MaineCare Notice of Agency Rulemaking Proposal, MaineCare Benefits Manual, Chapter II, Section 65, Behavioral Health Services

Notice of Agency Rulemaking Proposal

AGENCY: Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND TITLE: 10-144, C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 65, Behavioral Health Services and Chapter 101, MaineCare Benefits Manual, Chapter III, Section 65, Behavioral Health Services

TYPE OF RULE: Routine Technical

PROPOSED RULE NUMBER:

BRIEF SUMMARY:

MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter I, Section 7, Children’s Behavioral Health Services Global Rule

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.

MaineCare Notice of Agency Rulemaking Proposal, MaineCare Benefits Manual,  Ch. II, Section 92, Behavioral Health Home Services

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.

MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 66, Crisis Services

Notice of Agency Rulemaking Proposal

AGENCY: Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND RULE TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 66, Crisis Services

TYPE OF RULE: Routine Technical

PROPOSAL FILING NUMBER:

Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Sections 45 and 46, Psychiatric Hospital Services

Notice of MaineCare Reimbursement Methodology Change

AGENCY: Department of Health and Human Services, Office of MaineCare Services

SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Sections 45 and 46, Psychiatric Hospital Services

MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapter I, Section 7, Children’s Behavioral Health Services Global Rule

Notice of Agency Rulemaking Proposal

AGENCY: Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND RULE TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual (“MBM”), Chapter I, Section 7, Children’s Behavioral Health Services Global Rule

TYPE OF RULE: Routine Technical

PROPOSAL FILING NUMBER:

Required Wraparound Planning Principles Training for Children’s Behavioral Health Home (BHH) Coordinators and Children’s Targeted Case Managers

As part of the Department of Justice Children’s Behavioral Health Services Settlement Agreement, all BHH Coordinators and Children’s Targeted Case Managers are required to complete the Wraparound Planning Principles (WPP) Training. Please complete this training by January 31, 2026.

WPP form the foundation of high-quality care coordination for children and families—ensuring that services are family-driven, collaborative, culturally responsive, and grounded in each child’s strengths and needs.

The required training consists of three online modules:

MaineCare Provider Enrollment Processing Time Improvements

The Office of MaineCare Services made significant reductions in enrollment case processing time in the last two years. Below is a table beginning with the high wait for case inventory backlog from November 2023, with percentage decreases since then. The table shows the average turnaround time (TAT) for the month identified, and case inventory is the number of cases. TAT is the processing time for Gainwell. It is total time minus any Need More Information (NMI) or suspended time. This is the best metric for assessing processing time.

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