22 §3172-A. Mental Health and Mental Retardation Improvement Fund (REPEALED)
§3172-A. Mental Health and Mental Retardation Improvement Fund (REPEALED) SECTION HISTORY PL 1975, c. 757, §1 (NEW). PL 1977, c. 482, §1 (RPR). PL 1977, c. 680, §1 (RP).
22 §3172-B. Moneys received; credit to General Fund; unencumbered balance (REPEALED)
§3172-B. Moneys received; credit to General Fund; unencumbered balance (REPEALED) SECTION HISTORY PL 1977, c. 680, §2 (NEW). PL 1979, c. 127, §143 (AMD). PL 1979, c. 293, §B1 (AMD). PL 1981, c. 493, §2 (AMD). PL 1995, c. 560, §K82 (AMD). PL 1995, c. 560, §K83 (AFF). PL 2001, c. 354, §3 (AMD). PL […]
22 §3172. Definitions
§3172. Definitions 1. Aid. “Aid” means money payments to, or in behalf of, or medical care or any type of remedial care or any related services to needy individuals who qualify for such assistance under this chapter. [PL 1973, c. 790, §2 (NEW).] 1-A. Application. “Application” is the action by which an individual indicates […]
22 §3173-A. Reimbursement for therapy; intermediate care facilities and skilled nursing facilities
§3173-A. Reimbursement for therapy; intermediate care facilities and skilled nursing facilities When therapy is nonreimbursable under Title XVIII of the Social Security Act (Medicare), the Department of Health and Human Services shall reimburse an intermediate care facility or skilled nursing facility directly for the costs of physical and occupational therapy to individual residents or for […]
22 §3173-B. Medically needy program; certain individuals in intermediate care facilities
§3173-B. Medically needy program; certain individuals in intermediate care facilities In determining what types of medical care shall be provided to “medically indigent” individuals, the department shall provide that medically necessary care in an intermediate care facility shall be included under the provisions of the medically needy program. [PL 1979, c. 127, §145 (RAL).] […]
22 §3173-C. Copayments
§3173-C. Copayments 1. Authorization required. The department may not require any MaineCare member to make any payment toward the cost of a MaineCare service unless that payment is specifically authorized by this section, except that any copayment or premium expressly approved by the federal Secretary of the Department of Health and Human Services as part […]
22 §3173-D. Reimbursement for substance use disorder treatment
§3173-D. Reimbursement for substance use disorder treatment The department shall provide reimbursement, to the maximum extent allowable, under the United States Social Security Act, Title XIX, for substance use disorder treatment. Treatment must include, but need not be limited to, residential treatment and outpatient care as defined in Title 24‑A, section 2842. [PL 2017, […]
22 §3173-E. Treatment of joint bank accounts in Medicaid eligibility determinations
§3173-E. Treatment of joint bank accounts in Medicaid eligibility determinations When determining eligibility for Medicaid, the department shall establish ownership of joint bank accounts in accordance with Title 18‑C, section 6‑211, subsection 2. If the department determines that funds were withdrawn from a joint account without the consent of the applicant and the applicant owned […]
22 §3173-F. Charging or increasing premiums
§3173-F. Charging or increasing premiums 1. Premiums. The department may apply to the federal Centers for Medicare and Medicaid Services for a waiver or amend a pending or current waiver under the Medicaid program authorizing the department to impose cost sharing on some or all persons eligible for MaineCare under the Katie Beckett option authorized […]
22 §3173-G. Medicaid coverage for reproductive health care and family planning services
§3173-G. Medicaid coverage for reproductive health care and family planning services 1. Family planning benefit. The department shall provide for the delivery of federally approved Medicaid services to a qualified adult or adolescent whose individual income is equal to or below 209% of the nonfarm income official poverty line for reproductive health care and family […]
22 §3173-H. Services delivered through telehealth
§3173-H. Services delivered through telehealth 1. Definitions. As used in this section, unless the context otherwise indicates, the following terms have the following meanings. A. “Asynchronous encounters” means the interaction or consultation between a patient and the patient’s provider or between health professionals regarding the patient through a system with the ability to store […]
22 §3173-I. Maine Telehealth and Telemonitoring Advisory Group
§3173-I. Maine Telehealth and Telemonitoring Advisory Group The Maine Telehealth and Telemonitoring Advisory Group, as established by Title 5, section 12004‑I, subsection 38‑A and referred to in this section as “the advisory group,” is created within the department. [PL 2017, c. 307, §3 (NEW).] 1. Membership. The advisory group consists of the commissioner or […]
22 §3173-J. Rate-setting system for development and maintenance of sustainable, efficient and value-oriented MaineCare payment models and rates
§3173-J. Rate-setting system for development and maintenance of sustainable, efficient and value-oriented MaineCare payment models and rates This section establishes a rate-setting system for the development and maintenance of MaineCare payment models and rates that comply with the requirement in 42 United States Code, Section 1396a that rates be consistent with efficiency, economy and quality […]
22 §3173. Powers and duties of department
§3173. Powers and duties of department The department is authorized to administer programs of aid, medical or remedial care and services for medically indigent persons. It is empowered to employ, subject to the Civil Service Law, such assistants as may be necessary to carry out this program and to coordinate their work with that of […]
22 §3174-A. Medical coverage program for certain boarding home residents
§3174-A. Medical coverage program for certain boarding home residents The department shall administer a program of medical coverage for persons residing in cost reimbursement boarding homes who, but for their income, would be eligible for supplemental security income benefits on account of blindness, disability or age, and who do not have sufficient income to meet […]
22 §3174-AA. Asset limits
§3174-AA. Asset limits Beginning January 1, 2002, in determining eligibility for medical assistance under the Medicaid program for all individuals and families subject to an asset test, the department shall exempt from consideration all assets exempt pursuant to program rule on January 1, 2001 and shall adopt rules to exempt from consideration certain assets in […]
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)
§3174-AAA. Reimbursement for days awaiting placement; reimbursement for hospitals other than critical access hospitals (CONTAINS TEXT WITH VARYING EFFECTIVE DATES) (WHOLE SECTION TEXT EFFECTIVE UNTIL 12/31/23) (WHOLE SECTION TEXT REPEALED 12/31/23) Beginning January 1, 2019, the department shall provide reimbursement to hospitals other than critical access hospitals for each day after the 10th day that […]
22 §3174-B. Medicaid report
§3174-B. Medicaid report 1. Special report. The commissioner shall prepare an annual report detailing all receipts and expenditures in the Medicaid program for the prior year and proposals for the coming year. A. This document shall include, but not be limited to, the following information: A listing of revenues and expenditures for every professional, […]
22 §3174-BB. Enrollment periods
§3174-BB. Enrollment periods The department shall establish enrollment periods for medical assistance as provided in this section. Prior to the end of the enrollment period, the department shall determine continuing eligibility for the next enrollment period and notify the enrollee of the determination. [PL , c. 0, Pt. A, §4 (NEW).] 1. Children. In […]
22 §3174-BBB. Coverage for parents participating in rehabilitation and reunification efforts (WHOLE SECTION TEXT EFFECTIVE ON CONTINGENCY: See PL 2019, c. 130, §5)
§3174-BBB. Coverage for parents participating in rehabilitation and reunification efforts (CONTAINS TEXT WITH VARYING EFFECTIVE DATES) (WHOLE SECTION TEXT EFFECTIVE ON CONTINGENCY: See PL 2019, c. 130, §5) Notwithstanding any other provision of law to the contrary, a parent receiving benefits under this chapter as a parent of one or more dependent minor children who […]