[Provider] Adopted Rule for Chapters II and III, Section 65 - Behavioral Health Services

[Provider Notification]

ATTENTION: MaineCare Providers of Behavioral Health Services

 

This is notice of an adopted rule for the MaineCare Benefits Manual,
Chapters II and III, Section 65.  Adopted rules are final and no changes
can be made at this point.

 

                  Concise Summary:  

The adopted rules consolidate four Sections of the MaineCare Benefits
Manual into one Section.  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 and Section 111, Substance Abuse Treatment
Services Chapters II & III, were consolidated into one Section of the
MaineCare Benefits Manual, now known as Section 65, Behavioral Health
Services. The final rule incorporates two Emergency rules that were
filed effective 8/1/08, Section 65, Chapters II & III, 2008-319 and
Chapter III, 2008-332. 

 

                  The final rule consolidates Outpatient Services under
one Section of the MaineCare Benefits Manual, ensuring better
coordination of services.  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 covered as a stand alone service and coded for
reimbursement in Chapter III. This rulemaking also added proration
language for partial months of Children's Assertive Community Treatment
(ACT) in Chapter II.  Crisis Services were renamed and redefined for
reimbursement to better reflect current services being provided.  Child
and Family Behavioral Health Treatment and Community Based Treatment for
Children without Permanency were merged into one service and renamed
Children's Home and Community Support Services for better coordination.
Collateral contacts were also 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 are able to
provide services within the scope of their licensure and be reimbursed
for services provided to MaineCare members.  Additionally, the Chapter
III of this new Section contains HIPAA compliant coding.  The Department
also made some routine technical changes to the rule.  This rule is not
anticipated to increase administrative costs of compliance for small
businesses and is not expected to impose new costs upon municipal or
county governments.

 

Effective Date: 

October 29, 2008

 

Agency Contact Person:  

Ginger Roberts-Scott, Comprehensive Health Planner

 

Agency Name:

Office of MaineCare Services

 

Mailing Address:    

442 Civic Center Drive

11 State House Station

Augusta, Maine  04333-0011

 

Telephone: 

207-287-9365 

FAX: (207) 287-9369 

TTY: 1-800-423-4331 or 207-287-1828 (Deaf or Hard of Hearing)

 

Adopted and Proposed Rules can be found online at:
http://www.maine.gov/bms/rules/provider_rules_policies.htm
<http://www.maine.gov/bms/rules/provider_rules_policies.htm>  

 

 

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

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