Maine Regulation Digest / MaineCare Section 65
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Behavioral Health 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 65, Behavioral Health 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 65 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.
65.01-1American Society of Addiction Medicine Criteria (ASAM) is level of care criteria establishing what services are medically necessary for a member.
65.01-2Affected Other is an individual with a demonstrated Family relationship with a member whose substance use has led to clinically significant impairment or distress for the individual. In order for an Affected Other to participate in Family therapy, there must be a family relationship with a MaineCare eligible member. Affected Others seeking individual therapy must have MaineCare coverage themselves.
65.01-3Authorized Entity is an organization authorized by the Department of Health and Human Services (Department or DHHS) to perform specified functions pursuant to a signed contract or other approved signed agreement.
65.01-4Best Practices are treatment techniques, procedures and protocols described in detail where the effectiveness of these practices has been established through consensus among experts in the field. Key portions of these practices have been documented in research studies to be effective in selected treatment settings.
65.01-5Central Enrollment is a process of determining baseline eligibility for behavioral health treatment.
65.01-6Certified Clinical Supervisor (CCS) is a Clinician who is credentialed by the Maine State Board of Alcohol and Drug Counselors, 02-384 C.M.R. ch. 6, and must conduct supervision as defined in the regulations for Licensing/Certifying of Substance Use Disorder Treatment Programs or Integrated Mental Health and Substance Use Disorder Treatment Programs, 10-144 C.M.R. ch. 123, in the State of Maine.
65.01-7Certified Intentional Peer Support Specialist (CIPSS) means an individual who has completed the DHHS Office of Behavioral Health (OBH) curriculum for CIPSS and receives and maintains certification.
65.01-8Child or Children means a person or people between the ages of birth through twenty (20) years of age. Children aged eighteen (18) through twenty (20) years of age and Children who are emancipated minors may choose to receive children’s mental health services or adult mental health services, both of which are covered under this Section, whichever best meets their individual needs.
65.01-9Child and Adolescent Functional Assessment Scale (CAFAS) is a multi-dimensional rating scale, which assesses a member’s degree of impairment in day-to-day functioning due to emotional, behavioral, psychological, psychiatric, or substance use problems.
65.01-10Clinician is an individual appropriately licensed or certified in the state or province in which he or she practices, practicing within the scope of that licensure or certification, and qualified to deliver treatment under this Section. A Clinician includes the following: Licensed Clinical Professional Counselor (LCPC); Licensed Clinical Professional Counselor-Conditional (LCPC-C); Licensed Clinical Social Worker (LCSW); Licensed Master Social Worker- Conditional Clinical (LMSW-CC); Licensed Marriage and Family Therapist (LMFT); Licensed Marriage and Family Therapist-Conditional (LMFT-C); Licensed Alcohol and Drug Counselors (LADC), Certified Alcohol and Drug Counselors (CADC); Physician (MD or DO); Psychiatrist; Advanced Practice Registered Nurse Psychiatric and Mental Health Practitioner (APRN-PMH-NP); Advanced Practice Registered Nurse Psychiatric and Mental Health Clinical Nurse Specialist (APRN-PMH-CNS); Psychological Examiner; Physician Assistant (PA); Registered Nurse (RN) or Licensed Clinical Psychologist.
65.01-11Community Inclusion means the participation of a member in typical community activities that are both age and developmentally appropriate and are identified in the Individualized Treatment Plan (ITP).
65.01-12Comprehensive Assessment is an integrated evaluation by the service provider of the member's medical and psycho-social needs, including co-occurring mental health and substance use needs to determine the need for treatment and/or referral, and to establish the appropriate intensity and level of care.
[…] The section continues on maine.gov.
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