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July 2, 2003
as posted
in 5 daily Maine newspapers
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NOTICE OF STATE RULE-MAKING
Public Input for Proposed and Adopted Rules
Notices are published
each Wednesday to alert the public regarding state agency rule-making.
You may obtain a copy of any rule by notifying the agency contact person.
You may also comment on the rule, and/or attend the public hearing.
If no hearing is scheduled, you may request one -- the agency may then
schedule a hearing, and must do so if 5 or more persons request it.
If you are disabled or need special services to attend a hearing, please
notify the agency contact person at least 7 days prior to it. Petitions:
you can petition an agency to adopt, amend, or repeal any rule; the
agency must provide you with petition forms, and must respond to your
petition within 60 days. The agency must enter rule-making if the petition
is signed by 150 or more registered voters, and may begin rule-making
if there are fewer. You can also petition the Legislature to review
a rule; the Executive Director of the Legislative Council (115 State
House Station, Augusta, ME 04333, phone 207/287-1615) will provide you
with the necessary petition forms. The appropriate legislative committee
will review a rule upon receipt of a petition from 100 or more registered
voters, or from "...any person who may be directly, substantially and
adversely affected by the application of a rule..." (Title 5 Section
11112). World-Wide Web: Copies of the weekly notices and the full texts
of adopted rule chapters may be found on the World-Wide Web at: http://www.maine.gov/sos/cec/rcn/apa/.
PROPOSALS
AGENCY:
01-015 - Maine Milk Commission
RULE TITLE OR SUBJECT: Ch. 3, Schedule of Minimum Prices - Order
#08-03
PROPOSED RULE NUMBER: 2003-P143
CONCISE SUMMARY: The Maine Milk Commission will set minimum prices for
Class I, II, III and Butterfat based on Federal Order #1 prices with
prevailing premiums and other factors that may be presented.
THIS RULE WILL NOT HAVE A FISCAL IMPACT ON MUNICIPALITIES.
STATUTORY AUTHORITY: 7 MRSA § 2954 & 5 MRSA § 8054
PUBLIC HEARING:
9:00 a.m., Monday, July 21, 2003, Room 233, Department of Agriculture,
Deering Building, Hospital Street, Augusta, Maine 04333
DEADLINE FOR COMMENTS: July 21, 2003
NAME: Stanley K. Millay, Executive Director
ADDRESS: Maine Milk Commission, Deering Building - Station #28, Augusta,
Maine 04333
TELEPHONE: (207) 287-3741
ADOPTIONS
AGENCY:
05-071 - Department of Education
CHAPTER NUMBER AND TITLE: Ch. 101, Special Education Regulations
ADOPTED RULE NUMBER: 2003-191
CONCISE SUMMARY: These amendments to Ch. 101, which are narrow in scope,
are being made to comply with the U.S. Department of Education, Office
of Special Education Programs (OSEP) conditions for funding approval.
Section 12.11(C) provides that a school district will no longer be able
to override a parent's not given consent for the initial provision of
special education and related services. Section 11.15, Absence of Consent,
is deleted. The amendment of Section 13.16, Hearing Expenditures/Attorneys'
Fees, clarifies that Part B funds under IDEA (Individuals with Disabilities
Education Act) may not be used to pay attorneys' fees - only local or
state funds may be used. Section 12.11(S) now also provides the court
or hearing officer's being able to require the public agency to reimburse
the parent if the agency has not made FAPE (Free Appropriate Public
Education) available in a timely manner prior to the enrollment of the
student in a private school as well as provides that the parental placement
may be found to be appropriate even if it does not meet State standards
applicable to LEAs (Local Education Agencies) and the SEAs (State Education
Agencies).
EFFECTIVE DATE: June 24, 2003
AGENCY CONTACT PERSON: Pauline Lamontagne
AGENCY NAME: Department of Education, Due Process Office
ADDRESS: 23 State House Station, Augusta, ME 04333-0023
TELEPHONE: (207) 624-6644
AGENCY:
65-407 - Public Utilities Commission
CHAPTER
NUMBER AND TITLE: Ch. 306, Information Disclosure Rule
ADOPTED RULE NUMBER: 2003-195
CONCISE SUMMARY: This rule incorporates the recently implemented NEPOOL
GIS as the means for determining and verifying the resource mix and
emission characteristics contained on disclosure labels adopts several
other amendments intended primarily to simplify the application of the
rule.
