Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL)
Chapter II - Specific Policies By Service
Section 144-101-II-19 - Home and Community Benefits for the Elderly and Adults with Disabilities
- Subsection 144-101-II-19.01 - DEFINITIONS
- Subsection 144-101-II-19.02 - ELIGIBILITY FOR CARE
- Subsection 144-101-II-19.03 - DURATION OF CARE
- Subsection 144-101-II-19.04 - COVERED SERVICES
- Subsection 144-101-II-19.05 - NON-COVERED SERVICES
- Subsection 144-101-II-19.06 - LIMITS
- Subsection 144-101-II-19.07 - GENERAL ELIGIBILITY PROCEDURES
- Subsection 144-101-II-19.08 - POLICIES AND PROCEDURES
- Subsection 144-101-II-19.09 - CONFIDENTIALITY
- Subsection 144-101-II-19.10 - REIMBURSEMENT
- Subsection 144-101-II-19.11 - BILLING INSTRUCTIONS
- Appendix 144-101-II-I - TASK TIME ALLOWANCES
INTRODUCTION
Home and Community Benefits (HCB) for the Elderly and for Adults with Disabilities are in-home care and other services, designed as a package, to assist eligible members to remain in their homes, or other residential community settings, and thereby avoid or delay institutional nursing facility care. Medical eligibility for these HCB services is established by a Medical Eligibility Determination (MED) assessment, which is conducted by the Department, or its Authorized Entity, the Assessing Services Agency (ASA). All services covered under this Section require prior approval by the Department, or the ASA, and shall be delivered according to the member's Authorized Plan of Careusing the Person Centered Planning process. Services include: Care Coordination, Assistive Technology, Attendant Services, Home Delivered Meals, Home Health Services, Living Well for Better Health, Matter of Balance, Personal Care Services, Personal Emergency Response Systems, Respite Services, Transportation Services, Environmental Modifications, and the use of a Financial Management Service (FMS) and Skills Training for the Participant-Directed Option. These services are provided in accordance with Title XIX, § 1915(c) of the Social Security Act (42 U.S.C. § 1396n(c)).Transportation services are provided under a section 1915(c) waiver and also under and in conjunction with a section 1915(b) waiver.