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-21 - Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder
Subsection 144-101-II-21.17 - APPENDIX IV- Performance Measures
Support and supervision that is offered whenever the staff and the Member are in the same physical environment is considered direct support time. This would include, for example, staff waiting for a Member during a medical appointment or a home visit.
Hours that may be claimed as being
Examples of acceptable activities include:
Services, activities and time that are directly related to a Member: such as scheduling medical appointments, dental appointments and therapy appointments. This includes any time a staff may need to spend discussing with a physician, dentist, or therapist any intervention regarding the Member.
Services, activities and time that are directly related to a Member that are associated with that Member's Person-Centered Service Plan, medical plan or behavioral plan including in-service training specific to a Member's plan of support, consultations with supervisors, therapist, clinicians, Member's employer and or medical staff; activities relating to a Member's parent, guardian or Maine Developmental Services Oversight and Advisory Board (MDSOAB) representative; documentation, reports and presentations to review committees.
Services, activities and time that are directly related to a Member that are associated with home visits, family events and or family reunification including transporting someone to his or her parents, guardian, or friends home for visits, returning a Member to his or her home, and any time spent during such a visit such as attending a family function with the Member.
Services, activities and time that are directly related to a Member's safety such as "shadowing" a Member as he or she learns to take a bus.
Documentation detail must clearly identify and support periods of such activity.
On Behalf Of Non-Covered Activities
Services, activities and time that are related to group activities and/or services, activities or time that cannot be directly linked to Member's Person-Centered Service Plan. For example, grocery shopping for a home.
Services, activities and time that are related to home cleaning, home maintenance, facility cleaning or facility maintenance.
Services, activities and time that are related to staff training, unless the training is specific and exclusive to the Member.
Services, activities and time that are related to landscaping, snow removal, spring clean-up or similar activities.
Services, activities and time that are related to securing or maintaining a license or certificate such as a group home license, or CARF accreditation.
Services, activities and time that are related to staff recruitment, even if the staff is being recruited for the Member.
Services, activities and time provided by a salaried staff Member unless there is evidence that the salaried staff was working as a Direct Support Professional for the time being claimed.
