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. Policies are removed from this page on a quarterly basis. To ensure that you are viewing the most up-to-date policies, please reference final versions on our Medical Necessity Guidelines and Payment Policy pages.
April 2026 (Eff. Beginning 6.1.26)
- Gender Affirming Services Medical necessity guidelines
- *New policy - Therapeutic Apheresis Medical necessity guidelines
- *New policy - Foot Reconstruction Procedures – Bunionectomy and Correction of Hallux Valgus Medical necessity guidelines
- Laboratory: β-Hemolytic Streptococcus Testing Payment Policy
- Laboratory: Biochemical Markers of Alzheimer Disease and Dementia Payment Policy
- Laboratory: Cervical Cancer Screening Payment Policy
- Laboratory: Diagnosis of Vaginitis Payment Policy
- Laboratory: Diagnostic Testing of Common Sexually Transmitted Infections Payment Policy
- Laboratory: Oral Cancer Screening and Testing Payment Policy
- Laboratory: Pathogen Panel Testing Payment Policy
- *New policy - Laboratory: Prenatal Testing for Fetal Aneuploidy Payment Policy
- Laboratory: Serum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease Payment Policy
- Laboratory: Testing for Diagnosis of Active or Latent Tuberculosis Payment Policy
- Laboratory: Testing for the Diagnosis of Inflammatory Bowel Disease Payment Policy
- Laboratory: Testing for Vector-borne Infections Payment Policy
- Evaluation and Management Payment Policy