CHAPTER
NUMBER AND TITLE: Ch. 311, Eligible Resource Portfolio Requirement
ADOPTED RULE NUMBER: 2003-196
CONCISE SUMMARY: This chapter establishes requirements and standards
for implementing the eligible resource portfolio requirement.
EFFECTIVE
DATE: July 20, 2003
AGENCY CONTACT PERSON: Paula J Cyr
AGENCY NAME: Public Utilities Commission
ADDRESS: 242 State Street, Station 18, Augusta, ME 04333-0018
TELEPHONE: (207) 287-3831
AGENCY:
01-015 - Maine Milk Commission
CHAPTER NUMBER AND TITLE: Ch. 3, Schedule of Minimum Prices -
Order #07-03
ADOPTED RULE NUMBER: 2003-197
CONCISE SUMMARY: Minimum July, 2003 Class I price is $13.02 plus $1.04/cwt.
for Producer Margins and an over order premium of $ 1.10/cwt. as being
prevailing in southern New England for a total of $15.16. Class II minimums
set at $10.58 for May, 2003, which includes $0.15/cwt. for Producer
Margins. These changes were passed on in minimum prices.
Minimum prices can be found at http://www.maine.gov/agriculture/ahi/mmc/prihis.html
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON:
NAME: Stanley K. Millay, Executive Director, Maine Milk Commission,
Deering Building - Station #28, Augusta, Maine 04333
TELEPHONE: (207) 287-3741
AGENCY:
06-096 - Department of Environmental Protection
CHAPTER NUMBER AND TITLE: Ch. 315, Assessing and Mitigating for
Impacts to Existing Scenic and Aesthetic Uses
ADOPTED RULE NUMBER: 2003-198
CONCISE SUMMARY: This rule applies to the alteration of a coastal wetland,
great pond, freshwater wetland, fragile mountain area, river, stream
or brook in organized portions of the state as defined in 38 MRSA §
480-B of the Natural Resources Protection Act (NRPA), that requires
an individual permit, or is eligible for Tier 3 review. Standard 1 in
Section 480-D of the NRPA states that a permit may not be granted for
an activity in, on, over, or adjacent to a protected natural resources
when the activity will unreasonably interfere with existing scenic,
aesthetic, recreational or navigation uses. This rule is designed to
clarify the application of scenic standards for projects licensed under
the NRPA. Ch. 315 explains State regulatory concerns, defines adverse
visual impacts, establishes a procedure for evaluating visual impacts
generated from proposed projects, establishes when a visual assessment
may be necessary, explains the components of a visual assessment when
required, and describes avoidance, mitigation and offset measures that
may eliminate or reduce adverse impacts to existing scenic and aesthetic
uses.
EFFECTIVE DATE: June 29, 2003
AGENCY CONTACT PERSON: Judy Gates
AGENCY NAME: Department of Environmental Protection
ADDRESS: 17 State House Station, Augusta, ME 04333
TELEPHONE: (207) 287-7691
EMAIL: judy.gates@maine.gov
AGENCY:
13-188 - Department of Marine Resources
CHAPTER NUMBER AND TITLE: Ch. 31, Horseshoe Crabs - Emergency
Regulations
ADOPTED RULE NUMBER: 2003-199
CONCISE SUMMARY: This emergency rulemaking prohibits the taking or possession
of horseshoe crabs from Maine waters to prevent the imminent depletion
of this species, which is at relatively low levels of abundance compared
to horseshoe crab stocks in waters south of New England.
