10-149 C.M.R. Ch. 5, Sec. 63; HOME BASED SUPPORTS AND SERVICES FOR OLDER AND DISABLED ADULTS

Home Based Supports and Services (HBSS) for Older and Disabled Adults is a state funded program to provide long term care services to assist eligible Consumers to avoid or delay institutionalization. Provision of these services is based on the availability of funds. State funds furnished through 22 M.R.S. §§ 7301-06, 7321-23 and 34-B M.R.S. § 5439 may not be used to supplant the resources available from families, neighbors, agencies and/or the Consumer from other federal or state programs unless specifically provided for elsewhere in this Section.

Attention MaineCare Providers: MaineCare Operations are Continuing as Normal at this Time

The Department has been monitoring and assessing various Trump Administration announcements related to federal funding.  

MaineCare operations are continuing as normal at this time. This week's MaineCare payment cycle will process as normal. MaineCare providers who were expecting to receive payment on Thursday, January 30 or Friday, January 31 will receive that payment as planned. We will share additional information if and when we have it. 

Certified Community Behavioral Health Clinics (CCBHC) Demonstration Comment Summary with Department Response

A summary of all comments is available on the MaineCare Rate System Reform webpage. The comment summary includes the Department’s responses, with an explanation of whether and how feedback was incorporated into the final draft rates. MaineCare reviewed and took into consideration all public input received. We thank all those who contributed.

Public Forum Cancelation: Home and Community Based Service (HCBS) Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Support Services

We are canceling the public forums to present draft rates and models for certain HCBS services that were scheduled for February 5, 6 and 18, 2025.  

The Department will reschedule these forums and send an e-message with the new dates and times.  

For questions, please contact Jennifer Morse, Rate Setting Project Manager.     

 

Section 65 Behavioral Health Clarification of Authorization Requests for MAT/Suboxone & Medication Management

We recommend that providers use the +3-location identifier on authorization requests to Acentra for medication management services. Providers can specify the NPI+3 location in the servicing provider section of Acentra. This will help identify that the service location is licensed appropriately to provide Medication Assisted Treatment (MAT)/Suboxone, or Medication Management. 

The module/site list you received from the Department of Licensing will list the appropriate address location where services are administered and the services you are approved to provide:

Rate Determination Initiation Notice and Public Forum for Section 97, Private Non-Medical Institutions (PNMI) Appendix D, Temporary High Intensity Services

The Department initiated a Rate Determination Process* for Temporary High Intensity Services under Section 97, PNMI, Appendix D (Children’s Residential Care) of the MaineCare Benefits Manual. The Department will assess and determine as appropriate, rate amounts or reimbursement models in accordance with Rate Reform law. 

Draft Rate and Model Presentation and Comments Deadline

Home and Community Based Service (HCBS) Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Support Services: Draft Rate Public Review and Comment

In June of 2024, the Department initiated a rate determination process for certain HCBS under policy sections 12, 18, 19, 20, 21, 29, 40, 96, and 102. This rate determination included a public kickoff, several engagement sessions, and a survey to obtain information, including but not limited to, program costs and service utilization from providers and interested parties.  

Subscribe to