AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 65, Behavioral Health Services
NATURE OF PROPOSED CHANGES: The Department plans to update reimbursement for Healthcare Common Procedure Coding System (HCPCS) code H2030 (clubhouse services) from $7.31 to $8.67 effective May 1, 2023.
REASON FOR PROPOSED CHANGES: This change is enacted as a result of recently completed rate study performed by a vendor contracted by the Department and pursuant to P.L. 2021 Ch. 639, An Act to Codify MaineCare Rate System Reform.
ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will cost $405,995 in federal fiscal year 2023 which includes $277,374 in federal funds and $128,621 in state funds and will cost $974,388 in federal fiscal year 2024 which includes $632,886 in federal funds and $341,502 in state funds.
ACCESS TO PROPOSED CHANGES AND COMMENTS TO PROPOSED CHANGES: The public may review the proposed methodology changes and written comments at any Maine DHHS office in every Maine county. To find out where the Maine DHHS offices are located, call 1-800-452-1926.
CONTACT INFORMATION FOR RECEIPT OF COMMENTS: Kristin Merrill Kristin.Merrill@maine.gov
AGENCY NAME: Office of MaineCare Services
ADDRESS: 109 Capitol Street, 11 State House Station
Augusta, Maine 04333-0011
TELEPHONE: (207) 624-4006 FAX: (207) 287-6106
TTY: 711 Maine Relay (Deaf or Hard of Hearing)
State Plan Amendment
Office: MaineCare Services