MaineCare Home Health - Archival Documentation

Letters/Memos

Physician letter outlining eligibility standards - October 14, 1999 (HTML) (Microsoft Word*) (Adobe PDF*)
Questions Answers - May 10, 2000 (HTML)
BMS letter re: Verification of eligibility form for medication services under Section 40.02-3(C)(3) Home Health Services, Maine Medical Assistance Manual (See below) - May 18, 2000 (HTML) (Microsoft Word*) (Adobe PDF*)
Clarification of Sec. 40.02-3(C)(3) and (D)(4) of the Maine Medical Assistance Manual - November 2000 (HTML) (Microsoft Word*) (Adobe PDF*)
MaineCare Home Health Payment Research Form - February 2003 (Microsoft Word*) (Adobe PDF*)
Initial Certification for MaineCare Home Health for Fiscal Year 2002: July 1, 2001 - June 30, 2002 - June 2001 (HTML) (Microsoft Word*) (Adobe PDF*)
Instructions for MaineCare Home Health Referral Attachment - July 1 2003 (Adobe PDF*)
MaineCare Home Health Referral Attachment (Age 21 and over) July 1 2003 (Adobe PDF*)
Assessment Referral Form - July 1 2003 (Adobe PDF*)
Referral Form Instructions - July 1, 2003 (Adobe PDF*)
Admit/Discharge form - July 1, 2003 (Adobe PDF*)
Admit/Discharge form instructions July 1, 2003 (Adobe PDF*)