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-1.06 - NON-COVERED SERVICES

Current through 2024-29, July 17, 2024
The following MaineCare categories of services and
						respective policies of the MBM are not included in the enrollee participant
						package. In the event a service category is placed in a different Section of
						the MCBM than what is indicated below, the service category will remain
						non-covered for this benefit.
General Category of Service
Services
Adult Family Care
MBM Chapter II, Section 2, Adult Family Care
								  Services
Consumer Directed Attendant
MBM Chapter II, Section 12, Consumer Directed
								  Attendant Services
Home and Community Benefits for the Elderly and
								  Adults with Disabilities
MBM Chapter II, Section 19, Home and Community
								  Benefits for the Elderly and for Adults with Disabilities
Home and Community Benefits
MBM Chapter II, Section 21, Home and Community
								  Benefits for Persons with Intellectual Disabilities or Autistic Disorder;
								  Section 29, Support Services for Adults with Intellectual Disabilities or
								  Autistic Disorder; Section 20, Home and Community-Based Services for Adults
								  with Other Related Conditions; Section 18, Home and Community-Based Services
								  for Adults with Brain Injury
Private Non-Medical Institutions
MBM Chapter II, Section 97, Private Non-Medical
								  Institution Services
Day Health
MBM Chapter II, Section 26, Day Health
								  Services
Home Health
MBM Chapter II, Section 40, Home Health
								  Services
Hospice
MBM Chapter II, Section 43, Hospice
								  Services
Medical Supplies and Durable Medical
								  Equipment
MBM Chapter II, Section 60, Medical Supplies and
								  Durable Medical Equipment
Nursing Facility
MBM Chapter II, Section 67, Nursing Facility
								  Services
Optician, Optometrist
MBM Chapter II, Section 75, V ision Services
								  (Ophthalmologist services are covered if the services are provided by a
								  qualified practitioner billing under MBM Section 90, Physician Services
Physical Therapy
MBM Chapter II, Section 85, Physical Therapy
								  Services, except when provided by a qualified provider billing under MBM,
								  Section 90, Physician Services, Section 31, Federally Qualified Health Center
								  Services, Section 9, I ndian Health Services, or Section 45, Hospital
								  Services
Private Duty Nursing and Personal Care
MBM Chapter II, Section 96, Private Duty Nursing
								  and Personal Care Services
Primary Care Case Management
MBM Chapter VI, Section 1, Primary Care Case
								  Management
Speech-Language Pathology
MBM Chapter II, Section 109, Speech and Hearing
								  Services, except when provided by a qualified provider billing under MBM,
								  Section 90, Physician Services, Section 31, Federally Qualified Health Center
								  Services, Section 9, I ndian Health Services, or Section 45, Hospital
								  Services
Speech and Hearing Services and Audiology
MBM Chapter II, Section 109, Speech and Hearing
								  Services
Chiropractic
MBM Chapter II, Section 15, Chiropractic
								  Services
Dental
MBM Chapter II, Section 25, Dental
								  Services
Intermediate Care Facility for Persons with
								  Intellectual Disability
MBM Chapter II, Section 50, I CF-ID
								  Services
Occupational Therapy
MBM Chapter II, Section 68, Occupational Therapy
								  Services, except when provided by a qualified provider billing under MCBM,
								  Section 90, Physician Services, Section 31, Federally Qualified Health Center
								  Services, Section 9, I ndian Health Services, or Section 45, Hospital
								  Services
Podiatric
MBM Chapter II, Section 95, Podiatric
								  Services
Rehabilitative Services
MBM Chapter II, Section 102, Rehabilitative
								  Services
The Department shall seek and anticipates
								  receiving approval for this section from the Centers for Medicare and Medicaid
								  Services (CMS).
Pending approval, non-covered services will include
								  Dialysis Services
MMB Chapter II, Section 7, Free-standing Dialysis
								  Services