[Provider] Proposed MaineCare Rule for Behavioral health Services

[Provider Notification]

ATTENTION:     MaineCare Providers of services under MaineCare Benefits
Manual, Chapters II & III,

Sections 58, 65, 100 and 111 

 

Rule Titles and Subjects: 

MaineCare Benefits Manual, Chapters II & III: Sections 58, Licensed
Clinical Social Worker, Licensed Clinical Professional Counselor and
Licensed Marriage and Family Therapist Services, Section 65, Mental
Health Services, Section 100, Psychological Services, Section 111,
Substance Abuse Treatment Services and a replacement with Section 65
which will now be titled Behavioral Health Services. 

 

                  Concise Summary: 

The proposed rule consolidates Outpatient Services under one Section of
the MaineCare Benefits Manual, ensuring better coordination of services.
Specifically:

 

*	Emergency Services, which used to be covered as a stand alone
service, has been incorporated into Outpatient services.  
*	Comprehensive Assessment, which was incorporated into Outpatient
Services, is being covered and coded for reimbursement as a stand alone
service. 
*	This rulemaking also adds proration language for partial months
of Children's Assertive Community Treatment (ACT) in Chapter II.  
*	Crisis Services have been renamed and redefined to better
reflect current services being provided.  
*	Child and Family Behavioral Health Treatment and Community Based
Treatment for Children Without Permanency have been merged into one
service and renamed Children's Home and Community Support Services for
better coordination.  
*	Collateral contacts have also been added as a stand alone
service for children who receive Children's Home and Community Support
Services.  Independent providers not employed by a Mental Health Agency
will be able to provide within the scope of their licensure and be
reimbursed for services provided to MaineCare members.  
*	Additionally, the Chapter III of this new Section will contain
HIPAA compliant coding. 

 

Other than providers of these specific services, this rule is not
expected to fiscally impact or create new recording burdens for other
small businesses and is not expected to yield new costs for municipal or
county governments.  

 

Public Hearing: 

Monday, August 11, 2008, 12:30-3:30

Conference Room # 1A&B

Department of Health and Human Services

Office of MaineCare Services

442 Civic Center Drive

Augusta, ME  04333

 

DEADLINE FOR COMMENTS: 

Comments must be received by midnight, Thursday August 21, 2008 

 

AGENCY CONTACT PERSON:       

Ginger Roberts-Scott, Comprehensive Health Planner

 

 

This is a one-way communication.  Please do not respond to this message.

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