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<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
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 a rule has been adopted for </span></font><font
size=2><span style='font-size:11.0pt'>Ch. 101, MaineCare Benefits Manual,
Chapter II and III, Section 5, Ambulance Services<font color=navy><span
style='color:navy'>. </span></font></span></font>Adopted rules are final
and no changes can be made at this point.<o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
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'>AGENCY:</span></font></b>
DHHS – MaineCare Services <o:p></o:p></p>
<p class=MsoBodyText2 style='margin-right:.5in'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'><o:p> </o:p></span></font></p>
<p class=MsoBodyText2 style='margin-right:.5in'><b><font size=2
face="Times New Roman"><span style='font-size:11.0pt;font-weight:bold'>CONCISE
SUMMARY: </span></font></b> The adopted rules reflect changes to this
section to increase Ambulance Services base rates that will include ancillary
services. Ancillary Services, which include oxygen, oxygen administration
supplies such as disposable oxygen masks, intravenous therapy, EKG,
endotracheal intubation, pulse oximetry, telemetry and defibrillation, will no
longer be billed separately. RN services will also no longer be billed
separately as the base rate for Specialty Care Transport has been increased.
A definition of Specialty Care Transport has been added. These changes
are being made so only HIPAA compliant codes will be utilized. Other changes to
this section were made to update policy language. <o:p></o:p></p>
<p class=MsoBodyText2 style='margin-right:.5in'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'><o:p> </o:p></span></font></p>
<p class=MsoBodyText2 style='margin-right:.5in'><font size=2
face="Times New Roman"><span style='font-size:11.0pt'>The proposed rule does
not impose an economic burden on small business, municipalities or
counties. <o:p></o:p></span></font></p>
<p class=MsoNormal style='text-align:justify'><font size=2
face="Times New Roman"><span style='font-size: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;text-transform:uppercase;font-weight:bold'>S</span></font></b><b><font
size=2><span style='font-size:11.0pt;font-weight:bold'>ee</span></font></b><font
size=2><span style='font-size:11.0pt'> <b><span style='font-weight:bold'><a
href="http://www.maine.gov/bms/rules/provider_rules_policies.htm">http://www.maine.gov/bms/rules/provider_rules_policies.htm</a>
for rules and related rulemaking documents.<o:p></o:p></span></b></span></font></p>
<p class=MsoNormal><b><u><font size=2 face="Times New Roman"><span
style='font-size:11.0pt;font-weight:bold'><o:p><span style='text-decoration:
none'> </span></o:p></span></font></u></b></p>
<p class=MsoNormal style='margin-left:22.5pt'><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'>
May 21, 2009<b><span style='font-weight:bold'><o:p></o:p></span></b></span></font></p>
<p class=MsoNormal><font size=2 face="Times New Roman"><span style='font-size:
11.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal style='margin-left:.25in'><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'>
Darrell S. Wood, Health Planner<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Times New Roman"><span style='font-size:
11.0pt'> <b><span style='font-weight:bold'>AGENCY
NAME:</span></b>
Division of Policy and Performance<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Times New Roman"><span style='font-size:
11.0pt'> <b><span style='font-weight:bold'>ADDRESS:</span></b>
442 Civic Center Drive<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Times New Roman"><span style='font-size:
11.0pt'>
11 State House Station<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Times New Roman"><span style='font-size:
11.0pt'>
<st1:place w:st="on"><st1:City w:st="on">Augusta</st1:City>, <st1:State w:st="on">Maine</st1:State>
<st1:PostalCode w:st="on">04333-0011</st1:PostalCode></st1:place><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face="Times New Roman"><span style='font-size:
11.0pt'> <b><span style='font-weight:bold'>TELEPHONE:</span></b>
(207)-287-6348, FAX: (207) 287-9369<o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:1.5in'><font size=2 face="Times New Roman"><span
style='font-size:11.0pt'>
TTY: 1-800-423-4331
or 207-287-1828 (Deaf/Hard of Hearing)<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><b><u><font
size=2><span style='font-size:11.0pt;font-weight:bold'><o:p></o:p></span></font></u></b></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>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
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:11.0pt;font-weight:bold'><o:p><span style='text-decoration:
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