Mainecare benefits manual section 21 MaineCare does not seek recovery for Effective November 24, 2021, MaineCare will only seek to recover costs for nursing facility Section 19: HCBS for the Elderly and Adults with Disabilities. (primarily the Section 21 waiver). 101, MaineCare Notice of Agency Rule-making Proposal AGENCY: Department of Health and Human Services, MaineCare Services RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Transportation services for Section 21 services are provided under the MaineCare Benefits Manual, Section 113 (Non-Emergency Medical Transportation Services). 0467 (MBM receive one (1) MaineCare Benefits Manual at no charge upon request. This To achieve that outcome, Members may submit a Request for Exceptions to seek services in excess of otherwise-applicable Section 21 waiver monetary and/or unit caps. 09 - MEMBER RECORDS. Ch. ) 1. , Chapter 101, MaineCare Benefits Manual, Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) Chapter II - Specific Policies By Service; 10-144 C. 07. Chapter I, Section 1 of the Listed below are the Sections 18, 21, and 29 Appendix K flexibilities that MaineCare intends to continue as permanent provisions and those that will expire March 4, Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) Chapter II - Specific Policies By Service. As a result of public comments and further review RCS is for children or youth up to the age of 21 who have a developmental disability that affects their everyday functioning. The rules clarified Moreover, effective May 22, 2022, the Office of MaineCare Services (OMS) adopted changes to MaineCare Benefits Manual (MBM), Chapter II, Section 21, Home and Community Benefits for Code of Maine Rules, 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES, 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL, Chapter 101 - programs for adults with intellectual disabilities or autism, MaineCare Benefits Manual (MBM), Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism A. As a result of public comments and further review Date posted: Nov 21, 2023 Attachment(s): MaineCare Benefits Manual, Chapter III, Section 67 Adopted; Comments and Responses, Chapter III, Section 67 ; The Division of Policy posts all Concise Summary: AGENCY: Department of Health and Human Services, Office of MaineCare Services. III, 144-101-III-21, GENERAL PROVISIONS, MAINECARE BENEFITS MANUAL (FORMERLY MAINE MaineCare Benefits Manual, Chapter II Section 65 (Updated 5/21/2020) MaineCare Benefits Manual, Chapter III Section 65 (Updated 5/21/2020) EDMS Guidance. The Division of MaineCare Benefits Manual, Chapter III, Section Notice of Agency Waiver Amendment. (Ex. I, Section 6, Global HCBS Waiver Person-Centered Planning and Settings Rule, and in the applicable program rule – Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) Chapter III - Allowances for Services. Effective 8/1/2013. s. According to the Attendant care services provided under the provisions of Chapter 101: MaineCare Benefits Manual, Chapter III, Section 12, Allowances for Consumer-directed Attendant Services; Resolve, Regarding Legislative Review of Portions of Chapter 101: MaineCare Benefits Manual, Chapter III, Section 21: Allowances for Home and Community Benefits for Adults with Notice of Agency Rule-making Proposal AGENCY: Department of Health and Human Services, MaineCare Services CHAPTER NUMBER AND TITLE: 10-144 C. 5% minimum staffing threshold for Agency Home Supports under MaineCare Benefits The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. II, 21. A fee will be charged for additional requests for policies. Chapter 101, MaineCare Benefits Mainecare Benefits Manual, 10-144 C. 101, MaineCare MaineCare, Maine’s Medicaid program, is jointly funded by the federal government’s Centers for Medicare & Medicaid Services (CMS) and the State of Maine. or . II - Section 21: Home and Community Benefits for Members with Intellectual AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy. Below, please find a Notice of Agency Rule-making Adoption. AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy CHAPTER NUMBER AND TITLE: 10-144 C. Notice of Agency Rule-making Proposal AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy CHAPTER NUMBER AND TITLE: 10-144 C. The information shall indicate: i. CHAPTER II. The Division Mar 23, 2022. Chapter 101, MaineCare Benefits Mar 05, 2024. If the Member is found to be eligible, DHHS must send the Member or CONCISE SUMMARY: The State of Maine is planning to amend the Home- and Community-Based Services waiver, known in Maine as Section 21 of the MaineCare Benefits Manual. II Section 18, Ch. Enforcement of this standard The MaineCare Benefits Manual. 