MaineCare Policy and State Plan Amendments E-Message

 

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes.  The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. 

Below, please find a Notice of Agency Rule-making Adoption.  You can access the complete rule at http://www.maine.gov/dhhs/oms/rules/index.shtml

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Notice of Agency Rule-Making Adoption

 

 AGENCY:  Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND TITLE:  Chapter 101, MaineCare Benefits Manual, Chapters II & III, Section 67, Nursing Facility Services.

ADOPTED RULE NUMBER:

CONCISE SUMMARY:  The adopted rule will provide a new methodology for calculating recapture of depreciation upon the sale of a nursing facility to comply with Public Law 2014, Chapter 582. The Department is awaiting CMS approval on the SPA changes specific to depreciation recapture. The Department seeks to have those changes effective retroactive to November 1, 2014.

The adopted rule adds Ventilator Care Services as a covered service to eligible MaineCare members. The adopted rule allows for reimbursement through a prior authorization process to ensure nursing facilities may be reimbursed for members in need of Ventilator Care Services.  This change is not expected to have an adverse effect on the administrative burdens of small businesses. The Department will seek approval from CMS to add Ventilator Care as a separately reimbursed service authorized through a prior authorization. The Department seeks to have this change effective retroactive to July 1, 2015.

 http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.

 EFFECTIVE DATE:                            September 15, 2015                

AGENCY CONTACT PERSON:         Heidi Bechard, Comprehensive Health Planner

AGENCY NAME:                                  Division of Policy

ADDRESS:                                             242 State Street

                                                                 11 State House Station

                                                                 Augusta, Maine 04333-0011

                                       Heidi.Bechard@maine.gov

TELEPHONE:                                       (207) 624-4074  FAX: (207) 287-1864

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