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
NATURE OF PROPOSED CHANGES: Due to current projected budget limitations, the Department will only be applying COLAs on January 1, 2025, that are required by federal law. Other COLA adjustments will be reliant on additional appropriations by the legislature. As such, the Department will not apply the January 1, 2025, COLA to the following:
Section |
Title/Service |
Section 2 |
Adult Family Care Services |
Section 12 |
Consumer Directed Attendant Services |
Section 13 |
Targeted Case Management Services |
Section 17 |
Community Support Services |
Section 26 |
Day Health Services |
Section 28 |
Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations |
Section 60 |
Non-Medicare covered Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, as well as incontinence supplies. |
Section 65 |
Behavioral Health Services |
Section 92 |
Behavioral Health Home Services |
Section 96 |
Private Duty Nursing and Personal Care Services |
REASON FOR PROPOSED CHANGES: All changes are pursuant to Departmental initiatives and legislative appropriations.
ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will be cost neutral.
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
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:
On