Notice of MaineCare Reimbursement Methodology Change, COLA, Chapter 101, MaineCare Benefits Manual

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  

                                                                         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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