Notice of Agency Rule-making Adoptions: Chapters II & III, Section 93, Opioid Health Home Services and Chapter X, Section 1, Benefit for People Living with HIV/AIDS
Maine Department of Health & Human Services sent this bulletin at 07/10/2017 08:56 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 Adoption. You can access the complete rules at http://www.maine.gov/dhhs/oms/rules/index.shtml
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual,
Chapters II & III, Section 93, Opioid Health Home Services
ADOPTED RULE NUMBER:
CONCISE SUMMARY: The Department adopts this rule pursuant to P.L. 2017, Ch. 2, Part P, Sec. P-1 (Establishment of Opioid Health Home Program). On April 11, 2017, the Department adopted an Emergency Rule which established the Opioid Health Home Service as a MaineCare service.
This rule makes permanent the April 11, 2017 Emergency rule, with some changes. The MaineCare Opioid Health Home (OHH) Services program addresses the opioid crisis in Maine. The OHH initiative is an innovative model providing comprehensive, coordinated care focused on serving the MaineCare population. In addition to providing treatment for an individual’s substance abuse dependency, the OHH integrates physical, social, and emotional supports to provide holistic care. The model provides a community-based support system focused on team-based clinical care. MaineCare members diagnosed with opioid addiction and who have a second chronic condition or are at risk for having a second chronic condition are eligible for these services. The OHH services provide a multi-faceted approach and comprehensive treatment specifically targeted to the opioid dependent population. The program will increase access to treatment options, integrate health and dependency care, and promote stable recovery results. It is expected that this newly established OHH program will not only result in more individuals receiving the substance abuse treatment they need, but will also lead to improvements in the quality of care they are receiving.
The Department has submitted a State Plan Amendment (SPA) request to CMS for approval, and anticipates that CMS will approve the Opioid Health Home SPA. Pending CMS approval, covered services will be provided as described in this rule.
http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.
EFFECTIVE DATE: July 10, 2017
AGENCY CONTACT PERSON: Anne Labonte Perreault, Comprehensive Health Planner
AGENCY NAME: Division of Policy
ADDRESS: 242 State Street
11 State House Station
Augusta, Maine 04333-0011
Email: anne.labonte-perreault@maine.gov
TELEPHONE: (207)-624-4082 FAX: (207) 287-1864
TTY users call Maine relay 711
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual, Chapter X, Section 1, Benefit for People Living with HIV/AIDS.
ADOPTED RULE NUMBER:
CONCISE SUMMARY: The adopted rule changes set out the required co-payments for certain services in a more organized, easier to understand form, and removes the non-applicable 90-day supply co-pay.
Additionally, the rule more specifically-defines actions that may lead to disenrollment, it simplifies disenrollment protocol, and clarifies the appeal rights language.
The rule also updates references in the covered and non-covered services tables to reflect the current MaineCare Benefit Manual policies. For certain additions and removals of services, as noted in each instance in the rule, the Department is seeking and anticipates receiving CMS approval.
This adopted rule updates many outdated references identifying Department agencies, MaineCare Benefit Manual policies and services, outdated internet website addresses, and contains minor grammar and punctuation changes.
http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.
EFFECTIVE DATE: July 10, 2017
AGENCY CONTACT PERSON: Anne Labonte Perreault, Comprehensive Health Planner
AGENCY NAME: Division of Policy
ADDRESS: 242 State Street
11 State House Station
Augusta, Maine 04333-0011
Email: Anne.Labonte-Perreault@maine.gov
TELEPHONE: (207)-624-4082 FAX: (207) 287-1864
TTY users call Maine relay 711