C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-7, subsec. 144-101-II-7.06

Current through 2024-51, December 18, 2024
Subsection 144-101-II-7.06 - NON-COVERED SERVICES

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).

7.06-1 Physician Services

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.

7.06-2 Missed Appointments

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