Children's Behavioral Health

MaineCare, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations (RCS)

Effective 12/1/13 OCFS will be contracting with APS Healthcare to manage Central Enrollment for Section 28 Community Based Rehabilitation and Community Support Services. On November 26, 2013 APS Healthcare will begin to process all referrals, determine eligibility and assign children to Service Providers for the services which are medically necessary and prior authorized, as well as provide Waitlist Management, Classifications and Prior Authorizations. APS Healthcare will replace the current DHHS-OCFS Section 28 Central Enrollment process for this service.

The Section 28 eligibility requirements will not change. The Referral Source will fax application materials to APS Healthcare at 1-866-325-4752, beginning on November 26, 2013. APS Healthcare will determine eligibility and will provide the Referral Source and/or the Guardians with information regarding current provider availability.

Service Providers will continue to submit Continuing Stay Review requests per the current process. Please contact APS Healthcare Provider Relations with questions at 1-866-521-0027, Option 1, or via email at MaineCare-Prov@apshealthcare.com.

APS Healthcare forms and instructions can be found at www.qualitycareforme.com.

APS Healthcare Provider Relations can answer questions at 1-866-521-0027 Option 1 or via email at MaineCare-Prov@apshealthcare.com.

Thank you for your past professional collaboration with OCFS Central Enrollment to facilitate service delivery for children requiring Section 28 services and supports. We at OCFS have appreciated the opportunity to work directly with your agency and staff. We trust that your organization will continue to maintain a collaborative and productive relationship with APS Healthcare.


Rehabilitative and Community Services (RCS) is for children or youth up to the age of 21 who have a developmental disability that affects their everyday functioning. (Ex. Autism, intellectual disability (MR), Retts Syndrome, PDD). Services include skill building in activities of daily living and behavior management.

Services may be delivered in individual or group settings, and are intended to help the child function better in home and community through working on goals identified in a treatment plan. Services must be authorized by the Department's authorized agent, APS health care and are reviewed periodically to assure medical necessity.

Services may be delivered in individual or group settings, and are intended to help the child function better in home and community through working on goals identified in a treatment plan. Services must be authorized by the Department's authorized agent, APS health care and are reviewed periodically to assure medical necessity.

Section 28, Procedural Guide (Word*) - Updating in Progress

APS Forms & Instructions

 

APS Healthcare forms and instructions can be found at

http://www.qualitycareforme.com/MaineProvider_ProviderManual.htm

 

Forms

  1. Comprehensive Assessment: Guide to Conversation (Word (Electronic))  | also in PDF (Write Out)
    1. Addendum to the Comprehensive Assessement 10-16-13
  2. Specialized Service Rate Request (Word (Electronic))  | also in PDF (Write Out)
  3. Comprehensive Assessment: Guide to Conversation Narrative Summary (Word (Electronic))  | also in PDF (Write Out)
  4. Comprehensive Assessment: Score Summary (Word (Electronic))  | also in PDF (Write Out)
  5. APS-MCBM Crosswalk 10-16-13

RCS 28 Provider list

Manual