Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 323 - MAINE GENERAL ASSISTANCE MANUAL
Section 144-323-XII - REIMBURSEMENT TO MUNICIPALITIES, REPORTING AND REQUIREMENTS

Current through 2024-38, September 18, 2024

A. Reimbursement and Requirements

1. The Department will reimburse municipalities for their direct General Assistance costs at the rate prescribed by statute. Administrative costs are not reimbursable.

2. In order to receive reimbursement, a municipality must:
a. Be in compliance with all requirements of Chapter 1161, municipal ordinance and this manual;

b. submit, in a timely manner per sections B and C, below, claims for reimbursement together with the necessary report forms;

c. certify in writing that its claim for reimbursement does not include any General Assistance payments made to individuals who did not meet the municipality's or the state's eligibility requirements; and

d. provide with its reimbursement request the names, alien numbers and numbers of assistance months for all General Assistance recipients eligible as "pursuing a lawful process" included in that request.

3. When a municipality receives reimbursement from a client or another municipality (which is not part of the Interim Assistance (SSI) Program), and the payment has already been claimed to the Department for reimbursement, the municipality must inform the Department.
a. This reimbursement will be reported on the reimbursement form for the time period it is received and the Department shall receive its share.

4. The value of workfare completed by recipients will be subtracted from the reimbursement request.

5. Claims for reimbursement must be based on assistance payments the municipality actually disbursed during the reimbursement period, and must not include payments that the municipality paid previously or expects to pay at a later date.
a. Municipalities that use the accrual method of bookkeeping may need to keep separate records, so that reimbursement claims for the last month of the State's fiscal year reflect only those payments made through the last day of the month of the State's fiscal year.

B. Reporting and Reimbursement Procedure.

1. Reimbursement requests may be submitted through the General Assistance Portal or by form. The Department will provide to each municipality all necessary forms for reimbursement as well as the opportunity to use the portal.

2. Reports shall be submitted monthly, quarterly or semi-annually.
a. Municipalities shall report on the same schedule as the previous fiscal year unless they request and receive written authorization from the Department to change this schedule.

3. The Department will process for payment claims for reimbursement monthly, quarterly or semi-annually, corresponding to the reporting schedule of the municipality.

4. Claims for reimbursement shall be processed by the Department in the order of their receipt.
a. If there are insufficient funds to fully process a claim, all available funds are to be used towards the payment.
i. The unpaid portion of such claim is to be processed as soon as additional funds are available. Any unpaid balance will be given priority for payment.

C. Deadlines for Reporting and Submitting Reimbursement Claims

1. Delinquency. The Department is not obligated to accept or pay claims for reimbursement that are not submitted within 90 days of the end of the period covered by the report.

2. Good Cause. A municipality may submit a claim of good cause for delinquency to the Department.
a. If the Department determines that good cause exists for the delinquency, it will reimburse the municipality as otherwise provided by this section.

b. All requests for good cause for delinquency must be received by the Department no later than the last day of October for the previous fiscal year.

c. Any municipality aggrieved by the Department's decision on good cause may appeal that decision as provided at 22 M.R.S. §4323(4).

Disclaimer: These regulations may not be the most recent version. Maine may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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