Maine Revised Statutes
Chapter 855: AID TO NEEDY PERSONS
22 §3174-PP. Medicaid reimbursement for eligible services provided through the Child Development Services System and school administrative units

§3174-PP. Medicaid reimbursement for eligible services provided through the Child Development Services System and school administrative units
1.  Consultation.  Prior to adopting or amending any rule that pertains to the administration of a program of Medicaid coverage established by the department pursuant to this chapter for services that qualify for reimbursement and are provided through the auspices of the Child Development Services System and school administrative units in accordance with the federal Individuals with Disabilities Education Act, 20 United States Code, Section 1400 et seq., the Office of MaineCare Services shall consult with the following interested parties on the proposed adoption or amendment of rules:  
A. The Commissioner of Education or the commissioner's designee;   [PL 2009, c. 643, §1 (NEW).]
B. The Executive Director of the Maine School Management Association or the executive director's designee;   [PL 2009, c. 643, §1 (NEW).]
C. The executive director of a statewide organization of administrators of services for children with disabilities or the executive director's designee;   [PL 2009, c. 643, §1 (NEW).]
D. The executive director of a statewide organization for disability rights or the executive director's designee; and   [PL 2009, c. 643, §1 (NEW).]
E. The Executive Director of the Maine Developmental Disabilities Council or the executive director's designee.   [PL 2009, c. 643, §1 (NEW).]
[PL 2009, c. 643, §1 (NEW).]
2.  Monthly report.  The Office of MaineCare Services shall prepare and submit at the beginning of each month a report that includes a detailed statement of the status of any proposed adoption or amendment of rules that pertain to the Medicaid programs specified in subsection 1 to the joint standing committee of the Legislature having jurisdiction over education matters and the joint standing committee of the Legislature having jurisdiction over health and human services matters.  
[PL 2009, c. 643, §1 (NEW).]
SECTION HISTORY
PL 2009, c. 643, §1 (NEW).

Structure Maine Revised Statutes

Maine Revised Statutes

TITLE 22: HEALTH AND WELFARE

Subtitle 3: INCOME SUPPLEMENTATION

Part 1: ADMINISTRATION

Chapter 855: AID TO NEEDY PERSONS

22 §3172. Definitions

22 §3172-A. Mental Health and Mental Retardation Improvement Fund (REPEALED)

22 §3172-B. Moneys received; credit to General Fund; unencumbered balance (REPEALED)

22 §3173. Powers and duties of department

22 §3173-A. Reimbursement for therapy; intermediate care facilities and skilled nursing facilities

22 §3173-B. Medically needy program; certain individuals in intermediate care facilities

22 §3173-C. Copayments

22 §3173-D. Reimbursement for substance use disorder treatment

22 §3173-E. Treatment of joint bank accounts in Medicaid eligibility determinations

22 §3173-F. Charging or increasing premiums

22 §3173-G. Medicaid coverage for reproductive health care and family planning services

22 §3173-H. Services delivered through telehealth

22 §3173-I. Maine Telehealth and Telemonitoring Advisory Group

22 §3173-J. Rate-setting system for development and maintenance of sustainable, efficient and value-oriented MaineCare payment models and rates

22 §3174. Eligibility

22 §3174-A. Medical coverage program for certain boarding home residents

22 §3174-B. Medicaid report

22 §3174-C. Coverage for inpatient hospital mental disease treatment services

22 §3174-D. Medicaid coverage for services provided by the Maine Educational Center for the Deaf and Hard of Hearing and the Governor Baxter School for the Deaf

22 §3174-E. Interim assistance agreement

22 §3174-F. Coverage for adult dental services

22 §3174-G. Medicaid coverage of certain elderly and disabled individuals, children and pregnant women; transitional Medicaid

22 §3174-H. Availability of income between married couples in determination of eligibility

22 §3174-I. Medicaid eligibility determinations for applicants to nursing homes

22 §3174-J. Medicaid drug formulary (REPEALED)

22 §3174-K. Counseling for certain children

22 §3174-L. Parity among counselors

22 §3174-M. Medicaid drug formulary

22 §3174-N. Authorization to pursue federal waivers to develop Medicaid managed-care program

22 §3174-O. Establish rules

22 §3174-P. Prescription processing service fee (REPEALED)

22 §3174-Q. Medicaid stability

22 §3174-R. Medicaid drug rebate program

22 §3174-S. Access to dental services for children under Medicaid (REALLOCATED FROM TITLE 22, SECTION 3174-R)

22 §3174-T. Cub Care program (REALLOCATED FROM TITLE 22, SECTION 3174-R)

22 §3174-U. Medicaid reimbursement for dental services

22 §3174-V. Federally qualified health center reimbursements

22 §3174-W. Procedure for home health care changes (REALLOCATED FROM TITLE 22, SECTION 3174-U)

