Attention Providers of Sections 18, 19, 20, 21 and 29: Appendix K Provisions to Maine’s Home and Community-Based Waiver Programs Extended
Service Caps and Related Provisions Extended Through June 30, 2022
Appendix K to Maine’s Home and Community-Based Services 1915(c) waiver programs provides flexibility to operate waiver programs during an emergency. Maine’s Appendix K and amendments may be found on the Medicaid.gov website.
Service Caps and Other Provisions Extended and Modified Through June 30, 2022
Section K-2.b.ii. of Maine’s Appendix K was originally set to expire on May 31, 2020, but due to continuing need, the Department has extended this provision seven times, most recently through March 31, 2022. At this time, given continuing challenges related to COVID-19 throughout Maine, the Department will continue to provide flexibility under Section K-2.b.ii through June 30, 2022.
Extended provisions include, but are not limited to the following flexibilities:
Provisions vary by waiver. Please read the additional information below for details.
Appendix K, Section K-2.b.ii Provisions Extended Through June 30, 2022
The budget allocations enumerated in Appendix C-4 of the Home and Community-Based Services for Members with Brain Injury (ME.1082), the Elderly and for Adults with Disabilities (ME.0276), the Home and Community Based Services for Adults with Other Related Conditions (ME. 0995), the Home and Community Based Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder (ME 0159), and the Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder (ME.0467) waivers may be temporarily exceeded to provide needed services for emergency care.
Service Limits in Sections C-1/C-3
ME.0276 (Section 19)
ME.1082 (Section 18), ME.0995 (Section 20), ME.0159 (Section 21), and ME.0467 (Section 29)
The Department is extending the staffing level provision due to persistent staffing shortages. Providers should plan to return staffing levels to at least 92.5% of authorized levels by June 30, 2022.
Please note that all other provisions currently allowed in the Appendix K will continue until six months after the end of the federal Public Health Emergency.
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