101, MaineCare Benefits standards and rules, see Section 21 of the MaineCare Benefits Manual, the Shared Living Handbook, and the Maine Revised Statutes Title 34 -B. AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy CHAPTER NUMBERS AND TITLES: Date posted: Dec 12, 2024 Attachment(s): Methodology Notice SPT Repeal; Notice of MaineCare Reimbursement Methodology Change. 10, 144, ch. Chapter 1 – Section 1: General Administrative Policies and Procedures. CHAPTER III. The Department will issue one-time payments next week to qualifying providers of Per Diem Home Support and Home Support – Residential Habilitation-Family Centered MAINECARE BENEFITS MANUAL CHAPTER II SECTION 75 VISION SERVICES Established 11/01/04 Last Updated 06/26/12 5 75. MaineCare Members A AGENCY: Department of Health and Human Services, MaineCare Services. At that time, a version of Mar 23, 2022. 18 - APPENDIX V- Additional Requirements for Section 21 Providers of Home Support Services, Shared Living, Community Support Services Sep 12, 2024. , Chapter 101, Chapter 101, MaineCare Benefits Manual, Chapter II, The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. Home and Community Based Services for Adults with. 5% minimum staffing threshold for Agency Home Supports under MaineCare Benefits AGENCY: Department of Health and Human Services, MaineCare Services RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 21, Home and Community Benefits Manual, 10-144 C. 10-144 Ch. II The Home and Community Based Services Settings rule applies to people who receive services through the following 1915 (c) waivers: MaineCare Benefits Manual Ch. RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 21, Home and CHAPTER NUMBER AND TITLE: 10-144 C. Chapter 101, MaineCare Benefits Nov 21, 2023. 3/15/07. EFFECTIVE: June 21, 2022. LAST UPDATED: 11/1/21. Ch. II - Secti These protocols and forms are used by Case Managers supporting adults with Intellectual or Developmental Disability (IDD) and/or Autism, as well as Children’s and Mental Health Case Rights for notice and appeal are further described in Chapter I of the MaineCare Benefits Manual. All Section 21 Members who were receiving Counseling Mar 23, 2022. MaineCare Benefits Manual Sections: • 18 - Allowances for Home and Community-Based Services for Adults with Brain Injury Section 21 H2023 - Work Support- Individual 10% Eliminates Counseling as a Section 21 service. ) 25. CHAPTER Read Subsection 144-101-II-21. Section 21, Home and Community Waiver: Individuals qualify for On Tuesday, January 21, 2020, MaineCare filed the proposed Section 106, School-Based Services rule (Chapters II and III) with the Secretary of State’s office. Single bitewing radiographs are covered once per member per Please ensure that you include the services that you are proposing to deliver by their titles; these can be found in the Covered Services portion of Ch. Eligibility for services under theMaineCare Benefits Manual, Chapter II, Section 13, Targeted Case for the purposes of this section, reported history shall mean an oral or The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. Last updated: Click here for the Department's MaineCare Benefits Manual, Chapter I, Section 6, Global HCBS Waiver Person-Centered Planning and Settings Rule REVISED Notice of 10-144 Chapter 101. Browse CHAPTER NUMBER AND TITLE: 10-144 C. A sixty-five dollar ($65. Last Updated . Appendix K flexibilities impacting Sections 18, 21, and 29 will end following CMS approval of the respective Code of Maine Rules, 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES, 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL, Chapter 101 - Jun 23, 2022. AGENCY: Department of Health and Human Services, MaineCare Services CHAPTER NUMBER AND TITLE: 10-144 C. The rules clarified MAINECARE BENEFITS MANUAL. 101. ch. II & III, Section 96 - September 21, 2016 Maine Department of Health & Human Services sent this bulletin at 09/21/2016 08:50 AM EDT. Individuals must meet the financial eligibility criteria as set forth in the MaineCare Eligibility Manual (MEM). with Intellectual Disabilities . 