42, 3173; P.L. Accessibility & Policy. 2021, Ch. 2021, Ch. The capital, Augusta, has fewer than 20,000 residents. 2017, ch. Dial by your location In response to financial challenges and civil emergency created by the COVID-19 pandemic, the Department has advanced the increased rates from the anticipated July 1, 2020 start date approved in the FY2021 budget retroactively to May 1, 2020, in order to provide financial relief, to support stability in the workforce, and to increase access to members in need. You will also learn how to ensure that your resume and cover letter make the best first impression to employers. Adding language for clarification to 5.08(B)(2)(a) to specify 24 hours a day care must be provided to the member and adding an additional requirement that the member could not be receiving in home services. STATUTORY AUTHORITY: 22 M.R.S. 2019, Ch. Donate. Perform and save advanced searches to find the job that's perfect for you. Member participation is voluntary and does not interfere with MaineCare members freedom of choice to access other MaineCare providers. Augusta, Maine 04333-0011, TELEPHONE: 207-624-4031 FAX: (207) 287-6106 398, Sec. Qualifying exigencies may include attending certain military events, arranging for alternative childcare, addressing certain financial and legal arrangements, attending certain counseling sessions, and attending post-deployment reintegration briefings. The proposed rule outlines the responsibilities of the SCA to promote the Person-Centered Planning process and to clarify the authority of the SCA to reduce, suspend, and deny members services. augusta, GA (aug) birmingham, AL (bhm) boone, NC (bnc) bowling green, KY (blg) brunswick, GA (bwk) charleston, SC (chs) charlotte, NC (cha) chattanooga, TN (cht) Maine coon kitten (otp west) pic hide this posting restore restore this posting. Members would also now be eligible if they are transitioning from an institutional setting and if members are identified by risk-stratification as at risk for deteriorating health; high-risk or high-cost due to severity of illness or high social needs; or higher health care needs than is expected for their clinical risk group. 398 (eff. Under the proposed rule, CCTs support PCPs, rather than HHPs, by providing services to members who are high-risk and/or high-cost and whose health care needs are more intense than can be managed by a PCP. The proposed rule also removes the temporary transition period from the timeliness and duration of care provisions that were added in a prior rulemaking pursuant to Resolves 2015, ch. | Posted: December 22, 2021, Health Home Practices and the PCPlus Initiative. +1 301 715 8592 US (Washington DC) CONCISE SUMMARY: This rulemaking proposes to make the following changes: As directed by P.L. 80.09-1(D). TTY: 711 (Deaf or Hard of Hearing), Comment deadline past Augusta, Maine 04333-0011 Hence, this rulemaking increases the reimbursement amount to the OHH provider to include a pass-through payment of $394.40 for the IOP, Induction, Stabilization, and Maintenance Levels of Care when members elect to receive services from an additional support provider. III (the Main Rule) and Appendices B (Substance Abuse Treatment Facilities) and D (Child Care Facilities). STATUTORY AUTHORITY: 22 M.R.S. 97 rule is major substantive, and the upcoming changes shall be filed as an emergency rule no later than Nov. 1, 2021, so that they will be effective at the same time the changes in Ch. Partial denture relines Health and Human Services 348. In addition: The Department is proposing to clarify that each hospitals year, as used for the calculation, is the hospitals fiscal year that ended during calendar year 2016. III Appendix D Sec. 398, DATE, TIME, AND LOCATION OF PUBLIC HEARING: Tuesday, June 28th, 2022; 1:00pm, Due to the ongoing threat posed by COVID-19, DHHS has determined that its public hearing will be conducted solely remotely, via Zoom. 8072. 101, MaineCare Benefits Manual, Chapters II & III, Section 93, Opioid Health Home Services, to improve access to treatment, reduce administrative barriers to providing Medication Assisted Treatment (MAT), promote evidence-based treatment standards, and reinforce the importance of Opioid Health Home (OHH) integration with primary care. ***** 22 M.R.S. STATUTORY AUTHORITY: 22 M.R.S. +13126266799,,84162152721# US (Chicago), +1 301 715 8592 US (Washington DC) CONCISE SUMMARY: This proposed rulemaking makes various, complex changes, including changes to comply with federal regulations, make updates to reflect current practices, clarify ambiguous and vague sections of policy, and increase the MaineCare Program Integrity Unit's ability to safeguard against fraud, waste, and