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<p class=MsoNormal><u><font size=4 face="Times New Roman"><span
style='font-size:14.0pt'>ATTENTION: MaineCare Nursing Facilities <o:p></o:p></span></font></u></p>
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12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>This message is to give notice that rules have been adopted for Chapter
101, MaineCare Benefits Manual, Chapter III, Section 67, Principles of
Reimbursement for Nursing Facilities. Adopted rules are final and no changes can
be made at this point.<o:p></o:p></span></font></p>
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12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><b><font size=3 face="Times New Roman"><span
style='font-size:12.0pt;font-weight:bold'>CONCISE SUMMARY: </span></font></b> The
Department has permanently adopted rule changes for Chapter III, Section 67,
Principles of Reimbursement for Nursing Facilities, in order to comply with
budget appropriations for nursing facility reimbursement and State statute for
conversion of nursing facility beds and medical director costs.
Specifically, the new rate methodology changes the base year from 1998 to 2005
to calculate direct care and routine care costs; the rule clarifies the impact of
conversion of nursing facility beds to residential care beds; and the base year
cost for medical director is increased from $1,200 to $10,000. The
Department also adopts changes that establish a new prospective per diem rate
by adding a direct care regional cost component, hold harmless provision, and
direct care add-on to the rule. In addition, all providers will receive a
one time payment for the time period between July 1, 2008 and December 15,
2008, which equitably distributes a portion of the money appropriated in the
budget. Other changes made in this rulemaking include the ability for the
Department to waive administrator costs that are included under the management
ceiling for smaller nursing facilities of forty (40) or fewer beds.
Other minor technical, format and grammatical changes were adopted.<o:p></o:p></p>
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11.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face="Times New Roman"><span
style='font-size:11.0pt;font-weight:bold'>EFFECTIVE DATE:</span></font></b><font
size=2><span style='font-size:11.0pt'>
March 15, 2009<b><span style='font-weight:bold'><o:p></o:p></span></b></span></font></p>
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11.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face="Times New Roman"><span
style='font-size:11.0pt;font-weight:bold'>AGENCY CONTACT PERSON:</span></font></b><font
size=2><span style='font-size:11.0pt'>
Alyssa Morrison, Health Planner<o:p></o:p></span></font></p>
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11.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><b><font size=2 face="Times New Roman"><span
style='font-size:11.0pt;font-weight:bold'>TELEPHONE:</span></font></b><font
size=2><span style='font-size:11.0pt'>
(207)-287-9342 <o:p></o:p></span></font></p>
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12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>The Division of Policy posts <a
href="http://www.maine.gov/bms/rules/provider_rules_policies.htm">all proposed
and recently adopted rules</a> on MaineCare’s website. 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 Benefit Manual is available on-line at the <a
href="http://www.maine.gov/sos/cec/rules/10/ch101.htm">Secretary of
State’s website</a>. <o:p></o:p></span></font></p>
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12.0pt'><o:p> </o:p></span></font></p>
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<p class=MsoNormal style='text-autospace:none'><i><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-style:italic'>Is your mailing
address up to date with MaineCare? Please keep MaineCare up to date so your
Remittance Statements and checks arrive on time. Call Provider Enrollment at
1-800-321-5557 Option #6. <o:p></o:p></span></font></i></p>
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style='font-size:10.0pt;font-family:Arial;font-style:italic'><o:p> </o:p></span></font></i></p>
<p class=MsoNormal style='text-autospace:none'><i><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-style:italic'>If you would
rather not get these e-mails, visit <a
href="http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml">MaineCare's
List Serve Subscription</a> page to unsubscribe.<o:p></o:p></span></font></i></p>
<p class=MsoNormal style='text-autospace:none'><i><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-style:italic'> <o:p></o:p></span></font></i></p>
<p class=MsoNormal style='text-autospace:none'><i><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial;font-style:italic'>This is a one-way
communication. Do not reply to this e-mail. Your e-mail will not receive
response. If you have questions, please call 1-800-321-5557. <o:p></o:p></span></font></i></p>
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style='font-size:10.0pt;font-family:Arial'><o:p> </o:p></span></font></p>
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