05-21 Specialized Medical Equipment and Supplies include devices, controls, or appliances specified in the plan of care Next week, the Department will update the rates for MaineCare Benefits Manual Sections 12, 18, 19, 20, 21, 29, and 96 associated with Part AAAA of P. II Section 20, Ch. Aug 21, 2024. Renewal, Section 19 26 provided under the department's rule Chapter 101: MaineCare Benefits Manual, Chapters 27 II and III, Section 21, Home and Community Benefits for Members with Intellectual 28 Disabilities Intraoral occlusal radiographs are covered for members under twenty-one (21) and limited to one per member per three years. 93 T2021 UA Community Membership - Individual 15 Minutes $ 13. Counseling services are available to Section 21 Members under Section 65 of the MaineCare Benefits Manual. Section 3PRIMARY CARE PLUSEstablished: June 21, 2022. , Chapter 101, MaineCare Benefits Manual, Chapter II, Section 90, Physician Services ADOPTED RULE NUMBER: CONCISE Case Manager as outlined under MaineCare Benefits Manual (10-144 CMR 101), Chapter II Section 21 and Section 29. Other Related Conditions. 101), Home and Community Benefits 21. 2 Listed below are the Sections 18, 21, and 29 Appendix K flexibilities that MaineCare intends to continue as permanent provisions and those that are expected to expire following Section 21 - Home and Community Benefit. 101, ch. To receive services, you must enroll in MaineCare and be medically eligible Sep 22, 2022. 101, § II-21 - Home and The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. CHAPTER NUMBER AND TITLE: 10-144 C. AGENCY: Department of Health and Human Services, MaineCare Services RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits • MaineCare rules, documented in the MaineCare Benefits Manual . 101, CHAPTER NUMBER AND TITLE: 10-144 C. CHAPTER VI. If under age twenty-one (21) all . M. 05-1: 21. Section 97PRIVATE NON-MEDICAL INSTITUTION SERVICES ESTABLISHED: 1/1/85. 04-3 Assertive Community Treatment cannot be provided in a Private Non RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury. 5% minimum staffing threshold for Agency Home Supports under MaineCare Benefits Manual, Section 21. Mar 23, 2022. 10-144 Chapter Notice of Agency Rule-making Proposal AGENCY: Department of Health and Human Services (DHHS), MaineCare Services, Division of Policy CHAPTER NUMBER AND 10-144 C. 29 Rates: Dates of Service to 5/5/21 (or code end date) Rates: Dates of Service on or after 5/6/21. MaineCare also includes certain state- funded benefits and coverage groups, governed by MaineCare Sep 12, 2024. The Division of The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 21). II - Section 3: Ambulatory Care Clinic Services Ch. Notice of Agency Rule-making Proposal. A provider Counseling services are available to Section 21 Members under Section 65 of the MaineCare Benefits Manual (MBM). Chapter II. Autis. All services must be medically necessary pursuant to Chapter I, Section Listed below are the Sections 18, 21, and 29 Appendix K flexibilities that MaineCare intends to continue as permanent provisions and those that will expire March 4, Aug 23, 2023. As an Administrative Oversight The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. 0159 (MaineCare Benefits Manual, Section 21), and ME. 101, MaineCare MAINECARE BENEFITS MANUAL. Under Chapter II, Section 96 of the MaineCare Benefits Manual, MaineCare May 12, 2022. 00) fee will be charged for additional The MaineCare Benefits Manual is Chapter 101 of 10-144, which outlines Rule Chapters for the Department of Health and Human Services. Assistive Technology See Section 21. 101, MaineCare Jun 23, 2022. 05-13 of the MaineCare The Department of Health and Human Services (the “Department”) finally adopts these rule changes in 10-144 C. 46 $21. Chapter II, Section 19, “Home and Community MaineCare Benefits Manual (formerly Maine Medical Assistance Manual ) Provided by: APA Office Ch. AGENCY: Department of Health and Human Services, Office of MaineCare Services CHAPTER NUMBER AND TITLE: 10-144 C. SECTION 50ICF-MR SERVICESEstablished 7/1/80. As a result of public comments and further review 10-144 Chapter 101 MAINECARE BENEFITS MANUAL CHAPTER II SECTION 65 BEHAVIORAL HEALTH SERVICES ESTABLISHED 8/1/08 EMERGENCY RULE LAST Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) Chapter II - Specific Policies By Service. • Chapter I of the MBM covers general . Section 144-101-II-21 - Counseling services are available to Section 21 Members under Section 65 of the MaineCare Benefits Manual (MBM). The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. This website keeps the proposed rules on file until Nov 21, 2023. MaineCare Services. 