abuse. Section 90.04-7 also requires that some physician-administered drugs may require PA to ensure members meet age, clinical, or other requirements for MaineCare to provide payment and that the MaineCare Health PAS Online Portal contains a complete list of physician-administered drugs that require PA and corresponding PA criteria sheets. Participation in PCPlus is voluntary for PCPs. AGENCY NAME: MaineCare Services d. Prescriptive descriptions of services that are overly detailed for the rule. AGENCY CONTACT PERSON: Melanie Miller, Comprehensive Health Planner II To align with federal regulations under 42 C.F.R. I, Sec. Due to the rate changes and finally adopted changes in Chapter II, Section 97, this rule proposes removing language from Section 6000 because the referenced member assessment is no longer required. The Secretary of the United States Department of Health and Human Services first declared a public health emergency (PHE) due to COVID-19 on January 31, 2020, and most recently renewed the PHE on July 20, 2021. A-17, An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2021, June 30, 2022 and June 30, 2023, DATE, TIME, AND LOCATION OF PUBLIC HEARING: 11am; Tuesday, January 18th, 2022 115-123, Comment deadline past The retroactive application of this provision is authorized pursuant to 22 M.R.S. III, Section 45, Principles of Reimbursement for Hospital Services. We will update you on new newsroom updates. 398, An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2021, June 30, 2022 and June 30, 2023 (the Budget). (2) 10-144 C.M.R. 42, 42(8), 3173, 42 C.F.R. The Department will be seeking and anticipates CMS approval for these new services that are intended to benefit providers and members alike. All of these rulemakings make up the PCPlus initiative, will be proposed simultaneously, and will have the same effective date. The Ch. 2019, Ch. 11 State House Station Searching for a job and not sure how to get started? DEADLINE FOR COMMENTS: Comments must be received by 11:59 PM December 10, 2021. Find the latest information about COVID-19. TELEPHONE: 207-624-4087 FAX: (207) 287-1864 The collaborative group focused on improving outcomes for MaineCare members with disabilities and chronic health conditions, including Substance Use Disorder (SUD), who are experiencing homelessness and developing a Medicaid benefit to support housing sustainability, improved health outcomes, and reduced overall costs of care. DHHS is concerned about this increase in COVID-19 and seeks to avoid the threat to public health and safety by conducting this public hearing solely remotely. 42 and 42(8), 3173; P.L. Services (OMS) Program Integrity Units enforcement of the prohibition on billing for administrative tasks, which already exists per current MaineCare rules. Please call the hospital switchboard at (207) 626-1000. These reimbursement changes shall be effective July 1, 2022, as authorized and required by the Budget. A-17 (the "Budget"), Part CCC, Sec. 398. The Settings Rule specifies that service planning for Home and Community Based Services (HCBS) waiver members must be developed through a Person-Centered Planning (PCP) process that addresses health and long-term services and support needs in a manner that reflects individual preferences and goals. Rulemaking required for these particular rule changes are routine technical per 22 M.R.S. 10-144 C.M.R. 616. Replaces separate adult and child coverage provisions with a single covered services description generally applicable to all members. VI, Sec. maine > community events for sale gigs housing jobs resumes services > all activity partners artists childcare general groups local news and views lost & found missed connections musicians pets politics rants & raves rideshare volunteers missed connections > Chapter 101, MaineCare Benefits Manual, Chapter II, Section 101, Medical Imaging Services. The Department shall seek approval from the Centers for Medicare and Medicaid Services (CMS) of state plan amendments (SPAs) to repeal and revise the aforementioned programs and implement the PCPlus program. Requires OHHs to retain a signed consent form for all OHH members in the member record. PUBLIC HEARING: For this rulemaking, a public hearing will not be held due to the COVID-19 public health emergency. c. The proposed rule adds and removes prior authorizations to align with other payors and based on recommendations from clinical consultation. The Department will accept email and standard mail comments for 30 days from the publication date of the notice of rulemaking by the Secretary of State. AGENCY CONTACT PERSON: Henry Eckerson, Comprehensive Health Planner II The majority of OCR staff are working remotely because of the pandemic. This rulemaking proposes the Requests for Exceptions provision (See Sec. Partners. +1 408 638 0968 US (San Jose) 101, MaineCare Benefits Manual, Chapter(s) II and III, Section 19, Home and Community Benefits for the Elderly and Adults with Disabilities. Members must first meet the Intensive Tier criteria before entering the Stabilization and Maintenance Tiers. 