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<div class=Section1>
<p class=MsoNormal><a name="_top"></a><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'>This message is to give notice that these rules were
recently adopted.<b><span style='font-weight:bold'> </span></b>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=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><span class=MsoHyperlink><u><font size=3 color=blue
face="Times New Roman"><span style='font-size:12.0pt'><a
href="#_CHAPTER_NUMBER_AND">Private Non-Medical Institution Services</a><o:p></o:p></span></font></u></span></p>
<p class=MsoNormal><span class=MsoHyperlink><u><font size=3 color=blue
face="Times New Roman"><span style='font-size:12.0pt'><o:p><span
style='text-decoration:none'> </span></o:p></span></font></u></span></p>
<p class=MsoNormal><span class=MsoHyperlink><u><font size=3 color=blue
face="Times New Roman"><span style='font-size:12.0pt'><a
href="#_CHAPTER_NUMBER_AND_">Non-Categorical Adults</a><o:p></o:p></span></font></u></span></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>
Department of Health and Human Services, MaineCare Services<o:p></o:p></p>
<p class=styleheading3timesnewroman11pt><a name="_CHAPTER_NUMBER_AND"></a><b><font
size=3 face="Times New Roman"><span style='font-size:12.0pt'>Chapter Number And
Title: MaineCare Benefits Manual, Chapter III, Section 97, and Appendices
B, D, E, and F, Private Non-Medical Institution Services<o:p></o:p></span></font></b></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'>Concise Summary: </span></font></b> These
rules permanently adopt emergency rules already in place that have recently
been approved by the Maine State Legislature in LR 1883(03).<b><span
style='font-weight:bold'> </span></b>The rules eliminate bedhold day
reimbursement for PNMI services. Specific changes in these rules include
that bedhold day codes are eliminated from Chapter III, including BQL, BRL,
MRPL, RHL RHL9, RML RML2, RTSL, and PL. Some language regarding occupancy
rates was also eliminated from Appendices B, D, E, and F. The Department
also replaced some local codes with HIPAA-compliant standard codes that will
not be implemented until further notice when the new claims system is
operating. Providers will be given prior notice of the change for these billing
codes. <o:p></o:p></p>
<p class=MsoNormal><b><font size=3 face="Times New Roman"><span
style='font-size:12.0pt;font-weight:bold'><o:p> </o:p></span></font></b></p>
<p class=MsoNormal><b><font size=3 face="Times New Roman"><span
style='font-size:12.0pt;font-weight:bold'>Effective Date:</span></font></b>
July 2, 2009<b><span style='font-weight:bold'><o:p></o:p></span></b></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 Contact Person:
<font color=navy><span style='color:navy'> </span></font></span></font></b>Patricia
Dushuttle, Manager, <o:p></o:p></p>
<p class=MsoNormal style='margin-left:2.5in;text-indent:.5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>Division of Policy and
Performance<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 Name:</span></font></b>
<font color=navy><span
style='color:navy'> </span></font>Department
of Health & Human Services <o:p></o:p></p>
<p class=MsoNormal style='margin-left:2.5in;text-indent:.5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>442 Civic Center Drive<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>
11 State
House Station<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>
<st1:place
w:st="on"><st1:City w:st="on">Augusta</st1:City>, <st1:State w:st="on">ME</st1:State>
<st1:PostalCode w:st="on">04333-0011</st1:PostalCode></st1:place><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'>Telephone</span></font></b>: <font
color=navy><span style='color:navy'> </span></font>
(207)-287-4459 FAX: (207) 287-9369<o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>
TTY: 1-800-423-4331 or <o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:2.5in;text-indent:.5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>207-287-1828 (Deaf/Hard
of Hearing)<o:p></o:p></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><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=styleheading3timesnewroman11pt><a name="_CHAPTER_NUMBER_AND_"></a><b><font
size=3 face="Times New Roman"><span style='font-size:12.0pt'>Chapter Number And
Title: MaineCare Benefits Manual, Chapter X, Section 2 (Non-Categorical
Adults)<o:p></o:p></span></font></b></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><font size=2 face="Times New Roman"><span style='font-size:
11.0pt'><a href="#_top">Back to Top</a><o:p></o:p></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><b><font size=3 face="Times New Roman"><span
style='font-size:12.0pt;font-weight:bold'>Concise Summary:</span></font></b>
The final rule repeals MaineCare Benefits Manual, Chapter X, Section 2,
Benefits for Childless Adults, because most of the sub-sections duplicate rules
in the MaineCare Eligibility Manual, Section 11000, and promulgates a new
Chapter X, Section 2, now called Non-Categorical Adults, listing the covered
services for this coverage group. In July 2008, the Department repealed
sections 58, 100, and 111, and incorporated those services into Section 65
services. The covered services have not changed but the list of covered
services has been revised to reflect the changes made in the consolidated
MaineCare Benefits Manual, Chapter II, Section 65, Behavioral Health Services
rules, adopted as final rules on October 29, 2008. This rule will not have any
adverse impact on the administration of small businesses.<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'>Effective Date</span></font></b>:
6/30/2009<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 Contact Person</span></font></b>:
<font color=navy><span style='color:navy'>
</span></font>Melanie Miller, Health Planner<o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>
Division of Policy and Performance<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
Name:
<font color=navy><span style='color:navy'> </span></font></span></font></b>Department
of Health & Human Services <o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>
442 Civic Center Drive<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>
11 State House Station<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>
<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><b><font size=3 face="Times New Roman"><span
style='font-size:12.0pt;font-weight:bold'>Telephone:</span></font></b> <font
color=navy><span style='color:navy'> </span></font>
(207)-287-4459 FAX:
(207) 287-9369<o:p></o:p></p>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>
TTY: 1-800-423-4331 or <o:p></o:p></span></font></p>
<p class=MsoNormal style='margin-left:2.0in;text-indent:.5in'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>207-287-1828 (Deaf/Hard
of Hearing)<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'><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><font size=2><span style='font-size:11.0pt;font-weight:
bold'><o:p></o:p></span></font></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"
title="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"
title="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>
<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><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>
<p class=MsoNormal><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><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"
title="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><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><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>
<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'><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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