Code of Maine Rules
14 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
472 - OFFICE OF CHILD AND FAMILY SERVICES
Chapter 3 - REGULATIONS GOVERNING TIMELINESS STANDARDS FOR IN-HOME BEHAVIORAL HEALTH AND CASE MANAGEMENT SERVICES UNDER MEDICAID
Section 472-3-3 - Timeliness standards

A.If a child has a medical need for a service that can be provided as a MaineCare covered service under the MaineCare Benefits Manual, Chapter II, Section 65.04-3(H) or 24.01-2, an Individual Treatment plan for that child will be prepared in accordance with reasonable behavioral health practice, but in no case later than 120 days after the Start Date. Services consistent with that Plan will commence promptly in accordance with reasonable standards of behavioral health practice, generally within an outer limit of 180 days after the Start Date.

B.If a child has a medical need for a service that can be provided as a MaineCare covered service under the MaineCare Benefits Manual, Chapter II, Section 13.12, an Individual Support or Service Plan will be developed for that child in accordance with reasonable standards of case management practice, generally within an outer limit of 180 days after the Start Date.

C.After the initial contact for the child is made so that the child already has a Start Date, when a new or different need for in-home support service or case management is identified for that child, the Start Date for the identified need for the new or different service shall be the date that the need is identified.