C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-96, subsec. 144-101-II-96.09

Current through 2024-51, December 18, 2024

Subsection 144-101-II-96.09 - COPAYMENT

96.09-1Copayment Amount

A. A copayment will be charged to each MaineCare Member receiving services. The amount of the copayment shall not exceed $3.00 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 - 50.00	$2.00
$50.01 or more	$3.00

B. The Member shall be responsible for copayments up to $5.00 per month whether the copayment has been paid or not. After the $5.00 cap has been reached, the Member shall not be required to make additional copayments and the provider shall receive full MaineCare reimbursement for covered services.

Providers are subject to the Department's copayment requirements. Refer to Chapter I, "General Administrative Policies and Procedures", for rules governing copayment requirements, exemptions and dispute resolution.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-96, subsec. 144-101-II-96.09