398; P.L. State of Working Maine 2022. 99; Resolves 2019, Ch. ***** craigslist provides local classifieds and forums for jobs, housing, for sale, services, local community, and events 21.11 (Member Appeals): The Department proposes adding a sentence to provide that Members have the right to appeal decisions made regarding priority level and waitlist determinations. Reference to coverage for members residing in an Intermediate Care Facility for Persons with Mental Retardation (ICF-IID) because these members will now receive the services covered for members 21 and over (adults). 635 (the Supplemental Budget), the rule proposes to include cost-of-living adjustments (COLAs) for services that have not received a rate adjustment in the prior 12 months, according to appropriate criteria for calculating COLAs. 530, An Act to Prevent and Reduce Tobacco Use with Adequate Funding and by Equalizing the Taxes on Tobacco Products and To Improve Public Health, the Department is proposing the following changes: Pursuant to Sec. HOME Providers shall provide comprehensive care management, care coordination, health promotion, comprehensive transitional care, individual and family support services, and referral to community and social support services. This increase has been driven by the highly transmissible B.1.617.2 (Delta) variant of SARS-CoV-2, the virus that causes COVID-19. Performance measure thresholds and the performance of other providers will determine if OHHs receive the full four percent and if they are eligible for a pay-for-performance surplus payment. The Departments removal of the 24- month cap has already been approved by the Centers for Medicare and Medicaid Services (CMS). Shared Living (Foster Care Adult) Section 25.06-5, Case Management, because it describes standard health care provider practices and because the proposed rule adds coverage for a dental case management service. Learn More. 398 Prerequisite for this workshop: A current Maine JobLink account. Separately, effective December 31, 2021, and coinciding with the adoption of the emergency routine technical rule, the Department shall repeal an emergency major substantive rule that was adopted on April 7, 2021, and that included reimbursement rate increases for certain services under Ch. Comment Deadline: December 10, 2021 Chapter 101, Chapter II, Section 25, Dental Services and Reimbursement Methodology (this rule replaces the two repealed rules). PUBLIC HEARING: Lastly, this rulemaking requires both CCTs and HOME Providers to submit data necessary to compile and report on performance measures, as identified by the Department. This rulemaking adds other sanctions, such as submitting a plan of correction, so the OMS Program Integrity Unit can ensure providers comply with MaineCare rules and monitor providers who experience rapid growth or changes. To implement the new comprehensive adult dental benefit, the proposed rule adds coverage for adults for diagnostic, preventive, restorative, endodontic, periodontic, prosthodontic, oral and maxillofacial surgery, and adjunctive services. 99, Resolve, To Change the Educational Requirements of Certain Behavioral Health Professionals (effective Sept. 19, 2019), creating three educational levels: high school diploma or equivalent with a minimum of 3 years direct experience working with children in a behavioral health with a specific plan for supervision and training; a minimum of 60 higher education credit hours in a related field of social services, human services, health or education; and a minimum of 90 higher education credit hours in an unrelated field with a specific plan for supervision and training. Requires OHH providers to provide and document efforts to connect each OHH member to a primary care provider. Interested parties should refer to the new PCPlus rule (MBM, Ch. Maine has cut income taxes multiple times in recent years. 407; P.L. 147. PUBLIC HEARING: A public hearing will not be held for this rulemaking. Located in the heart of Martinez, GA, we are a new childcare center run by experienced and passionate educators. ***** Therefore, to ensure receipt of your correspondence, please consider emailing or faxing (202-245-8392) it to our office, where it will receive immediate attention. The rulemaking also defines billing month as the period from the 21st of a month to the 20th of the Additionally, Part OOO of the Act authorizes the Department to implement cost of living increases (COLAs). The proposed rule tracks closely the federal requirements set forth in 42 C.F.R. +1 408 638 0968 US (San Jose) Due to the ongoing threat posed by COVID-19, DHHS has determined that its public hearing will be conducted solely remotely, via Zoom. Augusta, Maine 04333. 