EFFECTIVE DATE: Friday, June 27, 2003
AGENCY CONTACT PERSON: Lew Flagg
Mail written comments to: c/o Laurice U. Churchill
AGENCY NAME: Department of Marine Resources
ADDRESS: PO Box 8, West Boothbay Harbor, Maine 04575-0008
WEB SITE: www.maine.gov/dmr/rulemaking
TELEPHONE: (207) 624-6550
FAX: (207) 633-9579
TTY: (207) 287-4474 (Deaf/Hard of Hearing)
AGENCY:
13-188 - Department of Marine Resources
CHAPTER NUMBER AND TITLE:
Ch. 2.10(3)(3), Application Requirements, Environmental Characterization
& Baseline; and
Ch. 2.27(2), Department Site Review, Documented Information
ADOPTED RULE NUMBER: 2003-200
CONCISE SUMMARY: These regulations distinguish and clarify standard
application requirements for an environmental characterization and baseline
for discharge (finfish) sites and non-discharge operations with similar
information required by the Department in its site review work. These
expanded characterization requirements are in part based on the changes
recommended in the January 2002 report to the Maine Legislature's Marine
Resources Committee, and a citizen-initiated petition for rulemaking
considered by the Department in May 2002, and the finfish aquaculture
monitoring program protocols (FAMP), which have been utilized by the
Department and state and federal regulating agencies for the standard
application baseline and the Department's monitoring program since 1992.
These provisionally adopted amendments are major substantive pursuant
to 12 MRSA 6072(5-A), and are finally adopted subsequent to legislative
review and resolve effective May 15, 2003 with one amendment. The phrase
"ecologically significant flora and fauna" has been removed from Ch.
2.27(2) in the last paragraph as required by the resolve.
EFFECTIVE DATE: July 24, 2003
AGENCY CONTACT PERSON: Andrew Fisk
AGENCY NAME: Department of Marine Resources
ADDRESS: 21 State House Station, Augusta, Maine 04333-0021
WEB SITE: www.maine.gov/dmr/rulemaking
TELEPHONE: (207) 624-6564
TTY: (207) 287-4474 (Deaf/Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Final Rule, Ch. III, Section 67, Principles of Reimbursement
for Nursing Facilities
ADOPTED RULE NUMBER: 2003-201
CONCISE SUMMARY: Changes in this final rule include: removing return
on net assets for nonprofit providers; making nursing facility provider
tax an allowable cost; clarifying the trigger for an occupancy adjustment;
increasing direct care cost reimbursement for nursing facilities with
actual direct care costs less than 75% of the median; reimbursing 50%
of allowable un-reimbursed direct care costs for certain fiscal years;
supplemental payments based on adjusted direct care costs and restructuring
payments to brain injury facilities. These changes were implemented
via emergency rule effective from 4/1/2003 to 6/29/2003.
See http://www.maine.gov/bms/rulemaking for rule and related rulemaking
documents.
EFFECTIVE DATE: June 30, 2003
AGENCY CONTACT PERSON: Peter J. Ezzy
AGENCY NAME: Bureau of Medical Services
ADDRESS: 11 State House Station, 442 Civic Center Drive, Augusta, Maine
04333-0011
TELEPHONE: (207) 287-9368
TTY: (800) 423-4331 or (207) 287-1828 (Deaf or Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. III, Section 97, Private Non-Medical Institutions
ADOPTED RULE NUMBER: 2003-202
CONCISE SUMMARY: This major and substantive adopted rule includes changes
made with emergency rulemaking of July 1, 2002, as well as additional
changes. The rule is major and substantive. Bed-hold policy is revised
and moved to the Limitations section of Ch. II. The Department has added
a code for personal care services provided in medical and remedial PNMIs
to cover some dietary, housekeeping and laundry direct care staff wages.
Changes have been made in Appendix C to clarify personal care staff
services to be provided by the facility. In Appendix D, the Department
proposes to cover 60% of foster care parent wages and stipends as allowable
costs.
The Department has also finalized Ch. II, Section 97 rules, which describe
covered services, as a separate rulemaking.
