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POSTINGS

DHHS - MaineCare Comprehensive Rate System Evaluation: Phase 2 Stakeholder Engagement Overview and Schedule

11/20/2020

 
From DHHS:
​MaineCare Comprehensive Rate System Evaluation 
Phase 2 Stakeholder Engagement
This is a notice regarding the next phase of stakeholder engagement activities for MaineCare’s Comprehensive Rate System Evaluation, which are scheduled to begin December 2, 2020, and will serve as an opportunity for MaineCare providers to share comments on the adequacy of MaineCare rate amounts and impact these rates may have on access to services. This will include feedback on the Phase 1 benchmarking report, which will be released before Thanksgiving. 

We will send out a notification when the benchmarking report is available on our website. 

To prepare for the meetings, we ask that participants review the report prior to their session(s) and think about any important factors that were not accounted for in the report that you would like to note for consideration.   

The meeting schedule is below (please note that some groupings have changed since the Phase 1 meetings). Information about how to register for these meetings will be forthcoming.  

Wednesday, December 2, 2020 

8:00-10:30 
Specialty Services 
Sec. 15: Chiropractic Services 
Sec. 68: Occupational Therapy Services 
Sec. 75: Vision Services 
Sec. 85: Physical Therapy Services 
Sec. 95: Podiatric Services 
Sec. 109: Speech and Hearing Services 

12:00-2:30 
Dental Services 
Sec. 25: Dental Services 
Sec. 90: Ambulatory Care Clinic Services, Oral Surgery Services only  
Sec. 3: Physician Services, Oral Surgery Services only 

Thursday, December 3, 2020 

8:00-10:30 
Hospital Services 
Sec. 45: Hospital Services 
Sec. 46: Psychiatric Hospital Services 

12:00-2:30 
Nursing Facilities  
Sec. 67: Nursing Facility Services 

Friday, December 4, 2020 

8:00-10:30 
Miscellaneous Services 
Sec. 5: Ambulance Services 
Sec. 55: Laboratory Services 
Sec. 60: Medical Supplies and Durable Medical Equipment 
Sec. 101: Medical Imaging Services 

12:00-2:30 
Physician, APRN, Primary Care, Ambulatory Care/Clinics Services  
Sec. 3: Ambulatory Care Clinic Services except Oral Surgery Services 
Sec. 4: Ambulatory Surgical Center Services 
Sec. 7: Free-Standing Dialysis Services 
Sec. 14: Advanced Practice Registered Nursing Services 
Sec. 30: Family Planning Agency Services 
Sec. 31: Federally Qualified Health Center Services 
Sec. 90: Physician Services except Oral Surgery Services 
Sec. 91: Health Home Services 
Sec. 94: Early and Periodic Screening, Diagnosis and Treatment Services (EPSDT) 
Sec. 103: Rural Health Clinic Services 

3:00-5:30 
Residential Care 
Sec. 2: Adult Family Care Services 
Sec. 97: Private Non-Medical Institution Services- App B, C, D (except App D Therapeutic Foster Care), E, and F. 
Sec. 107: Psychiatric Residential Treatment Facility Services 

Monday, December 7, 2020 

8:00-10:30 
Behavioral Health Services – Outpatient  
Sec. 17: Community Support Services - Day Supports Services 
Sec. 17: Community Support Services - Interpreter Services 
Sec. 17: Community Support Services - Skills Development Services 
Sec. 65: Behavioral Health Services- Behavioral Therapy 
Sec. 65: Behavioral Health Services- Intensive Outpatient Program (IOP) 
Sec. 65: Behavioral Health Services- Medication Assisted Treatment (MAT) 
Sec. 65: Behavioral Health Services- Medication Management 
Sec. 65: Behavioral Health Services- Neurobehavioral 
Sec. 65: Behavioral Health Services- Outpatient 

3:00-5:30 
Behavioral Health Services – Community-Based 
Sec. 13: Targeted Case Management Services 
Sec. 17: Community Support Services - Assertive Community Treatment 
Sec. 17: Community Support Services - Community Integration Services 
Sec. 17: Community Support Services - Community Rehabilitation Services 
Sec. 17: Community Support Services - Daily Living Support Services 
Sec. 28: Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations 
Sec. 65: Behavioral Health Services- ACT 
Sec. 65: Behavioral Health Services- Behavioral Health Day Treatment 
Sec. 65: Behavioral Health Services- Clubhouse 
Sec. 65: Behavioral Health Services- Crisis 
Sec. 65: Behavioral Health Services- Home and Community Based Treatment (HCBT) 
Sec. 92: Behavioral Health Home Services 
Sec. 93: Opioid Health Home Services 
Sec. 97: Private Non-Medical Institution Services, App D Therapeutic Foster Care only 

Tuesday, December 8, 2020 

8:00-10:30 
Home and Community-Based Services for Members with Intellectual or Developmental Disabilities and/or Acquired Brain Injury and Other Related Conditions 
Sec. 18: Home and Community-Based Services for Adults with Brain Injury 
Sec. 20: Home and Community Based Services for Adults with Other Related Conditions 
Sec. 21: Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder 
Sec. 23: Developmental and Behavioral Clinic Services 
Sec. 29: Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder 
Sec. 50: Intermediate Care Facilities for Individuals with Intellectual Disabilities Services 
Sec. 102: Rehabilitative Services 

12:00-2:30 
Home and Community-Based Services for Older Adults and Members with Physical Disabilities 
Sec. 12: Consumer Directed Attendant Services 
Sec. 19: Home and Community Benefits for the Elderly and Adults with Disabilities 
Sec. 26: Day Health Services 
Sec. 40: Home Health Services 
Sec. 43: Hospice Services 
Sec. 96: Private Duty Nursing and Personal Care Services 

Providers and other interested parties who would like to submit comments in writing may do so by sending an email to [email protected]. We will accept written comments until Wednesday, December 9th.  

Following these meetings, we will develop the Phase 2 plan for a comprehensive rate assessment process, which will include:  
  • Recommendations for simplifying and streamlining rate methodologies, and for a process and structure for ongoing rate review and rebasing;  
  • A priority list and work plan for short- and longer-term rate reviews; and 
  • An estimate of the necessary investment to implement recommendations. 

Interim
Phase 2 findings will be released mid-January 2021, and the final report in February. Please send any questions on this effort to [email protected]. For more information, please visit our website. 

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  • Home
  • About
    • History
  • How the System Works
    • DD Continuum of Care
    • Blueprint for Effective Transition
    • Service Timeline
    • Services
    • Housing
  • Agendas/Minutes
    • Latest Minutes
    • Latest Agenda
  • Postings
    • Action Alerts
  • Section 21 & 29
    • Wait List Numbers Over Time
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