398, Sec. Rulemaking required for these particular rule changes are routine technical per 22 M.R.S. Aquatics. VI, Sec. Members currently attributed to an HHP panel will not experience any direct impacts once the HHP rule provisions are repealed. Chapter 101, MaineCare Benefits Manual, Chapters II & III, Section 93, Opioid Health Home Services. AGENCY CONTACT PERSON: Dean Bugaj, Childrens and Behavioral Health Manager 114-255), Section 12006, as codified in 42 U.S.C. There are additional proposed requirements for provider-owned or controlled residential settings. Comment Deadline: December 24, 2021 398 (the "Act"), the Department is proposing routine technical rule changes to increase rates for providers of services under Ch. The Department has not yet initiated the proposed major substantive rulemaking associated with the April 7, 2021, emergency major substantive rule, and thus there is no provisional major substantive rule pending for review before the Legislature. Ch. AGENCY CONTACT PERSON: Anne E. Labonte, Comprehensive Health Planner II Maine JobLink is mobile responsive and easy to use from any phone, tablet, or PC. This means that 30% of eligible OHHs are not expected to meet the minimum performance threshold and thus will not receive the four percent payment. Change penalties to equal 20%, as opposed to not exceeding 20%, when mandated records are missing but providers are able to demonstrate by a preponderance of the evidence that the disputed goods or services were medically necessary; Comment Deadline: January 21, 2022 For Section 91, as it relates to the PCPlus initiative, the Department is removing Health Home Practices (HHPs) because they would be duplicative of the reimbursement the PCPs will receive and the covered services they provide via PCPlus. 2019 Ch. Meeting ID: 829 1360 7531. This POCA process will provide increased protections for Members and ensure that providers are in compliance with service requirements, have sufficient clinical and administrative capability to carry out the intent of the service, and have taken steps to assure the safety, quality, and accessibility of the service for Members. 101, MaineCare Benefits Manual (MBM), Chapter III, Section 5, Ambulance Services. The 130th Maine Legislature enacted P.L. PCPlus operates under 1905(t)(1) of the SSA and is not a managed care program. Crisis Intervention Services (Requires additional documentation by the Planning Team) Accessibility & Policy. In order for physicians to access the increased rate of reimbursement, they will be required to use the AF modifier on their claims. Within 24 hours of the session, your workshop link will be directly emailed to you from the presenter using a Maine.gov email address. TELEPHONE: 207-624-4085 FAX: (207) 287-6106 Sec. Find your local number: https://mainestate.zoom.us/u/kcMhQouOSg. e. Prefabricated crowns Augusta, Maine 04333-0011 Due to the ongoing threat posed by COVID-19, DHHS has determined that its public hearing will be conducted solely remotely, via Zoom. The PCPlus program is intended to give PCPs greater flexibility and incentives to effectively meet MaineCare members' health care needs by transitioning away from a volume-based (fee-for-service) payment system with little connection to value, toward an approach that provides risk-adjusted Population-Based Payments tied to cost- and quality-related outcomes. Establish a timeframe for when providers need to update OMS of changes to their National Provider Identifier or other enrollment information; On March 13, 2020, the President of the United States issued a proclamation that the COVID-19 outbreak constitutes a national emergency, which was most recently continued on February 24, 2021. II also imposes new requirements on Appendix B providers and broadens those covered services. TTY: Maine relay 711, OCFS licenses child care providers, oversees, Maine Department of Health and Human Services, Quality Rating and Improvement System (QRIS), Early Childhood Consultation Partnership (ECCP), How to Become a Resource or Adoptive Parent, Resources for Resource or Adoptive Parents, Training for Parents, Resource Parents & Adoptive Parents, Reporting Suspected Child Abuse and Neglect, Mandated Reporter Trainer Contact Information, Childrens Behavioral Health Services Communications, Become a