Maine Regulation Digest / MaineCare Section 13
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Targeted Case Management Services
10-144 C.M.R. ch. 101 · MaineCare Benefits Manual · monitored nightly · Sources last checked 2026-09-02 04:24 EDT
Nothing has changed in MaineCare Section 13, Targeted Case Management Services, that Hornbeam has been able to confirm. This page is rebuilt every night from the MaineCare Benefits Manual, the provider bulletins, the DHHS rulemaking page and the published fee schedules.
No changes detected in MaineCare Section 13 since Hornbeam began monitoring it. This page is rebuilt every night, so an empty table is a finding rather than a gap.
From MaineCare Benefits Manual, 10-144 C.M.R. ch. 101, as published by the Maine Secretary of State and read on an earlier revision. Quoted in part; the section itself is on maine.gov.
13.02-2Ages and Stages Questionnaires (ASQ) is a series of questionnaires which parents, caregivers, and providers can use to evaluate a child’s development from birth through five (5) years of age. The ASQ is used to help professionals identify delays and areas that may need support.
13.02-3Ages and Stages Questionnaires: Social-Emotional (ASQ-SE) is a series of questionnaires which parents, caregivers, and providers can use to evaluate a child’s social-emotional development from birth through five (5) years of age. The ASQ-SE is used to help professionals understand what to expect for social-emotional development for a child’s age and to identify areas where the child may need support.
13.02-4Authorized Entity is an organization authorized by the Department of Health and Human Services (DHHS) to perform specified functions pursuant to a signed contract or other approved signed agreement.
13.02-5Case Management Agency is a firm, partnership, association, corporation, or an organization approved by the Department or its Authorized Entity to provide Case Management Services.
13.02-6Case Management Services are covered services under this Section provided by a Case Manager working for a Case Management Agency to assist eligible Members who reside in a community setting, or are transitioning to a community setting, in gaining access to needed medical, social, educational, and other services. Case Management Services consist of comprehensive assessment and periodic reassessment, development and periodic revision of the Individual Service Plan (ISP), referral and related activities, and monitoring and follow-up activities. Case Management Services are “Care Coordination” as contemplated in and when delivered to children covered by United States v. State of Maine, No. 1:24-cv-00315-SDN (D. Me. Dec. 20, 2024)(Order on Mot. Dismiss and Retain Jurisdiction, Ex. A, Settlement Agreement Between the United States of America and the State of Maine).
13.02-7Case Manager is an individual who delivers Case Management Services and is employed or contracted by a Case Management Agency.
13.02-8Child or Children is a person or people between the ages of birth through twenty (20) years or age. Children who are ages eighteen (18) through twenty (20) or are emancipated minors may choose to receive children’s services or adult services, both of which are covered under this Section, whichever best meets their individual needs.
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13.02-9Child and Adolescent Needs and Strengths Assessment (CANS) is a multipurpose tool that assesses the needs and strengths of children and adolescents with mental illness, developmental disabilities/intellectual disabilities, and autism spectrum disorders. The CANS may be used to support decision making (including level of care and service planning), to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. The CANS is structured into domains which are tailored to particular age ranges.
13.02-10Child and Family Team refers to a group of individuals, chosen by the eligible Member, in conjunction with the Member’s family/guardian, which develops and implements an ISP for Members under twenty-one (21) years of age, except for Members between eighteen (18) and twenty (20) years of age choosing to receive adult Case Management Services. The team is connected to the Member and the Member’s family/guardian through natural, community, and formal support relationships. The team consists of the following:
A.The eligible Member, unless clinically contraindicated;
[…] The section continues on maine.gov.
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