C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-67, subsec. 144-101-II-67.03
Eligible Title XIX and XXI members are entitled to receive as many days of NF services as are medically necessary as long as the member meets the eligibility for care requirements set forth under Section 67.02, or otherwise meets the exception specified under 67.05-1 (G). MaineCare coverage of NF services requires prior approval from the Department or its Authorized Entity. Beginning and end dates of an individual's eligibility period corresponds to the beginning and end dates for MaineCare reimbursement. The Department, or its Authorized Entity may grant eligibility for NF services on a short or long term basis, based upon the complexity, frequency and length of time that services are needed.
The Department, or its Authorized Entity may, at any time, review an individual's need for NF services.
C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-67, subsec. 144-101-II-67.03