Policies/Rules

Section 29 Waiver Amendment

MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autistic Spectrum Disorder Waiver NOTICE   
Concise Summary: Notice of Agency Waiver Amendment AGENCY: Department of Health and Human Services, MaineCare Services RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autistic Spectrum Disorder WAIVER: ME.0457: Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder CONCISE SUMMARY: The State of Maine is planning to amend the Home- and Community-based Services waiver, known in Maine as Section 29 of the MaineCare Benefits Manual. The waiver serves participants with Intellectual Disabilities and Autism Spectrum Disorder. DHHS is proposing to make changes to comply with legislative directive P.L. 2017, ch. 459, Parts A and B, which provided funding to increase reimbursement rates for Home Support, Shared Living, Community Support, Employment Specialist Services, Work Support, Career Planning, and Respite services. The increased rates are effective starting July 1, 2018. Appendix J reflects the rate increase in years three through five. The legislation also provides that the Department ensure that caps and limitations on services are increased to reflect the rate increases. Therefore, DHHS also proposes to raise limits within this waiver, to ensure that rate increases do not result in any decrease in level of services for participants. The annual limit for participants who receive Home Support, Community support, or Shared Living will increase to $58,168.50 (Appendix C-4), and the annual limit for Respite Services will increase to $1,224.60 per year (Appendix C1/C3). Additionally, DHHS is proposing to increase the number of participants served by this waiver. DHHS proposes to raise the unduplicated number of participants to 2,635 for years three through five (Appendix B-3-a). For years three through five, DHHS proposes to raise the number of participants served at any point in time to 2,470 (Appendix B-3-b). To comply with federal requirements in the 21st Century CURES Act, DHHS is adding a requirement in Appendix C that providers of Home Support-1/4 Hour and Respite services in the home must comply with Maine DHHS Electronic Visit Verification system standards and requirements. This requirement will be effective January 1, 2020. Performance measures have been updated in Appendices A, B, C, D, G, and I. These revisions will make the performance measure in this waiver (ME.0467) consistent with those in ME.0159. Appendix G, Participant Safeguards, has been updated to reflect changes in Maine's regulations governing Reportable Events (14-197 C.M.R. Ch. 12) and Adult Protective Services (10-149 C.M.R. Ch. 1). DHHS is accepting comments from October 30, 2018 through November 29, 2018. Any interested party may obtain a copy of the waiver application by going to the website noted below, at any regional Office for Family Independence (a list of the offices and locations can be found at this link http://www.maine.gov/dhhs/ofi/offices/index.html), or a printed copy may be obtained by calling Rachel Posner at (207) 624-6951 or emailing at rachel.posner@maine.gov. See http://www.maine.gov/dhhs/oms/rules/index.shtml for waiver renewal and to submit comments. STATUTORY AUTHORITY: CFR §441.304 DEADLINE FOR COMMENTS: Comments must be received by midnight, Thursday, November 29, 2018. AGENCY CONTACT PERSON: Rachel Posner, Comprehensive Health Planner AGENCY NAME: MaineCare Services ADDRESS: 242 State Street, 11 State House Station Augusta, Maine 04333-0011 Rachel.posner@maine.gov TELEPHONE: 207-624-6951 FAX: (207) 287-1864 TTY: 711
Submit Comments (Opens in new window) - Comment Deadline: November 29, 2018 Posted: October 30, 2018
 
MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder. Waiver Amendment PDF COMMENTS   
Concise Summary: The Maine Department of Health and Human Services (DHHS) is planning to amend the Home and Community-Based Services waiver; known in Maine as Section 29 or the "Supports Waiver". This waiver supports members with Intellectual Disabilities and Autism Spectrum Disorder. DHHS is proposing to add Shared Living (Adult Foster Care) as a service to this waiver. At the same time, DHHS would like to change the limit of combined services from $23,985.00 to $52,425.00; a member may receive Home Support, Shared Living, or Community Support and must remain under this new limit for these services combined. Work Support will be removed from the combined limit. These changes are being made to comply with legislative directive P.L. 2017, Ch 284, §§ MMMMMMM-2. Additionally, DHHS would like to change the limit on Respite from $1,000.00 a year to $1,100.00 a year. DHHS is proposing to increase the unduplicated member count from 2,078 to 2,150 and the point in time member limit from 1,850 to 2,000. This will allow DHHS to offer more funded openings to members and increase the number of members who can get care. The State is also responding to P. L. 2017, ch. 284 and increasing funding for Home Support, Community Support, Employment Specialist Services, Work Support, Career Planning, Respite and Shared Living, which is a new service being added in this waiver amendment, for one year. The increased rates are effective 7/1/17 to 6/30/18. Appendix J reflects the temporary rate increase in year 2. Lastly, DHHS would like to update the name for the service Transportation to Non-Medical Transportation, which is the correct term for the service. The waiver manager’s name has been updated as well. As part of these changes, CFR 42 §441.304 requires a comment period to accept public input on these changes. DHHS is accepted comments October 19-November 26, 2017. However, noticed a clerical error and is re-noticing this waiver amendment December 8, 2017 through January 8, 2018. Any interested party may obtain a copy of the waiver application by going to the website noted below, at any regional Office for Family Independence (a list of the offices and locations can be found at this link http://www.maine.gov/dhhs/DHSaddresses.htm ), or a printed copy may be obtained by calling Ginger Roberts-Scott at (207) 624-4048 or emailing at ginger.roberts-scott@maine.gov. SEE http://www.maine.gov/dhhs/oms/rules/index.shtml for waiver amendment and to submit comments STATUTORY AUTHORITY: CFR §441.304 DEADLINE FOR COMMENTS: Comments must be received by midnight, Monday, January 8, 2018. AGENCY CONTACT PERSON: Ginger Roberts-Scott, Comprehensive Health Planner AGENCY NAME: MaineCare Services ADDRESS: 242 State Street, SHS#11 Augusta, Maine 04333-0011 Ginger.roberts-scott@maine.gov TELEPHONE: 207-624-4048 FAX: (207) 287-1864 TTY: 711
Submit Comments (Opens in new window) - Comment Deadline: January 9, 2018 Posted: October 16, 2017