Co-Pay Exemptions for Preventive Services, CR 29058

February 19, 2013

Co-Pay Exemptions for Preventive Services, CR 29058 Section 4106 of the Affordable Care Act (ACA) has recommended that certain preventive health care services be exempt from co-payments. Services provided to children (under the age of 21) and pregnant women have been, and will continue to be, co-pay exempt. Please use modifier 33 for all preventive services. See MaineCare’s Provider Resources webpage for the ACA Co-Pay Exempt Codes document for a list of preventive services and relevant codes. The MaineCare Benefits Manual Chapter II - Section 90: Physician Services was updated effective 1/01/2013 to reflect this change.