22 §3174-X. Contracted ombudsman services

22 §3174-Y. Prior authorization in Medicaid program

22 §3174-Z. Private, nonmedical and board and care institutions

22 §3174-AA. Asset limits

22 §3174-BB. Enrollment periods

22 §3174-CC. Medicaid eligibility during incarceration

22 §3174-DD. Dirigo health coverage

22 §3174-EE. Mail order drugs (REALLOCATED FROM TITLE 22, SECTION 3174-AA)

22 §3174-FF. MaineCare Basic

22 §3174-GG. Long-term Care Partnership Program

22 §3174-HH. Coordination of services

22 §3174-II. Relationship to federal Medicare program

22 §3174-JJ. MaineCare reimbursement for ambulance services (REALLOCATED FROM TITLE 22, SECTION 3174-HH)

22 §3174-KK. MaineCare Stabilization Fund (REALLOCATED FROM TITLE 22, SECTION 3174-II)

22 §3174-LL. Inpatient services reimbursement based on diagnosis-related groups

22 §3174-MM. Outpatient services reimbursement under the MaineCare program based on ambulatory payment classifications

22 §3174-NN. Inpatient services reimbursement for critical access hospitals based on diagnosis-related groups (REPEALED)

22 §3174-OO. Outpatient services reimbursement for critical access hospitals under the MaineCare program based on ambulatory payment classifications (REPEALED)

22 §3174-PP. Medicaid reimbursement for eligible services provided through the Child Development Services System and school administrative units

22 §3174-QQ. Care for children with life-threatening conditions

22 §3174-RR. Dental hygienist reimbursement (REALLOCATED FROM TITLE 22, SECTION 3174-QQ)

22 §3174-SS. Calculation of 24 months (REPEALED)

22 §3174-TT. Limitation on reimbursement for opioids (REPEALED)

22 §3174-UU. Reimbursement for opioid drugs for the treatment of pain

22 §3174-VV. Methadone reimbursement limitations (REALLOCATED FROM TITLE 22, SECTION 3174-UU) (REPEALED)

22 §3174-WW. Tobacco cessation

22 §3174-XX. Dental therapy reimbursement

22 §3174-YY. State educational Medicaid officer

22 §3174-ZZ. Reimbursement for hearing aids

22 §3174-AAA. Reimbursement for days awaiting placement; reimbursement for hospitals other than critical access hospitals (WHOLE SECTION TEXT EFFECTIVE UNTIL 12/31/23) (WHOLE SECTION TEXT REPEALED 12/31/23)

22 §3174-BBB. Coverage for parents participating in rehabilitation and reunification efforts (WHOLE SECTION TEXT EFFECTIVE ON CONTINGENCY: See PL 2019, c. 130, §5)

22 §3174-CCC. Chiropractic services reimbursement (REALLOCATED FROM TITLE 22, SECTION 3174-AAA)

22 §3174-DDD. Coverage for conversion therapy (REALLOCATED FROM TITLE 22, SECTION 3174-BBB)

22 §3174-EEE. Prior authorization of treatment for opioid use disorder

22 §3174-FFF. State-funded medical program for noncitizens

22 §3174-GGG. Palliative care reimbursement (REALLOCATED FROM TITLE 22, SECTION 3174-FFF)

22 §3174-HHH. Ostomy equipment reimbursement (REALLOCATED FROM TITLE 22, SECTION 3174-FFF)

22 §3174-III. Reimbursement for donor breast milk

22 §3174-JJJ. Reimbursement for comprehensive sexual and reproductive health care services (REALLOCATED FROM TITLE 22, SECTION 3174-III)

22 §3175. Acceptance of federal provisions

22 §3175-A. Delinquent nursing home taxes to be withheld from Medicaid payments

22 §3175-B. Delinquent residential treatment facility taxes to be withheld from Medicaid payments

22 §3175-C. Delinquent hospital taxes to be withheld from Medicaid payments

22 §3175-D. Nursing facility depreciation

22 §3176. Treasurer of State as agent

22 §3177. Suspension of aid

22 §3178. Payment to conservator or guardian

22 §3179. Change of circumstances

22 §3180. Inalienability of aid

22 §3181. Appeals

22 §3182. Fraudulent representations; penalty

22 §3183. General penalty

22 §3184. Recovery of illegal payments

22 §3185. Medical expenses for catastrophic illness

22 §3186. Medical and social services referral service

22 §3187. Principles of reimbursement; rules

22 §3188. Maine Managed Care Insurance Plan Demonstration for uninsured individuals

22 §3189. The Maine Health Program (REPEALED)

22 §3189-A. Advisory Board to Privatize the Maine Health Program (REPEALED)

22 §3190. Community Health Program grants (REPEALED)

22 §3191. Funding of the Hospital Uncompensated Care and Governmental Payment Shortfall Fund (REPEALED)

22 §3192. Community Health Access Program

22 §3193. Affordable Health Care Fund (REALLOCATED FROM TITLE 22, SECTION 3192)

22 §3194. Report on cost of dispensing medication

22 §3195. Compensation for care provided to persons with intellectual disabilities or autism

22 §3196. Coverage for non-Medicaid services to MaineCare members