MaineCare Policy Proposals Section 40, Home Health Services- July 27, 2016
Maine Department of Health & Human Services sent this bulletin at 07/27/2016 09:44 AM EDT
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 two Notices of Agency Rule-making Proposals. You can access the complete rules at http://www.maine.gov/dhhs/oms/rules/index.shtml
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., ch. 101, MaineCare Benefits Manual, Chapter II, Section 40, Home Health Services
PROPOSED RULE NUMBER:
CONCISE SUMMARY: This letter gives notice of a proposed rule change to MaineCare Benefits Manual (MBM), Chapter II, Section 40, Home Health Services. This proposed rulemaking seeks to implement the following:
- New definitions added: Health Care Provider, Interactive Telehealth Services, Telehealth Services, And Telemonitoring Services. Authorized Agent is changed to Authorized Entity and updated throughout the policy.
- Eligibility for Care changes: Medical Eligibility Requirements for Interactive Telehealth Services and Medical Eligibility Requirements for Telemonitoring Services.
- Interactive Telehealth Services and Telemonitoring Services are added to Covered Services.
- Non-Routine Medical Supplies includes an updated link to billing instructions and list of supplies.
See http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.
STATUTORY AUTHORITY: 22 M.R.S. §§ 42, 3173
PUBLIC HEARING:
Date: August 16, 2016
Time: 1:00 p.m.
Location: 19 Union Street, Room 110, Augusta, ME 04333
The Department requests that any interested party requiring special arrangements to attend the hearing contact the agency person listed below before August 9, 2016.
DEADLINE FOR COMMENTS: Comments must be received by 11:59 p.m. on August 26, 2016.
AGENCY CONTACT PERSON: Heidi Bechard, Comprehensive Health Planner I
AGENCY NAME: MaineCare Services
ADDRESS: 242 State Street, SHS#11
Augusta, Maine 04333-0011
TELEPHONE: 207-624-4074, FAX: (207) 287-1864
TTY: 711 (Deaf or Hard of Hearing)
IMPACT ON MUNICIPALITIES OR COUNTIES (if any): The Department anticipates that this rulemaking will not have any impact on municipalities or counties.
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., ch. 101, MaineCare Benefits Manual, Chapter III, Section 40, Home Health Services
PROPOSED RULE NUMBER:
CONCISE SUMMARY: The proposed major substantive rule seeks to implement new procedure codes set forth by the Centers for Medicare and Medicaid Services, effective retroactive to January 1, 2016. The procedure code for services of a skilled nurse (RN) in a home health setting is updated to G0299 from G0154TD. The procedure code for services of a skilled nurse (LPN/LVN) in a home health setting is updated to G0300 from G0154TE. Procedure codes G0154TD and G0154TE are eliminated through this rulemaking.
Telemonitoring of a patient in their home is proposed as a new covered service in Chapter II, Section 40, Home Health Services. Procedure code S9110 is added in Chapter III to support the reimbursement of this service. The Telemonitoring Services procedure is effective retroactive to April 16, 2016.
This major substantive rule will remain in effect for up to one year or earlier if the Legislature approves the provisionally adopted major substantive rule.
See http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.
STATUTORY AUTHORITY: 22 M.R.S. §§ 42, 3173, 5 M.R.S. § 8072
PUBLIC HEARING:
Date: August 16, 2016
Time: 1:00 p.m.
Location: 19 Union Street, Room 110, Augusta, ME 04333
The Department requests that any interested party requiring special arrangements to attend the hearing contact the agency person listed below before August 9, 2016.
DEADLINE FOR COMMENTS: Comments must be received by 11:59 p.m. on August 26, 2016.
AGENCY CONTACT PERSON: Heidi Bechard, Comprehensive Health Planner II
AGENCY NAME: MaineCare Services
ADDRESS: 242 State St.
11 State House Station
Augusta, Maine 04333-0011
TELEPHONE: 207-624-4074 FAX: (207) 287-1864
TTY: 711 (Deaf or Hard of Hearing)
IMPACT ON MUNICIPALITIES OR COUNTIES (if any): The Department anticipates this rulemaking will not have any impact on municipalities or counties.