Date posted:
Attachment(s):
Notice of Agency Rulemaking Proposal
AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy
CHAPTER NUMBER AND RULE TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual, Ch. II, Section 92, Behavioral Health Home Services Ch. III, Section 92, Principles of Reimbursement for Behavioral Health Home Services
TYPE OF RULE: Routine Technical
PROPOSAL FILING NUMBER:
BRIEF SUMMARY: The primary purpose of the proposed Chapter II rule is to add the High Fidelity Wraparound Services (Wraparound BHH Services) as a new Behavioral Health Home service tier for children. These services are designed to bolster existing behavioral health home services with a model that emphasizes a member- and family-centered approach and that utilizes fidelity measures to optimize better health for the member. The proposed Chapter II rule also removes, as redundant, Health Home Practices (HHPs) as providers under Section 92 because the HHP designation was eliminated when MaineCare adopted Chapter VI, Section 3, Primary Care Plus, effective June 21, 2022. Instead of coordinating with HHPs, BHH providers will now be required to coordinate more broadly with Primary Care Providers (PCPs). In addition, this proposed Chapter II rule includes new performances measures, adds a cost of living adjustment provision, adds care coordinator responsibilities and plan of care requirements in accordance with the Settlement Agreement between the United States of America and the state of Maine (U.S. Dist. Ct. (D. Me.), Case No. 1:24-cv-00315-SDN), and makes other changes to clarify rule requirements. Finally, this rulemaking proposes to repeal Ch. III, Section 92, consistent with the addition of the principles of reimbursement in the proposed Chapter II, Section 92.
PUBLIC HEARING: The Department will hold a combined in-person and remote (via Zoom) public hearing.
Date and time: Thursday, December 18th, 2025, at 9:00 a.m.
Location: 109 Capitol Street, Augusta, ME 04330, Androscoggin Conference Room
Zoom Meeting link: https://mainestate.zoom.us/j/88060484988
Meeting ID: 880 6048 4988
Some devices may require downloading a free app from Zoom prior to joining the public hearing event. The Department requests that any individual requiring special arrangements to attend the hearing in person contact the agency person listed below 5 days in advance of the hearing. In addition to the public hearing, individuals may submit written comments to DHHS by the date listed in this notice.
COMMENT DEADLINE: Comments must be received by 11:59 PM on December 28th, 2025
CONTACT PERSON FOR THIS FILING:
Taylor Fey, Policy Writer
109 Capitol Street, 11 State House Station
Augusta, Maine 04333-0011
207-624-4086 FAX: 207-287-6106
TTY: 711 (Deaf or Hard of Hearing)
CONTACT PERSON FOR SMALL BUSINESS IMPACT STATEMENT:
FINANCIAL IMPACT ON MUNICIPALITIES OR COUNTIES: The Department anticipates that this rulemaking will not have any financial impact on municipalities or counties.
STATUTORY AUTHORITY FOR THIS RULE: 22 M.R.S. §§ 42, 3173; 42 CFR § 440.70
Proposed
Office: MaineCare Services
Routine technical
Email: taylor.fey@maine.gov
Comment deadline:
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