Support is notified when members no longer meet eligibility as set forth in this Section, and reassesses continued MaineCare eligibility in another category using guidelines set forth in the MaineCare Eligibility Manual.
C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-46, subsec. 144-101-II-46.04