Maine Regulation Digest / MaineCare Section 89 / 6 December 2023
Hornbeam reads MaineCare's publications every night and records what changed, quoting the source.
Rename the Section 89.04-2(D) requirement from Consent Forms to Documentation of Consent, effective 6 December 2023, in MaineCare Section 89.
§89 · effective 6 December 2023 · detected 2026-08-12
First, the Department changed the phrase “Consent Forms” to “Documentation of Consent” in Section 89.04-2(D).
MaineCare renamed a requirement inside Section 89, effective 6 December 2023. The requirement at 89.04-2(D), headed “Consent Forms,” is now headed “Documentation of Consent.” The adoption notice states it plainly: the Department changed the phrase “Consent Forms” to “Documentation of Consent” in Section 89.04-2(D).
Section 89 is the MaineMOM benefit, so this reaches agencies delivering MaineMOM services and nobody else. The change is to the heading the requirement is filed under. A policy manual or an audit checklist that cites 89.04-2(D) as Consent Forms is now citing a heading the rule no longer uses.
The quoted sentence begins with “First,” so this rename was one of several changes made in the same adoption; the rest are in the notice linked above. The notice carries no change request number, and it does not say whether the text under the heading changed along with the heading. The adopted rule on maine.gov is where 89.04-2(D) can be read in full.
| Applies to | What | Was | Now |
|---|---|---|---|
| Applies toConsent Forms | Whatname# | WasConsent Forms | NowDocumentation of Consent |
From MaineCare Benefits Manual, 10-144 C.M.R. ch. 101. Quoted in part; the section itself is on maine.gov.
MaineMOM is a model of care that incents the integration and coordination of Perinatal Care and Opioid Use Disorder (OUD) treatment to meet MaineCare members’ health care needs through Per Member Per Month (PMPM) payments tied to quality outcomes. MaineMOM Services are provided through three (3) distinct models of care:
MaineMOM Integrated Model Services,
MaineMOM Partnership Model Services, and
MaineMOM Perinatal Navigation Model Services.
89.02DEFINITIONS
89.02-1American Society of Addiction Medicine (ASAM) Criteria Level of care criteria that establish what services are medically necessary for a member.
89.02-2Authorized 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.
89.02-3Behavioral and Physical Health Integration is the care a member experiences as a result of a team of primary care and behavioral health providers, working together with members and families, using a systematic and cost-effective approach to provide patient-centered care for a defined population (based on the definition of “Integrated Behavioral Health Care” from the Agency for Healthcare Research and Quality).
89.02-4Care Plan is a patient-centered plan that describes, coordinates, and integrates a member’s clinical information, to include all clinical and non-clinical health care-related needs and services.
89.02-5Community Health Worker (CHW) is a trained health worker who has completed a training program with a curriculum approved by the Department, or their designee, that includes both relevant CHW core competencies and training specific to OUD treatment and recovery; or holds a Maine CHW certification or registration (effective the date such a designation becomes active in the State of Maine). CHWs apply their unique understanding of the community’s experience, socio-economic needs, language and/or culture to advocate for individual and community needs and acts as a bridge between providers and individuals to promote health, reduce disparities, and improve service delivery. CHWs are distinguished from other health professionals in that they are hired primarily for their understanding of the populations and communities they serve, conduct outreach a significant portion of the time, and have experience providing services in community settings.
89.02-6Co-occurring Capable Providers are organized to welcome, identify, engage, and serve members with co-occurring mental health and Substance Use Disorders (SUDs), and to incorporate attention to these issues into all aspects of co-occurring services including linkage with other providers, staff competency and training.
89.02-7Diagnostic and Statistical Manual of Mental Health Disorders (DSM) is the most current version published by the American Psychiatric Association. The DSM is used to classify mental health diagnoses and provide standard categories for definition of mental health disorders.
[…] The section continues on maine.gov.
Every change on record in MaineCare Section 89
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