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 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder.
WAIVER: ME.0159, Intellectual Disabilities or Autism Spectrum Disorder Waiver
CONCISE SUMMARY: The Department plans to submit an amendment to the Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder Home and Community Based Services (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 21 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 21 include:
|
Procedure Code |
Modifier |
Description |
|
T2015 |
|
Career Planning, per Hour |
|
T2016 |
|
Agency Home Support, per Hour |
|
T2016 |
SC |
Agency Home Support, Med Add On, per Hour |
|
T2017 |
|
Home Support, 15 Min |
|
T2017 |
SC |
Home Support, Med Add On, 15 Min |
|
T2017 |
QC |
Home Support, Remote, Monitor, 15 Min |
|
T2017 |
GT |
Home Support, Remote, Interactive, 15 Min |
|
T2019 |
|
Employment Specialist, 15 Min |
|
T2019 |
SC |
Employment Specialist, Med Add On, 15 Min |
|
T2021 |
|
Community Support, 15 Min |
|
T2021 |
SC |
Community Support, Med Add On, 15 Min |
|
T2021 |
UA |
Community Support, Individual, 15 Min |
|
T2021 |
UB |
Community Support, Group, 15 Min |
|
H2023 |
|
Work Support-Individual, 15 Min |
|
H2023 |
SC |
Work Support Med Add On-Individual, 15 Min |
Please see the accompanying draft application for a complete list of all proposed changes included in the amendment.
DHHS is accepting comments through 11:59 pm, October 11, 2024. Any interested party may obtain a copy of the waiver application 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, State House Station # 11
Augusta, Maine 04333-0011
EMAIL: Heather.bingelis@maine.gov
TELEPHONE: 207-624-6951 FAX: (207) 287-1864 TTY: 711
Section 21 Waiver Amendment
Office: MaineCare Services
Email: Heather.bingelis@maine.gov, thomas.leet@maine.gov
Comment deadline:
Off