Subsection 144-101-II-95.08 - COPAYMENT95.08-1Copayment AmountA. A copayment will be charged to each MaineCare member receiving services. The amount of the copayment shall not exceed $2.00 per day for services provided, according to the following schedule: | MaineCare Payment for Service | Member Copayment |
| $10.00 or less | $ .50 |
| $10.01 - 25.00 | $1.00 |
| $25.01 or more | $2.00 |
B. The member shall be responsible for copayments up to $20.00 per month whether the copayment has been paid or not. After the $20.00 cap has been reached, the member will not be required to make additional copayments and the provider will receive full MaineCare reimbursement for covered services.C. No provider may deny services to a member for failure to pay a copayment. Providers must rely upon the member's representation that he or she does not have the money available to pay the copayment. A member's inability to pay a copayment does not relieve him/her of liability for a copayment.D. Providers are responsible for documenting the amount of copayments charged to each member regardless of whether the member has made payment.95.08-2Copayment Exemptions Copayment exemptions apply as defined in the MaineCare Benefits Manual, Chapter I, General Administrative Policies and Procedures.
95.08-3Copayment DisputesProcedures regarding copayment disputes apply as defined in the MaineCare Benefits Manual, Chapter I, General Administrative Policies and Procedures.
C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-95, subsec. 144-101-II-95.08