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Home > Rules & Legislation > Letters from the Commissioner > Informational Letters > Letter 54




TO:     Superintendents, Special Education Directors and Business Managers

FROM: Susan A. Gendron, Commissioner

DATE: December 11, 2006

RE:     DHHS Office of MaineCare Services Letter on School-Based Rehabilitation Services

The purpose of this letter is to call attention to a letter that was sent on October 12, 2006 to all Superintendents, Special Education Directors, and the Business Managers from the DHHS Office of MaineCare Services.

It has been reported to my office that the information may not have been passed on to Special Education Directors and Business Managers. The content of the letter has significant implications for schools that bill MaineCare for school-based rehabilitation services.

The letter states that in order to bill for school-based rehabilitation services, students must receive a MaineCare covered service as specified in their Individual Education Program (IEP).  MaineCare covered services include multi-disciplinary evaluations, behavior rehabilitation services, speech-language pathology services, audiology services, school health services, occupational therapy services, physical therapy services, or rehabilitative assistance. Additionally the student must have attended school at least one day during the month that they are billed for and they must have actually received the covered service. Academic services such as resource room participation or vocational services are not allowable costs.

Please be aware of these changes when billing for services for the month of November, as the policy outlined in the letter went into effect November 1, 2006.

If you have any further questions regarding this matter, please contact:

Tom Coulombe, Financial Analyst 207-624-6650

Nancy Connolly, Director of State Agency Client Program 207-624-6650