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<p class=MsoPlainText><b><u><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'>Attention:
All MaineCare Providers of Targeted Case Management<o:p></o:p></span></u></b></p>
<p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p> </o:p></span></p>
<p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>As
providers know, the Department has been working on a revision of MBM Section
13, Targeted Case Management. The intent is to simplify the rule and to
clearly define those who are eligible to receive case management services.
Those eligible include Children with Developmental Disabilities and Behavioral
Health Disorders, Adults with Developmental Disabilities, Behavioral Health
Disorders, Substance Abuse Disorders, HIV, and Long Term Care Needs and any
member experiencing homelessness. <o:p></o:p></span></p>
<p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p> </o:p></span></p>
<p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>The
rule will require prior authorization and utilization review for
children’s targeted case management. This rule will also clarify that
MaineCare will not cover duplicative services and it will set forth the
requirement for MaineCare members to transition to one comprehensive case
manager. <o:p></o:p></span></p>
<p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p> </o:p></span></p>
<p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>This
rule will not be proposed for a July 1, 2009 emergency implementation, as
previously discussed. However, the Department continues its work on this
rule-making and anticipates the rule will be proposed, still for emergency
implementation, within the first two weeks of July. <o:p></o:p></span></p>
<p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p> </o:p></span></p>
<p class=MsoPlainText><span style='font-size:12.0pt;font-family:"Times New Roman","serif"'>Questions
regarding this rule-making can be directed to <a
href="mailto:Melanie.Miller@maine.gov">Melanie.Miller@maine.gov</a> or <a
href="mailto:Kathy.Bubar@maine.gov">Kathy.Bubar@maine.gov</a><o:p></o:p></span></p>
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12.0pt'><o:p> </o:p></span></p>
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<p class=MsoNormal><span style='font-size:12.0pt'> </span><span
style='font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>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></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'><o:p> </o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>If
you would rather not get these e-mails, visit </span></i><a
href="http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml"
title="http://www.maine.gov/dhhs/bms/member/innerthird/listserv.shtml"><i><span
style='font-size:10.0pt;font-family:"Arial","sans-serif"'>MaineCare's Listserv
Subscription</span></i></a><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>
page to unsubscribe.<o:p></o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>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<o:p></o:p></span></i></p>
<p class=MsoNormal><i><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>1-800-321-5557.</span></i><span
style='font-size:12.0pt;font-family:"Times New Roman","serif"'><o:p></o:p></span></p>
<p class=MsoPlainText><span style='font-size:12.0pt'><o:p> </o:p></span></p>
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