C.M.R. 10, 144, ch. 101, ch. IV, § 144-101-IV-1, subsec. 144-101-IV-1.02

Current through 2024-51, December 18, 2024

Subsection 144-101-IV-1.02 - STATEMENT OF PURPOSE

1.02-1 The purposes of the Restriction Plan are:

A. To decrease and control over-utilization and/or abuse of MaineCare covered health care services and/or benefits, and to minimize medically unnecessary and addictive drug usage;

B. To establish a method of monitoring non-emergency health care services for MaineCare members who have utilized MaineCare health care services or benefits at a frequency or in an amount that is not medically necessary; and

C. To assist members through education and referral towards appropriate health care service and benefit use.

C.M.R. 10, 144, ch. 101, ch. IV, § 144-101-IV-1, subsec. 144-101-IV-1.02