C.M.R. 10, 144, ch. 101, ch. X, § 144-101-X-3, subsec. 144-101-X-3.05

Current through 2024-51, December 18, 2024

Subsection 144-101-X-3.05 - MEDICAL REVIEWS

1.Annual Review

Each year based on the month the Member is enrolled, a Member must be recertified as medically and financially eligible. The Member or his or her personal representative must submit:

A. A medical assessment which includes written information from the Member's provider verifying the Member's medical condition and medically ordered treatments.

B. A written statement of the household's annual income;

C. A written statement of the Member's annual income; and

D. Any additional requirements of the MaineCare Eligibility Manual, including submission of additional medical information to meet Social Security Administration disability rules.

2.Face-to-Face Reviews

In addition to the annual reviews, a Member must have a face-to-face medical assessment every three years based on the month the Member is enrolled. The review will be completed by the Department or its agent.

C.M.R. 10, 144, ch. 101, ch. X, § 144-101-X-3, subsec. 144-101-X-3.05