fb88Care Notice of Agency Waiver Amendment, fb88Care Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum DisorderÌý

The Division of Policy posts all proposed and recently adopted rules on fb88Care’s Policy and Rules webpage.Ìý This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes.Ìý The fb88Care Benefits Manual is available on-line at the Secretary of State’s website.Ìý

Below, please find a fb88Care Notice of Agency Waiver Amendment. You can access the complete details at http://www.maine.gov/dhhs/oms/rules/index.shtml.

Notice of Agency Waiver Amendment

´¡³Ò·¡±·°ä³Û:Ìý Department of Health and Human Services, fb88Care Services

RULE TITLE OR SUBJECT: Chapter 101, fb88Care Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder.Ìý

WAIVER: ME.0159, Intellectual Disabilities or Autism Spectrum Disorder Waiver

CONCISE SUMMARY: The Department plans to submit an amendment to the Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder Home and Community Based Services (HCBS) 1915(c) waiver application.Ìý This waiver amendment adjusts funding and rates to reflect the elimination of health care services from the fb88 State Service Provider Tax in accordance with 36 M.R.S. § 2552, effective January 1, 2025.

Effective January 1, 2025, Section 21 services for which the Department has documentation that the cost of the current 6% fb88 State Service Provider Tax (SPT) (36 M.R.S. § 2552) has been built into the rates will receive a corresponding 6% rate reduction to comply with PL 2023, ch 412, An Act Making Unified Appropriations and Allocations from the General Fund and Other Funds for the Expenditures of State Government and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2023, June 30, 2024 and June 30, 2025.

The impacted services and corresponding codes in Section 21 include:

Procedure Code

Modifier

Description

T2015

Ìý

Career Planning, per Hour

T2016

Ìý

Agency Home Support, per Hour

T2016

SC

Agency Home Support, Med Add On, per Hour

T2017

Ìý

Home Support, 15 Min

T2017

SC

Home Support, Med Add On, 15 Min

T2017

QC

Home Support, Remote, Monitor, 15 Min

T2017

GT

Home Support, Remote, Interactive, 15 Min

T2019

Ìý

Employment Specialist, 15 Min

T2019

SC

Employment Specialist, Med Add On, 15 Min

T2021

Ìý

Community Support, 15 Min

T2021

SC

Community Support, Med Add On, 15 Min

T2021

UA

Community Support, Individual, 15 Min

T2021

UB

Community Support, Group, 15 Min

H2023

Ìý

Work Support-Individual, 15 Min

H2023

SC

Work Support Med Add On-Individual, 15 Min

Ìý

Please see the accompanying draft application for a complete list of all proposed changes included in the amendment.Ìý

DHHS is accepting comments through 11:59 pm, October 11, 2024. Any interested party may obtain a copy of the waiver application by going to the website noted below or at any regional Office for Family Independence (a list of the offices and locations can be found at this link ).

A printed copy may be obtained by calling Lisa Weaver at (207) 624-4050 or emailing:lisa.weaver@maine.gov.

See for waiver amendment and to submit comments.

STATUTORY AUTHORITY:Ìý ÌýÌý Ìý Ìý Ìý Ìý42 CFR §441.304

DEADLINE FOR COMMENTS: ÌýÌýÌýÌý Comments must be received by 11:59 pm, October 11, 2024.

AGENCY CONTACT PERSON:ÌýÌýÌý Ìý ÌýHeather Bingelis, Comprehensive Health Planner II

AGENCY NAME:ÌýÌýÌý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý fb88Care Services

ADDRESS:ÌýÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý109 Capitol Street, State House Station # 11

Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý ÌýAugusta, fb88 04333-0011

EMAILÌýÌýÌýÌýÌýÌýÌýÌýÌýÌý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý Ìý ÌýÌýHeather.bingelis@maine.gov

TELEPHONE:207-624-4951 FAX: (207) 287-1864 TTY: 711