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 97, Private Non-Medical Institution (PNMI), Appendix C, Residential Care Facilities (RCFs)
NATURE OF PROPOSED CHANGES: The Department plans to submit a Section 97, Private Non-Medical Institution (PNMI), Appendix C, Residential Care Facilities (RCFs) State Plan Amendment (SPA) in the near future. The Department will discuss these proposed changes with Maine’s five federally recognized tribal health centers during our September 5, 2024, conference call. This SPA seeks approval to issue a one-time supplemental payment to RCFs that provide veteran-focused care.
The one-time supplemental payment will total $3,828,063. Eligible providers are those that provide comprehensive care to MaineCare veterans to meet their unique needs, including critical access to veteran-focused care, including specialized training and care of war-related injuries and conditions, such as Post Traumatic Stress Disorder (PTSD) and service-connected disabilities.
REASON FOR PROPOSED CHANGES: All changes are pursuant to Maine PL 2023 ch. 643, An Act to Make Supplemental Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds and to Change Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2024 and June 30, 2025, Section TTTT-1.
ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will cost of $3,828,063 in federal fiscal year 2024 which includes $2,498,182 in federal funds and $1,329,881 in state funds.
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:
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