EFFECTIVE DATE: July 25, 2003
AGENCY CONTACT PERSON: Patricia Dushuttle, Comprehensive Health Planner
AGENCY NAME: Division of Policy & Provider Services
ADDRESS: #11 State House Station, 442 Civic Center Drive, Augusta, Maine
04333-0011
TELEPHONE: (207) 287-9362
FAX (207) 287-9369
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
AGENCY:
06-096 - Department of Environmental Protection
RULE TITLE: Ch. 155, Portable Fuel Container Spillage Control
ADOPTED RULE NUMBER: 2003-203
CONCISE SUMMARY: The Department has adopted a rule requiring all portable
fuel containers sold or manufactured in Maine on or after January 1,
2004 to be equipped with an automatic shut-off device that stops fuel
flow before the fuel tank overflows and an automatic device that closes
and seals when it is removed from the fuel tank. In addition, portable
fuel containers must be constructed of low-permeability materials.
The adopted rule applies to all portable fuel containers or spouts,
or both, except: 1) containers with a capacity of less than or equal
to 1 quart; 2) rapid refueling devices with capacities equal to or greater
than 4 gallons, provided they are designed for use in officially sanctioned
off-road motorcycle competitions; and 3) safety cans and portable marine
fuel tanks that operate in conjunction with outboard motors.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Jeff Crawford
AGENCY NAME: Bureau of Air Quality, Department of Environmental Protection
ADDRESS: State House Station 17, Augusta, ME 04333
TELEPHONE: (207) 287-2437
AGENCY:
10-149 - Department of Human Services, Bureau of Elder and Adult
Services
CHAPTER NUMBER AND TITLE: Ch. 5, Bureau of Elder and Adult Services
Policy Manual
ADOPTED RULE NUMBER: 2003-204
CONCISE SUMMARY: These rules are routine technical amendments to Sections:
40, General Administrative Requirements for all Parties; 61, Adult Day
Services; 62, Congregate Housing Services Program; 63, In Home and Community
Based Support Services; 68, Respite Care for People with Alzheimer's
Disease or Related Disorders; and 69, BEAS Homemaker Services of the
Bureau of Elder and Adult Services (BEAS) Policy Manual. The amendments
to Section 40 simplify time lines regarding notice and hearings and
make the Exceptions from Advance Notice provisions similar to those
in the MaineCare Benefits Manual. The Amendments to Sections 61, 62,
63, 68 and 69 implement changes in the operation of State funded long-term
care programs in order to function within established appropriation
amounts. Areas affected include amounts of homemaker assistance and
requirements for criminal background checks for direct care workers.
Also, in each of these sections, lack of sufficient funds to continue
to pay for services to all current consumers is added to the reasons
services may be suspended, denied, reduced or terminated. The amendments
to Section 62 also reflect changes regarding assisted living due to
enactment of 22 MRSA, Chap. 1664 in the Second Regular Session of the
120th Legislature.
EFFECTIVE DATE: July 1. 2003
AGENCY CONTACT PERSON: Betty Forsythe
AGENCY NAME: Bureau of Elder and Adult Services
ADDRESS: #11 State House Station, 442 Civic Center Drive, Augusta, Maine
04333-0011
TELEPHONE: (207) 287-9200
TOLL FREE: (800) 262-2232
TOLL FREE TTY: (888) 720-1925
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. VI, Section 1, Primary Care Case Management
ADOPTED RULE NUMBER: 2003-205
CONCISE SUMMARY: This rule will implement amendments made to the Social
Security Act authorized by the Balanced Budget Act of 1997. It will
also reduce the management fee paid to participating providers from
$3.00 to $2.50. Additionally, the rule will eliminate the co-payment
exemption on managed services. Finally, the rule will clarify existing
policy regarding coverage, participation requirements, operational guidelines,
and update terminology.
See http://www.maine.gov/bms/rulemakinq for rules and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Linda Schumacher
AGENCY NAME: Division of Policy and Provider Services
ADDRESS: 442 Civic Center Drive, 11 State House Station, Augusta, ME
04333-0011
TELEPHONE: (207) 287-9370
FAX: (207) 287-9369
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. III, Section 2, Adult Family Care Services
ADOPTED RULE NUMBER: 2003-206
CONCISE SUMMARY: The final rules include an approximate 30% rate increase
for each level of adult family care service, made possible through recent
implementation of a nursing facility provider fee. The Department will
also update billing codes to meet HIPAA compliance. The rule change
includes terminology updates.
