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<p class=MsoNormal><b><u><font size=4 face=Arial><span style='font-size:14.0pt;
font-family:Arial;font-weight:bold'>ATTENTION</span></font></u></b><b><font
size=4 face=Arial><span style='font-size:14.0pt;font-family:Arial;font-weight:
bold'>: All MaineCare Providers of Residential Care Facilities<o:p></o:p></span></font></b></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>This message is to give notice that a rule has been adopted
for Chapter 115 of the MaineCare Benefits Manual. This is for Principles of
Reimbursement for Residential Care Facilities – Road and Board Costs. Adopted
rules are final and no changes can be made at this point.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'><o:p> </o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'>Concise Summary: </span></font></b><font
size=2 face=Arial><span style='font-size:11.0pt;font-family:Arial'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>This final rule permanently adopts an emergency rule
eliminating a restriction on reimbursement for bedhold days in those instances
where an associated PNMI treatment cost has not been billed under MaineCare.
The rule change removes language in Chapter 115, Principles of Reimbursement
for Residential Care Facilities. In a separate rulemaking, the Department
has eliminated reimbursement for Private Non-Medical Institution (PNMI) bedhold
days for those days reimbursed by the MaineCare program. Providers
billing for PNMI services under Appendices C and F will still be able to bill
up to thirty (30) bedhold days per calendar year when a member is absent from
the facility. The codes used for this billing continue to be reimbursed
with the billing codes “BL” and “MRBL.” This will allow
for continued reimbursement of some routine fixed costs that are not eliminated
when the member is temporarily absent from the facility. These funds are
reimbursed by all state dollars, and are not matched with reimbursement from
the federal Medicaid program. Compliance with this rule change is not
anticipated to impose additional administrative costs on small businesses.<o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2 face=Arial><span
style='font-size:11.0pt;font-family:Arial'><o:p> </o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'>Effective Date:</span></font></b><font
size=2 face=Arial><span style='font-size:11.0pt;font-family:Arial'>
<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>October 30, 2008<b><span style='font-weight:bold'><o:p></o:p></span></b></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'><o:p> </o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'>Agency Contact Person:<o:p></o:p></span></font></b></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>Patricia Dushuttle<o:p></o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'>Agency Name:</span></font></b><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>Office of MaineCare Services<o:p></o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'>Mailing Address:</span></font></b><font
size=2 face=Arial><span style='font-size:11.0pt;font-family:Arial'> <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>442 Civic Center Drive<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>11 State House Station<o:p></o:p></span></font></p>
<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
face=Arial><span style='font-size:11.0pt;font-family:Arial'>Augusta</span></font></st1:City><font
size=2 face=Arial><span style='font-size:11.0pt;font-family:Arial'>, <st1:State
w:st="on">Maine</st1:State> <st1:PostalCode w:st="on">04333-0011</st1:PostalCode></span></font></st1:place><font
size=2 face=Arial><span style='font-size:11.0pt;font-family:Arial'><o:p></o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'>Telephone:<o:p></o:p></span></font></b></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>207-287-9362 <o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>FAX: (207) 287-9369<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'>TTY: 1-800-423-4331 or 207-287-1828 (Deaf or Hard of Hearing)<o:p></o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p class=MsoNormal><b><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p class=MsoNormal><i><font size=1 face=Arial><span style='font-size:9.0pt;
font-family:Arial;font-style:italic'>This is a one-way communication. Please
do not respond to this message.<o:p></o:p></span></font></i></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:11.0pt;
font-family:Arial'><o:p> </o:p></span></font></p>
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