Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 101 - MAINECARE BENEFITS MANUAL (FORMERLY MAINE MEDICAL ASSISTANCE MANUAL) › Chapter II - Specific Policies By Service › Section 144-101-II-17 - Community Support Services › Subsection 144-101-II-17.01 - DEFINITIONS

Current through 2024-29, July 17, 2024
For purposes of Section
						17, the following words have the
						following meanings:
17.01-1
Authorized Entity
means an entity authorized by the Department of
					 Health and Human Services (DHHS) to perform specified functions pursuant to a
					 signed contract or other approved signed agreement.
17.01-2
Certified Employment
					 Specialist
means an individual who has completed an Association of
					 Community Rehabilitation Educators (ACRE) approved course - or other employment
					 specialist training approved by DHHS and maintains certification.
17.01-3
Certified 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.
17.01-4
Certified Rehabilitation Counselor
means an individual certified
					 by the Commission on Rehabilitation Counselor Certification.
17.01-5
Clinician
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-conditional); Licensed Clinical Social Worker (LCSW); Licensed Master
					 Social Worker-conditional (LMSW-conditional clinical); physician, psychiatrist;
					 Psychiatric and Mental Health Nurse Practitioner (PMH-NP); Psychiatric and
					 Mental Health Clinical Nurse Specialists (PMH-CNS); Adult Nurse Practitioner
					 (ANP); Family Nurse Practitioner (FNP); Physician Assistant (PA); or licensed
					 psychologist.
17.01-6
Community Support Service
means a rehabilitative service that is
					 provided in the context of a supportive relationship, pursuant to an individual
					 support plan that promotes a person's recovery, and integration of the person
					 into the community, and sustains the person in his or her current living
					 situation or another living situation of his or her choice.
17.01-7
Community Support
					 Provider
means an agency that is licensed by DHHS, holds a valid
					 contract with DHHS, and has received a rate-setting letter from DHHS to provide
					 Community Support Services to members eligible for covered services under
					 Section
					 17.02. Please refer
					 to Section 17.05-2 for detail on multiple providers of Community Support
					 Services. DHHS will contract with all agencies that are willing and able to
					 meet the standard DHHS requirements for providing community support services
					 and the standard contract requirements.
17.01-8
Covered Service
means a
					 Community Support Service for which Community Support Providers can be
					 reimbursed under the MaineCare Program.
17.01-9
Certified Residential
					 Medications Aide (CRMA)
means an individual who holds a current
					 certification from DHHS as a Certified Residential Medication Aide.
17.01-10
Homeless person
means a
					 person sleeping in places not meant for human habitation, such as cars, parks,
					 sidewalks, and abandoned or condemned buildings, or is sleeping in homeless
					 shelters.
17.01-11
Individual
					 Support Plan
(ISP) is developed for and with a member receiving
					 Community Support Services by a Community Support Provider. An Individual
					 Support Plan (ISP):
A. Reflects the strengths
					 and needs of the member;
B.
					 Reflects services that follow the member's goals; and
C. Reflects the resources that will meet the
					 member's goals in the community, including the natural supports available or in
					 need of being created.