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-21 - Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder › Subsection 144-101-II-21.17 - APPENDIX IV- Performance Measures

Current through 2024-29, July 17, 2024
Support and supervision that is offered whenever the
						staff and the Member are in the same physical environment is considered
direct support time.
This would include, for
						example, staff waiting for a Member during a medical appointment or a home
						visit.
Hours that may be claimed as being
Examples of acceptable activities include:
Services, activities and time that are directly related
						to a Member: such as scheduling medical appointments, dental appointments and
						therapy appointments. This includes any time a staff may need to spend
						discussing with a physician, dentist, or therapist any intervention regarding
						the Member.
Services, activities and time that are directly related
						to a Member that are associated with that Member's Person-Centered Service
						Plan, medical plan or behavioral plan including in-service training specific to
						a Member's plan of support, consultations with supervisors, therapist,
						clinicians, Member's employer and or medical staff; activities relating to a
						Member's parent, guardian or Maine Developmental Services Oversight and
						Advisory Board (MDSOAB) representative; documentation, reports and
						presentations to review committees.
Services, activities and time that are directly related
						to a Member that are associated with home visits, family events and or family
						reunification including transporting someone to his or her parents, guardian,
						or friends home for visits, returning a Member to his or her home, and any time
						spent during such a visit such as attending a family function with the
						Member.
Services, activities and time that are directly related
						to a Member's safety such as "shadowing" a Member as he or she learns to take a
						bus.
Documentation detail must clearly identify and support
						periods of such activity.
On Behalf Of Non-Covered
						Activities
Services, activities and time that are related to group
						activities and/or services, activities or time that cannot be directly linked
						to Member's Person-Centered Service Plan. For example, grocery shopping for a
						home.
Services, activities and time that are related to home
						cleaning, home maintenance, facility cleaning or facility maintenance.
Services, activities and time that are related to staff
						training, unless the training is specific and exclusive to the Member.
Services, activities and time that are related to
						landscaping, snow removal, spring clean-up or similar activities.
Services, activities and time that are related to
						securing or maintaining a license or certificate such as a group home license,
						or CARF accreditation.
Services, activities and time that are related to staff
						recruitment, even if the staff is being recruited for the Member.
Services, activities and time provided by a salaried
						staff Member unless there is evidence that the salaried staff was working as a
						Direct Support Professional for the time being claimed.