Reminder: Timeframe to Initiate Adjustments for Underpayment

November 12, 2013

MaineCare Benefits Manual Chapter 1 guidelines specify when a provider believes an underpayment has been made for covered services rendered, based upon policy and procedures as described in this Manual, the provider should accept and cash the check issued for the services provided. The provider must request a review of payments, using the MaineCare Adjustment Request form, within one hundred and twenty (120) days of the remittance statement date or waive any right to a review of that payment. Please contact your Provider Relations Specialist with questions.