See http://www.maine.gov/bms/rulemaking for rules and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Patricia Dushuttle
AGENCY NAME: Division of Policy and Provider Services
ADDRESS: 442 Civic Center Drive, 11 State House Station, Augusta, ME
04333-0011
TELEPHONE: (207) 287-9362
FAX: (207) 624-5524
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. II and III, Section 17, Community Support Services
ADOPTED RULE NUMBER: 2003-207
CONCISE SUMMARY: This rulemaking represents a major change in how these
MaineCare services are reimbursed. Both Ch. II and III will be complete
replacements of Section 17, Community Support Services. Some of these
changes are being implemented to achieve the curtailment of allotments
in the MaineCare program as required in the Governor's July 1, 2002
Executive Order.
See http://www.maine.gov/bms/rulemaking for rules and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Kip Neale
AGENCY NAME: Division of Policy and Provider Services
ADDRESS: 442 Civic Center Drive, 11 State House Station, Augusta, ME
04333-0011
TELEPHONE: (207) 287-9361
FAX: (207) 287-9369
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. III, Section 19, Home & Community Benefits for the Elderly
and for Adults with Disabilities
ADOPTED RULE NUMBER: 2003-208
CONCISE SUMMARY: Ch. III adopts rate increases for nurses, certified
nursing assistants, home health aides, personal care services, and adult
day health services. The rate increases are authorized pursuant to PL
01 Chap 714 and PL 03, Chap 51.
See http://www.maine.gov/bms/rulemaking for rules and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Julie Tosswill
AGENCY NAME: Division of Policy and Provider Services
ADDRESS: 442 Civic Center Drive, 11 State House Station, Augusta, ME
04333-0011
TELEPHONE: (207) 287-9360
FAX: (207) 624-5524
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. II and III, Section 26, Day Health Services
ADOPTED RULE NUMBER: 2003-209
CONCISE SUMMARY: Updated and new definitions, as well as updated non-covered
services and staff qualifications Sections are adopted; some Sections
are deleted because they are set forth in Ch. I; terminology is updated
to include terms such as MaineCare and "member." Ch. III adopts a rate
increase and new procedure codes to comply with federal requirements.
See http://www.maine.gov/bms/rulemaking/ for rules and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Julie Tosswill
AGENCY NAME: Division of Policy and Provider Services
ADDRESS: 442 Civic Center Drive, 11 State House Station, Augusta, ME
04333-0011
TELEPHONE: (207) 287-9360
FAX: (207) 287-9369
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual
(formerly known as the Maine Medical Assistance Manual): Ch. II and
III, Section 40, Home Health Services. This rule is major and substantive.
ADOPTED RULE NUMBER: 2003-210
CONCISE SUMMARY: This rule removes the homebound eligibility requirement
and replaces it with medical eligibility criteria. Duration of Care
has been changed. Additional changes include specifying certain limits
of home health coverage. Some definitions are updated. Some general
language is deleted because it will be set forth in Ch. I. New procedure
codes are adopted for Ch. III, but these will not take effect until
a future date when the new claims management system is activated and
providers are notified.
EFFECTIVE DATE: July 26, 2003
AGENCY CONTACT PERSON: Julie Tosswill, Medical Care Administrator
AGENCY NAME: MaineCare Policy Development
ADDRESS: 442 Civic Center Drive, 11 State House Station, Augusta, Maine
04333-0011
TELEPHONE: (207) 287-9360
TTY#: (207) 287-1828 or (800) 423-4331
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. II, Section 60, Medical Supplies and Durable Medical Equipment
ADOPTED RULE NUMBER: 2003-211
CONCISE SUMMARY: Revisions to this rule changed cap prices for certain
supplies, and reduced reimbursement for orthotics and prosthetics. Other
changes included, but were not limited to: clarifying and expanding
prior authorization requirements; adding, revising and clarifying criteria
for some covered services, and clarifying documentation requirements.
The rule also clarified the process and procedure for the implementation
of requests for proposals (RFPs) for the purchase of select medical
supplies and durable medical equipment.
