C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-7, subsec. 144-101-II-7.03
Each eligible member may receive covered services that are medically necessary within the limitations of this section. The Department of Health and Human Services (The Department) reserves the right to request additional information to evaluate medical necessity and review utilization of services. The Department may also require prior authorization (PA) for some services.
A member is eligible for as many MaineCare covered services as are specified in his or her individual plan of care. Beginning and end dates of a member's medical eligibility determination period correspond to the beginning and end dates for MaineCare coverage of the plan of care authorized by the provider or the Department.
C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-7, subsec. 144-101-II-7.03