Childrens Behavioral Health Provider, Child Care Subsidy Information for Providers, Residential Treatment Program Background Checks, Children's Behavioral Health Data Dashboard, Children's Behavioral Health Evaluation Improvement, Maines Quality Rating and Improvement System (QRIS), Americans With Disabilities Act/Civil Rights Compliance. Dial by your location The proposed rule (Sec. Chapter 101, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder. In calculating the rate increases necessary to comply with Part AAAA of the Act, the Legislature and the Department took into consideration the impact of the planned COLAs on ensuring the labor components of the reimbursement rates for Section 29 and other services specified under Part AAAA are equal to at least 125 percent of minimum wage. 7401. d. Multiple types of crowns Intake caseworkers are available 24 hours a day, 7 days a week, including weekends and holidays. If after attending a session, you need more assistance with your Maine JobLink job seeker account, contact us at MaineDOL.CareerCenter@Maine.Gov or call to make a scheduled appointment at 207-623-7981. 42(1), 3173; P.L. AGENCY NAME: MaineCare Services TTY: 711 (Deaf or Hard of Hearing), Comment deadline past 2019, Ch. Post surgery, handicaps including blindness, deafness, diabetes, maternity supported. The Medication Plus Level of Care reimburses for all OHH covered services except for OUD counseling, which allows members to receive OUD medication without electing to participate in OUD counseling. The Department of Health and Human Services ("the Department") proposes the following changes to 10-144 C.M.R. II, Section 25 rule. Comment Deadline: March 5, 2021 Child Care / Preschools / Preschools in Augusta, ME / Tiny Toes Childcare. AGENCY NAME: MaineCare Services +1 312 626 6799 US (Chicago) 2) Is asymptomatic; The Department shall seek CMS approval for the new covered services and provider requirements, as specifically noted in various proposed rule changes. Finally, the Department is proposing minor language, clerical, and reference number edits. Partners. TELEPHONE: 207-624-4085 FAX: (207) 287-6106 COMMENT DEADLINE: Comments must be received by 11:59 pm on July 8th, 2022. position in Augusta, Maine 42, 3173, P.L. Meeting ID: 849 8147 8440, AGENCY CONTACT PERSON: Henry Eckerson, Comprehensive Health Planner II AGENCY CONTACT PERSON: Melanie Miller, Comprehensive Health Planner II 3) Has a tobacco smoking history of at least 30 pack-years (one pack-year = smoking one pack per day for one year; 1 pack = 20 cigarettes); 101, MaineCare Benefits Manual, Chapter II, Section 65, Behavioral Health Services. CONCISE SUMMARY: This Section 91 rulemaking proposes to eliminate Health Home Practices (HHP) from the Section 91 rule, makes various changes to Community Care Teams (CCTs), establishes the Housing Outreach and Member Engagement Provider (HOME Provider) as a provider of specialized CCT services and adds affiliated reimbursement rates to Chapter III, Section 91, and changes the names of the Chapters II and III, Section 91, policies to Health Home Services - Community Care Team. 407; The Family First Prevention Services Act, Public Law 115-123 (as part of Division E in the Bipartisan Budget Act of 2018 (H.R. Comprehensive periodontal evaluations Exercise and socialization make happy dogs at Little Dog Day Care in Augusta, Maine near Capitol Park. The proposed rules also make minor technical corrections. Join us for this 90-minute virtual session as we discuss how to create a winning resume. This proposed rule is cited as:10-144 C.M.R., ch 101, MaineCare Benefits Manual, Chapter I, Section 6, Global HCBS Waiver Person-Centered Planning and Settings Rule, referred to as the HCBS Global Rule. EMAIL: henry.eckerson@maine.gov Policies & Rules A-17, An Act Making Unified Appropriations and Allocations for the Expenditures of State Government, General Fund and Other Funds and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2021, June 30, 2022 and June 30, 2023 (the "Budget"), and in alignment with the recommendations from the comprehensive rate setting evaluation conducted by Myers and Stauffer at the request of the Department, the proposed rule increases the reimbursement rate from 70% of the lowest level in the 2009 Medicare fee schedule to 72.4% of the current year's Medicare rate per code. The Department published a Notice of MaineCare Reimbursement Methodology Change on June 28, 2019 notifying providers of this increase and is awaiting approval of a state plan amendment. 90.09-4, Primary Care Provider Incentive Payment (PCPIP), as part of the new Primary Care Plus (PCPlus) initiative. 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