See http://www.maine.gov/bms/rulemaking for rules and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Greg Nadeau
AGENCY NAME: Division of Policy & Provider Services
ADDRESS: Bureau of Medical Services, 11 State House Station, 442 Civic
Center Drive, Augusta, Maine 04333-0011
TELEPHONE: (207) 287-9367
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. II, Section 80, Pharmacy Services
ADOPTED RULE NUMBER: 2003-212
CONCISE SUMMARY: The final rules require that generic drugs be dispensed
when available at a lower cost, unless the brand name drug is prior
approved, other provider requirements such as the requirement that all
pharmacies must also participate in Medicare.
The final rules change member co-payments to $2.50 per prescription,
up to a $25 per month cap.
See http://www.maine.gov/bms/rulemaking/ for rules and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Patricia Dushuttle
AGENCY NAME: Division of Policy and Provider Services
ADDRESS: 442 Civic Center Drive, 11 State House Station, Augusta, ME
04333-0011
TELEPHONE: (207) 287-9362
FAX: (207) 287-9369
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. II and III, Section 103, Rural Health Clinic Services
ADOPTED RULE NUMBER: 2003-213
CONCISE SUMMARY: Amendments to this rule included revisions to reimbursement
rate calculations, the definitions of homebound patients and incidental
supplies and services, updates of member eligibility verification procedures,
covered ambulatory services for asthma and diabetes educational services,
refinements to the description of the geographical member base served
by Rural Health Clinics (RHCs), addition of smoking cessation counseling
as a covered service, upgrades of case record requirements for members
being treated for chronic mental illness, addition of new procedure
codes for certain covered services, changes to the standards for identifying
when a reimbursable change in scope in service had occurred, modification
of the limit on the number of covered services allowed per day for billing
purposes, addition of a member copayment requirement, and numerous wording
and grammatical changes stemming from the changeover in program title
from "Medicaid" to "MaineCare."
See http://www.maine.gov/bms/rulemaking for rules and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Robert Gross, Comprehensive Health Planner
AGENCY NAME: Division of Policy & Provider Relations
ADDRESS: Bureau of Medical Services, 11 State House Station, 442 Civic
Center Drive, Augusta, Maine 04333-0011
TELEPHONE: (207) 287-9366
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 107, Final Rule
ADOPTED RULE NUMBER: 2003-214
CONCISE SUMMARY: This final: 1) establishes a new copayment requirement
for pharmacy and hospital services; 2) clarifies that coinsurance and
deductible costs are not covered services; 3) eliminates reimbursement
for out of state travel expenses; and 4) updates and clarifies language
throughout the policy.
See http://www.maine.gov/bms/rulemaking for rule and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Peter J. Ezzy
AGENCY NAME: Bureau of Medical Services
ADDRESS: 11 State House Station, 442 Civic Center Drive, Augusta, Maine
04333-0011
TELEPHONE: (207) 287-9368
TTY: (800) 423-4331 or (207) 287-1828 (Deaf or Hard of Hearing)
AGENCY:
10-144 - Department of Human Services, Bureau of Medical Services
CHAPTER NUMBER AND TITLE: Ch. 101, MaineCare Benefits Manual:
Ch. III, Section 113, Transportation Services
ADOPTED RULE NUMBER: 2003-215
CONCISE SUMMARY: The Maine State Legislature directed the Department
to reduce certain reimbursement rates for Transportation Services. This
emergency rule is effective from July 1, 2003 through September 28,
2003. Concurrent proposed rulemaking will allow for public comment on
these changes.
See http://www.maine.gov/bms/rulemaking for rules and related rulemaking
documents.
EFFECTIVE DATE: July 1, 2003
AGENCY CONTACT PERSON: Marianne Ringel, Director
AGENCY NAME: Division of Policy and Provider Services
ADDRESS: 442 Civic Center Drive, 11 State House Station, Augusta, ME
04333-0011
TELEPHONE: (207) 287-9371
FAX: (207) 287-9369
TTY: (800) 423-4331 or (207) 287-1828 (Deaf/Hard of Hearing)
© Department
of the Secretary of State
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