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, Appendix D, Principles of Reimbursement for Children's Residential Care Facilities: Temporary High Intensity Services
NATURE OF PROPOSED CHANGES: The Department will amend reimbursement of Temporary High Intensity Services found in Section 97, Private Non-Medical Institution, Appendix D, Principles of Reimbursement for Children's Residential Care Facilities effective April 1, 2025. Reimbursement will be as follows:
|
Service Description |
Procedure Code |
Unit |
Rate |
|
Temporary High Intensity Services |
S9484 |
Per Hour |
$35.15 |
REASON FOR PROPOSED CHANGES: All changes are pursuant to Title 22 M.R.S, §3173-J.
ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will cost $184,900 in federal fiscal year 2025 which includes $113,685 in federal funds and $71,215 in state funds, and will cost $739,600 in federal fiscal year 2026 which includes $449,150 in federal funds and $290,450 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:
On