Chapter 101, MaineCare Benefits Manual, Section 19, Elderly and Adults with Disabilities Waiver

Maine Department of Health & Human Services

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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, Elderly and Adults with Disabilities Waiver


WAIVER: Section 19, ME.0267, Elderly and Adults with Disabilities Waiver




The Department is planning to amend the Elderly and Adults with Disabilities Waiver, known in Maine as Section 19, Home and Community Benefits for the Elderly and Adults with Disabilities. This waiver amendment implements legislation passed by the Maine Legislature through P.L. 2019, ch. 102, which requires the Department to submit a waiver amendment to Centers for Medicare and Medicaid Services (CMS) to allow eligible MaineCare members (served under this waiver ME.0276) to receive services provided by spouses who are employed as personal support specialists. As a result, this amendment proposes to make changes to Appendix C-2-d to allow spouses to provide extraordinary care (as defined by CMS) for Personal Care services.


Additionally, the amendment proposes to remove Behavior Regulations Training as a requirement for Assistive Technology in Appendix C-1/C-3.This change will be effective upon approval of this amendment by CMS.


DHHS is accepting comments from November 15, 2019 through December 15, 2019. Any interested party may obtain a copy of the waiver application by going to the website noted below, at any regional Office for Family Independence (a list of the offices and locations can be found at this link A printed copy may be obtained by calling Thomas Leet at (207) 624-4068 or emailing


See for waiver amendment and to submit comments.


STATUTORY AUTHORITY: CFR §441.304, P.L. 2019 ch. 102


DEADLINE FOR COMMENTS:       Comments must be received by midnight, Sunday, December 15, 2019.


AGENCY CONTACT PERSON:       Thomas Leet, Policy Director

AGENCY NAME:                                MaineCare Services

ADDRESS:                                            109 Capitol Street

                                                                11 State House Station

                                                                Augusta, Maine 04333-0011


TELEPHONE:                                     207-624-4068 FAX: (207) 287-1864 TTY: 711