Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) › Chapter X › Sec2 144-101-X-1 - Benefit for People Living with HIV/AIDS › Subsection 144-101-X-1.05 - COVERED SERVICES

Current through 2024-29, July 17, 2024
The following MaineCare categories of services and
						respective policies of the
MaineCare Benefits Manual
(MBM) are
						included in the limited benefit for enrollees under this Section::
General Category of Service
Services
Inpatient
MBM Chapter II, Section 45, Hospital
								  Services
Psychiatric Facility
MBM Chapter II, Section 46, Psychiatric Hospital
								  Services
Outpatient
MBM Chapter II, Section 45, Hospital
								  Services
EPSDT Examinations
MBM Chapter II, Section 94, Early and Periodic
								  Screening, Diagnosis and Treatment Services (EPSDT); Section 90, Physician
								  Services Examinations: Physician Services)
Medications
MBM Chapter II, Section 80, Pharmacy
								  Services
Community Support Services
MBM Chapter II, Section 17, Community Support
								  Services;
The Department shall seek and anticipates receiving approval
								  for this section from the Centers for Medicare and Medicaid Services
								  (CMS).
Pending approval, covered services will include Section 92,
								  Behavioral Health Home Services
Lab & X-ray
MBM Chapter II, Section 55, Laboratory Services;
								  Section 101, Medical Imaging Services
Transportation
MBM Chapter II, Section 113, Non-Emergency
								  Transportation Services; benefit will only pay for transportation to and from
								  MaineCare covered services; Section 5, Ambulance Services
Ambulatory Care
MBM Chapter II, Section 3, Ambulatory Care Clinic
								  Services;
The Department shall seek and anticipates receiving approval
								  for this section from the Centers for Medicare and Medicaid Services (CMS).
Pending approval, covered services will include Section 4, Ambulatory
								  Surgical Center Services
Case Management
MBM Chapter II, Section 13.03, Targeted Case
								  Management Services
Family Planning
MBM Chapter II, Section 30, Family Planning
								  Agency Services
Behavioral Health
MBM Chapter II, Section 65, Behavioral Health
								  Services (including Psychological Services); Section 92, Behavioral Health Home
								  Services
Medicare Crossover-A
MBM Chapter II, Section 45, Hospital
								  Services
STI/STD Testing and Treatment
MBM Chapter II, Section 30, Family Planning
								  Services; Section 90, Physician Services
Medicare Crossover-B
MBM Chapter II, Section 90, Physician Services;
								  Section 31, Federally Qualified Health Center Services; Section 103, Rural
								  Health Clinic Services
Physician, Physician Assistant, Advanced Practice
								  Registered Nurse, Certified Nurse Practitioner, Ophthalmologist
MBM Chapter II, Section 90, Physician Services;
								  Section 14, Advanced Practice Registered Nursing Services;
The Department
								  shall seek and anticipates receiving approval for this section from the Centers
								  for Medicare and Medicaid Services (CMS).
Pending approval, covered
								  services will include Section 91, Health Home Services; Section 31, Federally
								  Qualified Health Center Services; Section 103, Rural Health Clinic Services,
								  and Section 9, I ndian Health Services
Services for Children with Intellectual
								  Disability or Autism
MBM Chapter II, Section 28, Rehabilitative and
								  Community Support Services for Children with Cognitive Impairments and
								  Functional Limitations
Developmental and Behavioral Clinical
								  Services
MBM Chapter II, Section 23, Developmental and
								  Behavioral Clinic Services
Substance Abuse Treatment
MBM Chapter II, Section 65, Behavioral Health
								  Services