Action Alert – More information on the rule changes was provided by the Maine Association for Community Service Providers (MACSP) and can be found in the minutes from the 10/15 Coalition meeting.
The Department has moved forward to permanently implement changes to Section 21 and 29, Chapter III to increase rates for in-home support, work support, and community support (click here for the Section 21 proposed rules; click here for the Section 29 proposed rules). The Department is proposing to make the recent rate increases permanent. However, it appears that even with the increase, this leaves direct support professional (DSP) wages only slightly above $11/hour. With minimum wage increasing, by January 2019 this will be barely above minimum wage, and this will be below minimum wage by January 2020.
The Department is seeking written comments regarding the rate increases for Section 21 and 29. Written comments are due by 11:59pm on October 20, 2018 to Trista Collins at Trista.Collins@maine.gov.
Please take a moment to reach out to the Department to provide your thoughts on the rates and the future of Section 21 and 29 services.
To contact the Department, simply email Trista Collins at Trista.Collins@maine.gov and describe how the rates for DSPs have affected you and your family. You could thank the Department for increasing the rates. Some people who have read the rules and have knowledge of the rates have commented that the current system in place for adjusting the rates may not be the best methodology to account for cost of living increases and increases to minimum wage. Whatever you say can be brief. Thank you for raising your voice!
The agenda for the 10/15 meeting of the Maine Coalition for Housing and Quality Services has been uploaded to the website! Click here for the agenda.
Our featured speakers will be Scott Rollins, Assistant Director, and Jennifer Grant, Policy Development Specialist, Maine Department of Transportation (DOT), Bureau of Planning. Topic: Maine’s Long-Range Transportation Plan 2050. Maine DOT is in in midst of creating its Long-Range Transportation Plan, Maine DOT’s effort to document its vision for the future, as well as guidance and insight on the necessary strategies to meet transportation goals over the next 20-30 years. Maine DOT is looking for feedback in order to make this a valuable, relevant plan.
The meeting will also feature other important updates, including information about activities in the state and in Washington that will affect housing and services.
Thank you, and we look forward to seeing you on Monday, 10/15!
Click here for the update Maine Disability Campaign Questionnaire, circulated to candidates running for office in 2018, organized/compiled by Disability Voters of Maine (formerly Disability Activists and Allies of Maine).
Maine Association For Community Service Providers (MACSP)
2018 Technology Conference
for Inclusiveness & Excellence
October 24th and 25th
SPACE IS LIMITED!
Learn More About Our Keynotes
BOOTS ON THE GROUND LEVEL
Finding the Right Keys…Opening the Door to an Independent Life!!! and The Future is Now! Hints for Using Apps and Alexa for an Independent Life
Alice Brouhard, R.N., Parent
Switching it Up! A Rhode Island Success Story
Joanne Heffernan, Augmentative Assistive Technology, Amanda Robidoux and Parents; Kerry Birchall, M.Ed., Vision Specialist
One Family's Story
Dan Habib, Filmmaker; President’s Committee for People with Intellectual Disabilities
Practical Assistive Technology
Connie Melvin & Richard Harrington, Trinity Services
Using Technology to Increase Employment
Than Johnson, CRSI
Assistive Technology for Living & Working
Kathy Adams, Maine CITE
Overview of Remote Support Technology and Real World Successes
Dustin Wright, Rest Assured
BACK OFFICE AND EHR LEVEL
Innovations at Therap Services: Electronic Billing and Business Intelligence Dashboards
Simply Home: Best Practices in Assessment & Service and Enabling Technology
Cameron Kempson, Simply Home
Removing Obstacles: An Innovative EMR System
Ashley Dooley, Remarkable Health
HIPAA Compliance, Not Compromise and Cybersecurity in the Workplace
Scott MacDonald & Michael Campbell, MTG
Mission Driven Technology: A Path through the Clutter
Le'Ann Milinder, Institute of Professional Practice
What is Trending in Agency Workforce Management
Kristen Redwine, MiTC
Technology Initiatives at the Federal Level
Esme Grant Grewal, ANCOR
Disabling Segregation - A Family's Fight to Ensure an Inclusive Education for their Son
Dan Habib, Filmmaker; President’s Committee for People with Intellectual Disabilities
Disability Cocoon: Lessons learned, opportunities, challenges, and anticipated regulatory changes in the area of Remote Supports
