C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-75, subsec. 144-101-II-75.02

Current through 2024-51, December 18, 2024
Subsection 144-101-II-75.02 - MEMBER ELIGIBILITY FOR COVERED SERVICES

MaineCare members are eligible for medically necessary vision services as long as they are enrolled in MaineCare.

If a member loses his/her MaineCare eligibility, MaineCare will pay for eyeglasses if the provider requested and received approval for eyeglasses and laboratory services while the member was enrolled in MaineCare. Providers must indicate on the claim the date the eyeglasses were ordered. The Vision Care Volume Purchase Contractor ("Contractor") will bill the provider at the Contractor's usual and customary charge for any orders submitted for an ineligible individual.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-75, subsec. 144-101-II-75.02