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REF Primary Care Case Management Referral Request Type or print clearly to create your request: Fax Date: Submitter Name: Submitter Telephone #: Submitter Fax #: Submitting Provider Return Address:
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MaineCare PCCM stands for MaineCare Primary Care Case Management. It is a program that helps participants in Maine access healthcare services through a primary care provider (PCP) who coordinates their care.
Participants who are eligible for MaineCare and want to access healthcare services through a primary care provider (PCP) are required to enroll in MaineCare PCCM.
To fill out MaineCare PCCM, participants can contact their local Department of Health and Human Services office or apply online through the MaineCare website. They will need to provide personal and financial information to determine eligibility.
The purpose of MaineCare PCCM is to ensure that eligible participants have access to comprehensive healthcare services through a primary care provider who can coordinate their care and provide necessary referrals.
MaineCare PCCM requires participants to report personal information such as their name, address, social security number, income, and household size. They may also need to provide information about their medical history and current healthcare needs.
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