Please refer to the MaineCare Benefits Manual, Chapter I, General Administrative Policies and Procedures, for a general listing of non-covered services and associated definitions that are applicable to all Sections of the MaineCare Benefits Manual. In general, non-covered services include those items or services that are not medically necessary for the diagnosis and treatment of end stage renal disease (ESRD).
Physician professional services associated with dialysis are not included in the composite rate. Physician services are billable separately under Section 90 of the MaineCare Benefit Manual.
MaineCare will not reimburse missed appointments.
C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-7, subsec. 144-101-II-7.06