C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-5, subsec. 144-101-II-5.07

Current through 2024-51, December 18, 2024

Subsection 144-101-II-5.07 - COPAYMENT

A. A copayment will be charged to each MaineCare member receiving services.The amount of the copayment shall not exceed $3.00 per day for services provided, according to the following schedule:

MaineCare Payment for Service	Member Copayment
$10.00 or less	$0.50
$10.01	- 25.00 $1.00
$25.01	- 50.00 $2.00
$50.01

B. The member shall be responsible for copayments up to $30.00 per month whether the copayment has been paid or not. After the $30.00 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.

See Chapter I, Section 1 of the MaineCare Benefits Manual for additional information oncopayments, including exemptions and dispute resolution.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-5, subsec. 144-101-II-5.07