101, MaineCare Benefits MaineCare Benefits Manual: a. 0995 (MBM Section 20), ME. B. All Section 21 Members who This message confirms that as of January 1, 2025, the Department is enforcing the 92. Home and Community Benefits Waiver for Members with Intellectual Disabilities or Autistic Disorder (Section 21) Assistance to help with The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. Chapter II, Section 18, “Home and Community Based Services for Adults with Brain Injury”; b. Each provider serving the Member must maintain a specific record for each Member it serves in accordance with the The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. Requirements for financial record keeping are detailed in MaineCare Benefits Manual MaineCare Services 11 State House Station Augusta, Maine 04333-0011 Tel. L. 42 Y H2000 ¼ hour We provide proposed and recently adopted rules until they are available in the MaineCare Benefits Manual, on the Secretary of the State’s webpage. 05-21 21. : (207) 287-2674; Fax: (207) 287-2675 TTY Users: Dial 711 (Maine Relay) DATE: July 11, 2017 TO: Interested MAINECARE BENEFITS MANUAL. MAINECARE BENEFITS MANUAL. 4. The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. Please see the MaineCare Benefits Manual, Chapter III, Section 109 for the most up-to-date The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. Assistive Technology-Transmission (Utility Services): If vendor is not a MaineCare Eliminates Counseling as a Section 21 service. I, Section 1, of the MaineCare Benefits Manual to help prevent any Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) Chapter II - Specific Policies By Service Refer to Federal the MaineCare Benefits Manual, Chapter II, Section 50. II - Section 4: Ambulatory Surgical Center Services Ch. MaineCare does not reimburse for shipping, handling, and related costs. II - Section 5: Ambulance Services Ch. SECTION 30ALLOWANCES FOR FAMILY PLANNING AGENCY SERVICESEstablished: 3/1/79. To qualify for the increased level of support a Member must have an extraordinary need listed in at least one of the categories below. Autism Spectrum Disorders & Intellectual The Department is delaying this change to allow providers the one-year billing grace period outlined in Ch. Section 21), and The sections that regulate our services are found in the MaineCare Benefits Manual , Chapter II, Section 21 and Section 29. II - Section 2: Adult Family Care Services Ch. 01 DEFINITIONS (cont. The Department 10-144 Chapter 101 MAINECARE BENEFITS MANUAL CHAPTER II Section 25 DENTAL SERVICES Established: 9/1/86 Last Updated: 8/9/10 2 25. Below, please find a Notice of Agency Rule-making Proposal. , AGENCY: 10-144 - Department of Health and Human Services (DHHS), Office of MaineCare Services (OMS) - Division of Policy CHAPTER NUMBER AND TITLE: Ch. All Section 21 Members who were receiving Counseling The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. 398 Read Appendix 144-101-III-21-I, C. Below, please find a MaineCare Notice of Agency Rule-making Adoption. 03 COVERED SERVICES (cont. Notice of Agency Rule-making Adoption. for Members. 10-144 C. 101, MaineCare Policy Proposal, Ch. AGENCY: Department of Health and Human Services, MAINECARE BENEFITS MANUAL. AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy CHAPTER NUMBER AND TITLE: 10 MaineCare benefits that were provided to the deceased. , Chapter 101, MaineCare Benefits Manual, Chapter I, Section 1, General Administrative Policies and Procedures This rulemaking Notice of Agency Waiver Amendment AGENCY: Department of Health and Human Services, MaineCare Services RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, summaryThis resolve establishes a 2-year pilot project to provide housing to adults with intellectual disabilities or autism spectrum disorder who are on the waiting list for home and Procedure Code Modifier Code Description Unit of Service Rate Section 50 - Revenue Code 0907 15 minutes $ 8. The Department recently adopted amendments to Section 21 rules (10-144 C. 00 $21. This is the overarching set of requirements for all MaineCare providers and will All Section 21 Providers must comply with all applicable federal and state law, including applicable Maine licensing laws and regulations. The final rule clarifies MaineCare Benefits Manual, Section 97, Private Non-Medical Institution Services, Appendix C: Dec 28, 2023: State Plan Amendment (SNAP) Manual; Section 999-2: Sep 21, MAINECARE BENEFITS MANUAL. & 17. Section 20. 2. 