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 III - Allowances for Services
Section 144-101-III-17 - Allowances for Community Support Services
|
PROC CODE |
DESCRIPTION |
UNIT |
MAXIMUM ALLOWANCE |
MAXIMUM ALLOWANCE |
MAXIMUM ALLOWANCE |
|
|
HIPAA CODES |
Section 17 Services |
RATE through 7/31/2018* |
RATE from 8/1/18 to 6/30/19** |
RATE from 7/1/19** |
||
|
H2015 |
Comprehensive Community Support Services |
(Community Integration Services) |
15 minutes |
$20.86 |
$21.32 |
$21.28 |
|
H0040 |
Assertive Community Treatment |
(Assertive Community Treatment) |
Per Diem |
By Report |
By Report |
By Report |
|
H0038 |
CIPSS-Self Help/peer services |
15 minutes |
$11.10 |
$11.34 |
$11.32 |
|
|
H2017 |
Psychosocial Rehabilitation |
(Daily Living Support Services) |
15 minutes |
$7.77 |
$7.94 |
$7.93 |
|
H2018 |
Psychosocial Rehabilitation Service |
(Community Rehabilitation Services) |
Per Diem |
$74.39 |
$76.01 |
$75.88 |
|
H2014 |
Skills Training and Development |
(Skills Development Services) |
15 minutes |
$12.20 |
$12.46 |
$12.44 |
|
H2014 HQ |
Skills Training and Development |
(Skills Development Services) |
15 minutes |
$3.05 |
$3.32 |
$3.11 |
|
H2025 |
Ongoing Support to Maintain Employment |
(Skills Development Services/training) |
15 minutes |
$12.20 |
$12.46 |
$12.44 |
|
H2012 |
Behavioral Health Day Treatment |
(Day Support Services) |
Per hour |
By Report |
By Report |
By Report |
*The Department is seeking and anticipates receiving CMS approval for this Section. Pending approval, the Department will reimburse providers under the new increased rate retroactively to 7/1/2016 through 7/31/2018 pursuant to P.L. 2015, ch. 477 (eff. Apr. 15, 2016).
**The Department is seeking and anticipates receiving CMS approval for this Section. Pending approval, the Department will reimburse providers under the new increased rate retroactively to 8/1/2018 pursuant to P.L. 2017, ch. 460, Part D. Providers must ensure that the increase in reimbursement rates effective August 1, 2018 is applied in full to wages and benefits for employees who provide direct services. Providers must document compliance with this requirement in their financial records and provide such documentation to the Department upon request.
