Date posted:
Attachment(s):
Notice of Agency Waiver Amendment
AGENCY: Department of Health and Human Services, MaineCare Services
RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury
WAIVER: ME.1082, Home and Community Based Services for Members with Brain Injury Waiver
CONCISE SUMMARY: The Department plans to submit an amendment to the Section 18, Home and Community Based Services (HCBS) for Members with Brain Injury HCBS 1915(c) waiver application. This waiver amendment adjusts funding and rates to reflect the elimination of health care services from the Maine State Service Provider Tax in accordance with 36 M.R.S. § 2552, effective January 1, 2025.
Effective January 1, 2025, Section 18 services for which the Department has documentation that the cost of the current 6% Maine State Service Provider Tax (SPT) (36 M.R.S. § 2552) has been built into the rates will receive a corresponding 6% rate reduction to comply with PL 2023, ch 412, An Act Making Unified Appropriations and Allocations from the General Fund and Other Funds for the Expenditures of State Government and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2023, June 30, 2024 and June 30, 2025.
The impacted services and corresponding codes in Section 18 are:
|
Procedure Code |
Modifier |
Description |
|
T2015 |
U9 |
Career Planning, per Hour |
|
T2019 |
U9 |
Employment Specialist, 15 Min |
|
T2016 |
U9 |
Home Support Level II, 2-4 Beds, per Diem |
|
T2016 |
U9, TT |
Home Support Level II, 5-8 Beds per Diem |
|
T2017 |
U9 |
Home Support, 15 Min |
|
T2017 |
U9, U6 |
Home Support, Self-directed, 15 Min |
|
T2017 |
U9, QC |
Remote Monitor Only Home Support, 15 Min |
|
T2017 |
U9, GT |
Remote Interactive Home Support, 15 Min |
|
S5102 |
U9 |
Clubhouse, per Diem |
|
H2023 |
U9 |
Work Support, 15 Min |
Please see the accompanying draft application for a complete list of all proposed changes included in the waiver amendment.
DHHS is accepting comments through 11:59 pm, October 11, 2024. Any interested party may obtain a copy of the waiver amendment by going to the website noted below or 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).
A printed copy may be obtained by calling Lisa Weaver at (207) 624-4050 or emailing:lisa.weaver@maine.gov.
See http://www.maine.gov/dhhs/oms/rules/index.shtml for waiver amendment and to submit comments.
STATUTORY AUTHORITY: 42 CFR §441.304
DEADLINE FOR COMMENTS: Comments must be received by 11:59 pm, October 11, 2024.
AGENCY CONTACT PERSON: Heather Bingelis, Comprehensive Health Planner II
AGENCY NAME: MaineCare Services
ADDRESS: 109 Capitol Street, 11 State House Station
Augusta, Maine 04333-0011
TELEPHONE:207-624-6951 FAX: (207) 287-1864 TTY: 711
Section 18 Waiver Amendment
Office: MaineCare Services
Email: Heather.bingelis@maine.gov, thomas.leet@maine.gov
Comment deadline:
Off