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IMD Exclusion for SUD and SMI/SED

Overview

The State of Maine’s Department of Health and Human Services is seeking waiver authority under Section 1115 to claim Federal Financial Participation (FFP) for the medically necessary services provided to eligible individuals ages 21-64 with a Substance Use Disorder (SUD), Serious Mental Illness (SMI) and/or children with Serious Emotional Disturbance (SED), residing in facilities meeting the regulatory definition of an Institute for Mental Disease (IMD). Current Medicaid statue does not allow FFP for care or services for any individual who has not attained 65 years of age and who is a patient in an IMD. This restriction is known as Medicaid’s IMD exclusion. This 1115 waiver will provide the state flexibility in the service delivery system with the aim of expanding access to treatment modalities and bridging medical and behavioral health needs to ensure a full continuum of care for people with SUD and SMI/SED.

IMD Exclusion for SUD and SMI/SED Public Hearings

Hearing 1: Augusta Public Hearing
Date: March 6, 2019
Time: 10:00 AM
Location: 111 Sewall Street, Rm. 103A&B
  Augusta, ME 04330
Conference Line: 1-877-455-0244
Passcode: 7319892834
   
Hearing 2: Portland Public Hearing
Date: March 7, 2019
Time: 10:00 AM
Location: 151 Jetport Blvd., Rm 139A&B
  Portland, ME 04101
Conference Line: 1-877-455-0244
Passcode: 7319892834

IMD Exclusion for SUD and SMI/SED Waiver Documents

IMD Exclusion for SUD and SMI/SED Written Comments

Written comments on the proposed changes are welcome and will be accepted from February 22, 2019, through 11:59PM on March 25, 2019. Written comments may be submitted in the following ways:

  1. By email to: Policy.DHHS@maine.gov
  2. By mail to: Division of Policy/MaineCare Services, 242 State St. 11 State House Station, Augusta, Maine 04333-0011

Section 1115 Demonstration Waiver - HIV

Overview

The State of Maine will be submitting a 5-year renewal application to the Centers for Medicare and Medicaid Services (CMS) for its Section 1115 Health Care Reform Demonstration for Individuals with HIV/AIDS. The purpose of this waiver is to provide limited Medicaid coverage to Maine citizens living with HIV/AIDS, including tribal community members.

Section 1115 waivers allow states to test new or existing ways to deliver and pay for healthcare services in Medicaid and the Children's Health Insurance Program (CHIP). Learn more about the 1115 waiver authority.

HIV Public Hearings

In accordance with 42 CFR Part 431.408, notice is hereby given that DHHS will host three public hearings on the HIV waiver extension application. In addition, the 30 day public comment period begins on March 1, 2018 and ends at 11:59 PM on March 31, 2018. You may provide comments through written or verbal statements made during the public hearings listed below.

Hearing 1: Augusta Monthly HIVAC Meeting
Date: March 13, 2018
Time: 10:00 AM
Location: Room 103 Burton Cross Building
  111 Sewall Street
  Augusta, ME 04330
Conference Line: 877-455-0244
Passcode: 2076246687
Hearing 2: Augusta Public Hearing
Date: March 20, 2018
Time: 9:30 AM
Location: Room 600 Burton Cross Building
  111 Sewall Street
  Augusta, ME 04330
Conference Line: 877-455-0244
Passcode: 7155869880
Hearing 3: Bangor Public Hearing
Date: March 21, 2018
Time: 9:30 AM
Location: DHHS Bangor
  396 Griffin Road
  Bangor, ME 04401
Conference Line: 877-455-0244
Passcode: 7155869880

HIV Waiver Documents

Copies of waiver documents are posted above for you to download at no charge. The public may review these documents at any Maine DHHS office in every Maine county. For additional information about Maine DHHS office locations, please call 1-800-452-1926.

HIV Written Comments

Written comments on the proposed changes are welcome and will be accepted from March 1, 2018, through 11:59PM on March 31, 2018. Written comments may be submitted in the following ways:

By email to: Policy.DHHS@maine.gov
By mail to: Division of Policy/MaineCare Services, 242 State St. 11 State House Station, Augusta, Maine 04333-0011.

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