Maine Regulation Digest / MaineCare Section 92
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Behavioral Health Home 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 92, Behavioral Health Home 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 92 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.
92.02-2Authorized 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.
92.02-3Behavioral Health Home (BHH) is a community-based mental health organization that is licensed in the state of Maine, has been approved by MaineCare to provide Section 92 services for members (both Adults and Children) eligible for such services, and that satisfies the additional provider requirements and standards set forth herein.
92.02-4Child is a person who is under twenty-one (21) years old.
92.02-5Child and Family Team is a group of people, chosen with the member and the member’s family and connected to them through natural, community, and formal support relationships, that develops and implements the Plan of Care or Wraparound Plan of Care. The Child and Family Team includes the member, family, natural supports chosen by the member and family, service providers, and, as appropriate, representatives of the member’s school and other community contacts. The Child and Family Team is led by a Health Home Care Coordinator.
92.02-6Diagnostic and Statistical Manual of Mental Health Disorders (DSM) is the current version published by the American Psychiatric Association. The Manual is used to classify mental health disorders and provide standard categories for definition of mental health disorders.
92.02-7Electronic Health Record (EHR) is a systematic collection of electronic health information about individual MaineCare members. It is a record in digital format that is capable of being shared across different health care settings by a Department-designated Health Information Exchange(s) (HIE) and/or other information networks or exchanges. An EHR supports Clinical EHR functions, such as intake, clinical care, task management, and case management where appropriate, and has HL7 interoperability capabilities to support the electronic sharing of portions of the patient’s record.
92.02-8High-Fidelity Wrap Around Services (Wraparound BHH Services) are a Department-approved behavioral health service delivery model which is a higher intensity service than Standard BHH Services (as described in the applicable subparts in Section 92.05) and is delivered to members who meet the eligibility criteria in Section 92.03-3. When delivered to a Child, Wraparound BHH Services are “High-Fidelity Wrap Around Services,” a form of “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).
92.02-9Planning Process is a team-based approach that provides individualized, family-driven care through coordinated efforts, which meet the complex needs of Children, youth, and families as defined in this Section.
92.02-10Plan of Care (POC) and Wraparound Plan of Care (WPOC) are individualized service plans that describe, coordinate, and integrate all of a member’s clinical and non-clinical health care-related needs and services. The POC is person-centered and the WPOC is family-centered. The POC and WPOC include the member’s physical health and behavioral health goals (including recovery-oriented goals), and the services and supports necessary to achieve those goals. BHHs develop a POC for Standard BHH Services and a WPOC for Wraparound BHH Services, and the POC and WPOC are subject to different requirements in Section 92.05-1. When developed for a Child, a POC or WPOC is an Individualized Service Plan as described in 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).
92.02-11Serious Emotional Disturbance (SED) is a behavioral health disorder, diagnosed in accordance with the DSM, that a Child has had or is expected to have for at least one (1) year, which has resulted in functional impairment that substantially interferes with or limits the Child’s role or functioning in family, school, or community activities. The diagnosis must not be one of the conditions excluded under section 92.04-2(B)(1) or 92.04-3(A).
92.02-12Standard BHH Services are the conventional BHH services that are typically lower in intensity than Wraparound BHH Services and delivered to members who meet the eligibility criteria in Section 92.04-2. When delivered to a Child, Standard BHH Services are “Care Coordination” as described in 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).
92.03PROVIDER REQUIREMENTS
[…] The section continues on maine.gov.
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