MaineCare is a health benefit for eligible individuals and families with low-income and resources. It is a means-tested program that is jointly funded by the state and federal governments, and managed by the state. Among the groups of people served by MaineCare are certain eligible U.S. citizens and resident aliens, including low-income adults and their children, and people with disabilities who meet the Social Security of disabled. Poverty alone Administration’s standard does not necessarily qualify an individual for MaineCare. MaineCare is the largest source of funding for medical and health-related services for people with limited income. The program is designed to meet the medically necessary needs of our members. This guide contains specific technical information about program requirements associated with seeking payment for covered services rendered in a school setting. The purpose of this guide is to inform schools on the appropriate methods for claiming reimbursement for the costs of medically-necessary services provided. Key MaineCare School-Based Contacts Contact Phone E-Mail KEPRO/APS 866-690-5585 Prior Authorization Fax: 866-598-3963 Children’s Behavioral Health (DHHS-OCFS) Districts 1,2 Cathy Register, 207-822-2331 (York, Cumberland Resource Counties) Coordinator Districts 3,4,5 (Androscoggin, Franklin, Kellie Pelletier, Lincoln, Kennebec, 207-624-7910 Knox, Oxford, Resource Sagadahoc, Somerset, Coordinator Waldo) Kellie.A. Pelletier@maine.gov Cheryl Districts 6,7,8 207-561-4204 Hathaway, (Aroostook, Hancock, Penobscot, Washington Resource Counties) Coordinator Child Janna Gregory, 207-624-6660 Development State Deputy Fax: Services (CDS) Director 207-624-6661 Non-Emergency Carrie Collins 207-287-6348 Transportation Planning and Research Associate, Transportation Office of Ginger 207-624-4084 MaineCare LSW, CPS Services, Program Manager
MaineCare is a health benefit for eligible individuals and families with low-income and resources. It is a means-tested program that is jointly funded by the state and federal governments, and managed by the state. Among the groups of people served by MaineCare are certain eligible U.S. citizens and resident aliens, including low-income adults and their children, and people with disabilities who meet the Social Security Administration’s standard of disabled. Poverty alone does not necessarily qualify an individual for MaineCare. MaineCare is the largest source of funding for medical and health-related services for people with limited income. The program is designed to meet the medically necessary needs of our members. This guide contains specific technical information about program requirements associated with seeking payment for covered services rendered in a school setting. The purpose of this guide is to inform schools on the appropriate methods for claiming reimbursement for the costs of medically-necessary services provided. Key MaineCare School-Based Contacts Contact Phone E-Mail KEPRO/APS Prior Authorization 866-690-5585 Fax: 866-598-3963 Children’s Behavioral Health (DHHS-OCFS) Districts 1,2 (York, Cumberland Counties) Districts 3,4,5 (Androscoggin, Franklin, Lincoln, Kennebec, Knox, Oxford, Sagadahoc, Somerset, Waldo) Districts 6,7,8 (Aroostook, Hancock, Penobscot, Washington Counties) Cathy Register, Resource Coordinator Kellie Pelletier, Resource Coordinator Cheryl Hathaway, Resource Coordinator 207-822-2331 207-624-7910 207-561-4204 Kellie.A. Pelletier@maine.gov Child Development Services (CDS) Janna Gregory, State Deputy Director 207-624-6660 Fax: 207-624-6661 Non-Emergency Transportation Carrie Collins Planning and Research Associate, Transportation 207-287-6348 Office of MaineCare Services, Ginger LSW, CPS Program Manager 207-624-4084