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Public Transit Options in Your Community |
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http://www.gearparentnetwork.org/
G.E.A.R. is a wonderful program providing free workshops, support groups, and a toll-free number for parents of children with behavioral health needs throughout the state of Maine.
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www.maine.gov/dhhsdashboard
The data is sorted in four major sections – safety, health, financial management and services and supports, with tabs that lead users to each of the four areas. Trends in participation and expenditures for major services, such as Medicaid, TANF and Food Supplement are available on the homepage, along with key safety measures. The site is searchable and will provide quick access to information that is commonly sought. |
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Co-Occurring Collaborative Serving Maine |
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After many months, we are happy to announce that a much more accessible CCSME web site has been launched! The site is much easier to navigate and has more features, including a discussion forum and a simple, straightforward registration process for events. We invite you to browse our site!
CCSME Web Site |
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Legal Services for the Elderly |
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When you know disabled or elderly people who need help because their Medicare Part D Prescription Plans refuse to cover prescribed drugs you can refer them to:
Medicare Part D Appeals Unit
Legal Services for the Elderly (LSE)
Augusta, Maine
Toll Free
1-877-774-7772
The Appeals Unit will help MaineCare and Drugs for the Elderly and Disabled (DELs) members who also have Medicare when their Part D Drug Plans deny coverage of their medication. The Unit will also help physicians and their staffs in filing coverage determination requests in obtaining any needed Part D information. There is no cost for this help.
Common reasons for denial of coverage that are subject to appeal include:
- The Plan takes the position that the prescribed drug is not medically necessary.
- The medication is a Part D drug, but is not on the Plan's formulary.
- The Plan requires Prior Authorization and it was denied or not obtained.
- The prescribed dosage is not covered by the Plan.
- The prescribed form (liquid/pill/injectable) or type (generic/brand name) of the drug is not covered by the Plan.
- The Plan is requiring step therapy.
Providers can also call the Part D Unit for information and for fax/phone numbers for the Part D Plans. Information is also available at the LSE website: www.mainelse.org
Calls taken Monday through Friday, 9 a.m. to Noon, and 1 p.m. to 4 p.m. |
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