Policy redlines for Maine providers

Consistent with Maine legislation, we make policies with substantial changes available as redlines, in addition to the final versions posted on our Medical Necessity Guidelines and Payment Policy pages.

November 2024

• Noncovered Investigational Services Medical Necessity Guidelines (Eff. beginning 1.1.25)
• Intensity-Modulated Radiation Therapy (IMRT) Medical Necessity Guidelines (Eff. beginning 1.1.25)
• Inpatient Acute and Post-Acute Levels of Care Medical Necessity Guidelines (Medical/Surgical) (Eff. beginning 1.1.25)
• Observation Stay Payment Policy (Eff. beginning 1.1.25)