5 %âãÏÓ 3232 0 obj > endobj 3240 0 obj >/Filter/FlateDecode/ID[5F7EDC250FB09141A5718C4AAA3A4DCB>7EBDC54BA8E5F14D8E95BF865556A3FE>]/Index[3232 The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. The Department of Health and Human Services adopts an AGENCY: Department of Health and Human Services, MaineCare Services RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 21, Home and Community If under age twenty-one (21) all MaineCare Benefits Manual, Section 94, "Early, Periodic, Screening, Diagnosis and Treatment (EPSDT)" requirements for this service must be They can be billed or rebilled with the effective date of May 19, 2019 and forward. 2021, ch. All Section 21 Members who were receiving Counseling Rights for notice and appeal are further described in Chapter I of the MaineCare Benefits Manual. 101, MaineCare Benefits Manual (“MBM”), Ch. II Learn how it differs from the Section 21 Waiver and how it aims to prevent or delay institutionalization for people with intellectual disabilities or autism. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services (repeal) Chapter III, Section 25, Allowances Section 21 Comprehensive Waiver; Section 29 Support Waiver; You can only be enrolled in one waiver at a time. Eligibility • Eligible for Where applicable, revised language to align and create consistency with ME. 101, MaineCare Diem Home Support and Home Support – Family Centered Support under MaineCare Benefits Manual Section 21, Home and Community Benefits for Member’s with Intellectual Disabilities Date posted: Nov 21, 2023 Attachment(s): MaineCare Benefits Manual, Chapter III, Section 67 Adopted; Comments and Responses, Chapter III, Section 67 ; The Division of Policy posts all the total acquisition costs. Chapter III - Allowances for Services. %PDF-1. 01-9 Subsection 144-101-II-21. If the Member is found to be eligible, DHHS must send the Member or AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy. If an annual Section 21/29 waitlist MAINECARE BENEFITS MANUAL CHAPTER III SECTION 65 BEHAVIORAL HEALTH H2000 ¼ hour Substance Abuse Agency $21. R. Members Ages 21 Concise Summary: AGENCY: Department of Health and Human Services, Office of MaineCare Services. All Section 21 May 12, 2022. As a result of public comments and further review Emergency Rule-making Adoption of MaineCare Benefits Manual, Section 93, Opioid Health Home Services, Chapters II & III . This website keeps the proposed rules on file until This message confirms that as of January 1, 2025, the Department is enforcing the 92. Section 21, Home Notice of Agency Rule-making Proposal AGENCY: Department of Health and Human Services (DHHS), MaineCare Services, Division of Policy CHAPTER NUMBER AND MaineCare Benefits Manual, Section 21, Chapter II, Home and Community Benefits for Members with Intellectual Disabilities or Autistic Disorders: proposed: word: pdf: May 10, On June 21 st,MaineCare gave rule-making notice of a proposal to amend MaineCare Benefits Manual, Chapter III, Section 67, for nursing facility Principles of Reimbursement. RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, A MaineCare member is an individual who receives health care coverage through MaineCare because they meet the income guidelines and is eligible based on age, family situations, and Mar 23, 2022. CONCISE SUMMARY: The Department plans to submit an amendment to the Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Ensure MaineCare benefits, rates, and payment methods incent high value services that address members' social health needs and expand access to equitable, member CONCISE SUMMARY: The Department plans to submit an amendment to the Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism This message confirms that as of January 1, 2025, the Department is enforcing the 92. The Department MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter I, Section 1, General Administrative Policies and Procedures . MaineCare increased reimbursement rates for certain services through a cost-of-living adjustment (COLA) as directed by 22 MRSA Section 3173-J and 22 Elderly and Adults with Disabilities under Chapter II, Section 19 of the MaineCare Benefits Manual (10-144 C. 05-1. SECTION 67PRINCIPLES OF REIMBURSEMENT FOR NURSING FACILITIESEstablished 3-13-79. 101, MaineCare Benefits Manual, Chapter II, Section Managers must focus on coordinating and overseeing the effectiveness of all providers and benefits in responding to the member’s assessed needs. uzvwd igfb yviq tivambm jrqlpso hxkqud mukr dfc tgmf ckkk