Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Section 13, Targeted Case Management Services

Date posted:

Attachment(s):

Notice of MaineCare Reimbursement Methodology Change

AGENCY:  Department of Health and Human Services, Office of MaineCare Services

SERVICES INCLUDED:  Chapter 101, MaineCare Benefits Manual, Section 13, Targeted Case Management Services

NATURE OF PROPOSED CHANGES: The Department plans to amend requirements for individuals receiving targeted case management (TCM) services, specifically for members experiencing homelessness, by adding the allowance that a member may also have a history of homelessness and a Service Prioritization Decision Assistance Tool (SPDAT) score of 20-60 and qualify for this level of TCM services.

REASON FOR PROPOSED CHANGES: All changes are pursuant to Maine P.L. 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, Part AAAA.

ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will be cost neutral in federal fiscal year 2024 and federal fiscal year 2025.

ACCESS TO PROPOSED CHANGES AND COMMENTS TO PROPOSED CHANGES:The public may review the proposed methodology changes and written comments at any Maine DHHS office in every Maine county. To find out where the Maine DHHS offices are located, call 1-800-452-1926. The Department will hold a hearing for the proposed rulemaking and will be publishing a notice which includes information on the hearing date and location.

CONTACT INFORMATION FOR RECEIPT OF COMMENTS:  Kristin Merrill  

                                                                                                       Kristin.Merrill@maine.gov

AGENCY NAME:                                              Office of MaineCare Services

ADDRESS:                                                         109 Capitol Street, 11 State House Station

                                                                             Augusta, Maine 04333-0011

TELEPHONE:(207) 624-4006 FAX: (207) 287-6106

                                                               TTY: 711 Maine Relay (Deaf or Hard of Hearing)

See http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.

State Plan Amendment

Office: MaineCare Services

Email: Kristin.Merrill@maine.gov

Comment deadline:

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