MaineCare Waiver Amendments Section 19, 20, 21 - July 22, 2016
Maine Department of Health & Human Services sent this bulletin at 07/22/2016 08:49 AM EDT
Notice of Agency Waiver Amendment
AGENCY: Department of Health and Human Services, MaineCare Services
RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 19, Home and Community Based Services for the Elderly and for Adults with Disabilities.
CONCISE SUMMARY: The Section 19 waiver will be amended to make some changes. Appendix A has been updated with a new waiver manager. Appendix C is proposing to add three new services: Home Delivered Meals, Matter of Balance, and Living Well. Performance measures are also being updated and rewritten. Member Budget Authority is being added; this would allow the member to manage their monthly personal care budget.
The Department first noticed the waiver application on January 8, 2016, and ran ads in five newspapers on January 9, 2016. Comments were accepted until February 9, 2016. Comments were accepted and the waiver updated to accommodate the suggested changes. The waiver was not submitted to CMS and more changes were made.
The Centers for Medicare and Medicaid Services (CMS) set standards for amending a waiver, and 42 CFR § 441.304 requires that if substantive changes are being done to a waiver, the state must provide public notice of any significant proposed change in methods and standards for setting payment rates for services.
The Department will be re-noticing the waiver. Adult Day Health will be proposed to be removed and provided under the State Plan. Also, in Appendix I, some personal care and attendant care rates are being increased to comply with LD 886 for year four of the waiver.
The waiver amendment is posted on the MaineCare Services website at this link titled “Section 19 Waiver amendment”.
Please go to: http://www.maine.gov/dhhs/oms/rules/index.shtml
The waiver amendment has been posted and comments are being accepted for 30 days (July 22-August 21, 2016) to allow for public input. There is a link included on the website to submit comments to Ginger Roberts-Scott at MaineCare Services. A copy of the waiver amendment may be viewed at any regional Office for Family Independence (a list of the offices and locations can be found at this link http://www.maine.gov/dhhs/DHSaddresses.htm ) or a printed copy may be obtained by calling Ginger Roberts-Scott at 207-624-4048 or emailing at ginger.roberts-scott@maine.gov.
DEADLINE FOR COMMENTS: Comments must be received by midnight, Sunday, August 21, 2016.
AGENCY CONTACT PERSON: Ginger Roberts-Scott, Children’s and Waiver Services Program Manager
AGENCY NAME: MaineCare Services
ADDRESS: 242 State Street
11 State House Station
Augusta, Maine 04333-0011
Ginger.roberts-scott@maine.gov
TELEPHONE: 207-624-4048 FAX: (207) 287-1864 TTY: 711
Notice of Agency Waiver Amendment
AGENCY: Department of Health and Human Services, MaineCare Services
RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Chapters II & III, Section 20, Home and Community Based Services for Adults with Other Related Conditions.
CONCISE SUMMARY: The Section 20 waiver will be amended to comply with budget language updating the eligibility criteria to include Muscular Dystrophy, Huntington’s, Spina Bifida, or other rare developmentally-based conditions and for years four and five the number of individuals served has been increased by 12 participants.
Also, this waiver is being amended to add Career Planning as a new covered service, to remove the term mental retardation, and change the name of the level of care assessment.
The Centers for Medicare and Medicaid Services (CMS) set standards for amending a waiver, and 42 CFR § 441.304 requires that if substantive changes are being done to a waiver, the state must provide public notice of any significant proposed change in methods and standards for setting payment rates for services.
The waiver amendment is posted on the MaineCare Services website at this link titled “Section 20 Waiver amendment”.
Please go to: http://www.maine.gov/dhhs/oms/rules/index.shtml
The waiver amendment has been posted and comments are being accepted for 30 days (July 22-August 21, 2016) to allow for public input. There is a link included on the website to submit comments to Ginger Roberts-Scott at MaineCare Services. A copy of the waiver amendment may be viewed at any regional Office for Family Independence (a list of the offices and locations can be found at this link http://www.maine.gov/dhhs/DHSaddresses.htm ) or a printed copy may be obtained by calling Ginger Roberts-Scott at 207-624-4048 or emailing at ginger.roberts-scott@maine.gov.
DEADLINE FOR COMMENTS: Comments must be received by midnight, Sunday, August 21, 2016.
AGENCY CONTACT PERSON: Ginger Roberts-Scott, Children’s and Waiver Services Program Manager
AGENCY NAME: MaineCare Services
ADDRESS: 242 State Street
11 State House Station
Augusta, Maine 04333-0011
Ginger.roberts-scott@maine.gov
TELEPHONE: 207-624-4048 FAX: (207) 287-1864 TTY: 711
Notice of Agency Waiver Amendment
AGENCY: Department of Health and Human Services, MaineCare Services
RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 21- Home and Community-Based Benefits for Adults with Intellectual Disabilities or Autism Spectrum Disorder.
CONCISE SUMMARY: The Section 21 waiver will be amended with a requested effective date of January 1, 2017 to remove the Supports Intensity Scale (SIS) that was going to be added as the assessment instrument and resource allocation tool. The Department is deleting four new services, as they were dependent on the SIS structure: Semi-Independent Supported Living, Qualified Extra Support Service, Skilled Nursing for Persons with Intellectual Disability or Autism Spectrum Disorder, and Respite.
The Department is removing references to Goold Health Systems (GHS) conducting SIS assessments. Changes have been made to provider qualifications; a typographical error was corrected to say CPR and First Aid. The state rule has required this of providers, so this is not a change but a correction in the WMS waiver application.
The Department is adding an additional six hours of continuing education to provider qualifications for Career Planning. Home Accessibility Adaptation has been changed to state that this service in not available in a family's home who is also a provider. The Behavior Regulations for Persons with Intellectual Disability have been updated. Institution has been clarified.
The quality review for Sections 21- Home and Community-Based Benefits for Adults with Intellectual Disabilities or Autism Spectrum Disorder and 29- Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder are also being condensed so that only one report will need to be submitted to CMS.
The Centers for Medicare and Medicaid Services (CMS) set standards for amending a waiver, and 42 CFR § 441.304 requires that if substantive changes are being done to a waiver, the state must provide public notice of any significant proposed change in methods and standards for setting payment rates for services.
The waiver amendment is posted on the MaineCare Services website at this link titled “Section 21 Waiver amendment.”
Please go to: http://www.maine.gov/dhhs/oms/rules/index.shtml
The waiver amendment has been posted and comments are being accepted for 30 days (July 22-August 21, 2016) to allow for public input. There is a link included on the website to submit comments to Ginger Roberts-Scott at MaineCare Services. A copy of the waiver amendment may be viewed at any regional Office for Family Independence (a list of the offices and locations can be found at this link http://www.maine.gov/dhhs/DHSaddresses.htm ) or a printed copy may be obtained by calling Ginger Roberts-Scott at 207-624-4048 or emailing at ginger.roberts-scott@maine.gov.
DEADLINE FOR COMMENTS: Comments must be received by midnight, Sunday, August 21, 2016.
AGENCY CONTACT PERSON: Ginger Roberts-Scott, Children’s and Waiver Services Program Manager
AGENCY NAME: MaineCare Services
ADDRESS: 242 State Street
11 State House Station
Augusta, Maine 04333-0011
Ginger.roberts-scott@maine.gov
TELEPHONE: 207-624-4048 FAX: (207) 287-1864 TTY: 711