C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-95, subsec. 144-101-II-95.02

Current through 2024-51, December 18, 2024

Subsection 144-101-II-95.02 - ELIGIBILITY FOR CARE

Individuals must meet the financial eligibility criteria as set forth in the MaineCare Eligibility Manual. Some members may have restrictions on the type and amount of services they are eligible to receive. It is the responsibility of the provider to verify a member's eligibility for MaineCare prior to furnishing services as indicated in Chapter I of the MaineCare Benefits Manual.

Medical Eligibility Requirements

After an initial visit, podiatric care will only be covered for a member who meets all of the following requirements:

1. Has any illness, diagnosis or condition that if left untreated may cause loss of function or may risk loss of limb; and

2. For whom self-care or foot care by a nonprofessional person would be hazardous and pose a threat to the member's condition.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-95, subsec. 144-101-II-95.02