Dustin Wright, Disability Cocoon
Status of EVV in Maine
Sam Senft, Office of MaineCare Services
Across State Lines - Experiences with Technology
Than Johnson, CRSI and Le'Ann Milinder, Institute of Professional Practice
Policies, Payment, Promotion: Expanding the Use of Technology in Services to Individuals with Disabilities
Barb Turner, Former Senior Director of External Affairs, ARRM
SPECIAL OFFER (EXTRA FEE)
4 hours Hands-On Assistive Technology Training. All supplies will be provided. Connie Melvin & Richard Harrington, Trinity Services
$159-$199/person includes two-day conference, continental breakfast, snacks, and lunch each day
$69/person optional 4 hour hands-on assistive technology workshop on Day 1
During this hands-on event, attendees will be guided through the process of creating five different pieces of assistive technology using supplies that are available from their local hardware store. All of the supplies needed to build these items will be provided to you. Connie Melvin & Richard Harrington, Trinity Services/ Joliet, Illinois
BOOK A ROOM: Block Reserved until 10/2/18 Use code: MAC for discounted rate.Check out MACSP's events page for more information on this rare opportunity to see national speakers here in Maine. http://meacsp.org/macsp-events/
Rule Adoption: Chapter III, Section 21, Allowances for Home and Community Benefits for Adults with Intellectual Disabilities or Autism Spectrum Disorder
Notice of Emergency Major Substantive Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, Chapter III, Section 21, Allowances for Home and Community Benefits for Adults with Intellectual Disabilities or Autism Spectrum Disorder
ADOPTED RULE NUMBER:
CONCISE SUMMARY: This emergency major substantive rule is adopted in accordance with P.L. 2017, ch. 459, An Act Making Certain Supplemental Appropriations and Allocations and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government (“Act”). The Act gave notice that the Legislature determined that “these facts create an emergency within the meaning of the Constitution of Maine and require the following legislation as immediately necessary for the preservation of the public peace, health and safety….” Pursuant to this Legislative determination, the requirements of 5 M.R.S. § 8054(1) are satisfied.
The Act provides funding to increase reimbursement rates for specific procedure codes in Chapter III, Section 21. The legislation directed the Department to increase the rates by rulemaking for the specific procedure codes in equal proportion to the funding provided for that purpose.
In addition to the 33 rate increases required by P.L. 2017, ch. 459, the Department has also increased the rate for a 34th procedure code – T2017 QC (Home Support, Habilitation, residential, waiver – Remote Support – Monitor only). In accordance with 5 M.R.S. Sec. 8054, the Department has determined that this rate increase needs to be done in this emergency rulemaking for it is necessary to avoid an immediate threat to public health, safety or general welfare.
These increased rates will be effective retroactive to July 1, 2018, as directed by the Act. The retroactive application of this rule comports with 22 M.R.S. Sec. 42(8) which authorizes the Department to adopt rules with a retroactive application for a period not to exceed 8 calendar quarters and there is no adverse financial impact on any MaineCare member or provider. In addition, the Department sought, and obtained, approval by the Center for Medicare and Medicaid Services (“CMS”) to be able to submit a waiver amendment that will make the rate increases for these Medicaid waiver services retroactive to July 1, 2018.
In creating the increased rates, the Department examined utilization of these services, and then calculated rates to ensure parity between Section 21 and Section 29, to lessen administrative complications for providers.
The Maine Legislature has designed the Ch. III, Section 21 regulation as a major substantive rule. Pursuant to 5 M.R.S. §8073, this emergency major substantive rule may be effective for up to twelve months, or until the Legislature has completed its review. The Department intends to proceed with major substantive rulemaking, which will be provisionally adopted, and then submitted to the Legislature for its review.
http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.
EFFECTIVE DATE: September 11, 2018
AGENCY CONTACT PERSON: Trista Collins, Comprehensive Health Planner Trista.Collins@maine.gov
AGENCY NAME: Division of Policy
ADDRESS: 242 State Street, 11 State House Station, Augusta, Maine 04333-0011
TELEPHONE: (207)-624-4094 FAX: (207) 287-1864 TTY users call Maine relay 711