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 III - Allowances for Services › Section 144-101-III-67 - Principles of Reimbursement for Nursing Facilities › Appendix 144-101-III-67-A - CERTIFIED NURSES AIDE TRAINING PROGRAMS

Current through 2024-29, July 17, 2024
Principle
. Effective for CNA training
						programs beginning on or after January 1, 2001, the median plus ten percent
						(10%) of costs per student paid by the Department for state fiscal year ending
						in 1998 to qualify individuals as certified nurses aides is reimbursable under
						the MaineCare Program. These programs must be conducted in accordance with the
						requirements of the Maine Board of Nursing for education programs for nurse's
						aides. To be allowable these programs must be conducted within a licensed
						nursing facility within the State of Maine or under contract with an
						educational institute whereby the classroom instruction may be provided in the
						educational facility, but the supervised clinical experience must be within the
						licensed nursing facility receiving reimbursement under the "Principles of
						Reimbursement for Long-Term Care Facilities".
Definitions
1.
Allowable Programs
. All CNA
					 programs must be approved by the Department of Education in order for a nursing
					 facility to be reimbursed for a CNA training program.
The Department will reimburse for the number of courses
						needed to meet the facility's needs, or the needs of a group of facilities on a
						prorated basis, which is expected to be no more than three (3) CNA courses per
						year, unless it is found that three (3) courses in not enough to meet the
						facility's needs. However, costs for classes of four (4) or fewer students will
						be allowed no more than twice a year.
2.
Allowable Costs
a) qualified instructor for classroom
					 instruction and clinical instruction, not to exceed one hundred-fifty (150)
					 hours.
b) instructor preparation
					 time, not to exceed fifteen (15) hours.
c) additional clinical instructor time when
					 number of students in program exceeds ten (10).
d) one (1) "Train the Trainer Program" per
					 facility per year.
e) training
					 materials, books and supplies necessary for providing the CNA
					 program.
f) liability
					 insurance.
g) competency
					 examinations, if Department of Education no longer provides the competency
					 examinations.
h) administrative
					 overhead expenses shall be limited to ten percent (10%) of the total allowable
					 CNA training budget.
The cost per student cannot exceed the cost of tuition in
						a program offered through the Department of Education that is reasonably
						accessible. If it is determined that any of the CNA training programs offered
						by a facility has not met or does not presently meet the requirements of the
						Maine Board of Nursing or is not an approved program through the Department of
						Education and the Department of Professional and Financial Regulation, the
						Department will initiate action to recoup all reimbursement.
All income received from these programs must be used to
						reduce the overall cost of the programs.
Reimbursement
. In order for a nursing
						facility to be reimbursed for conducting an approved CNA training program, the
						facility must submit a formal request for reimbursement to the Director of the
						Office of MaineCare Services, 11 State House Station, Augusta, Maine,
						04333-0011. All requests must be received by the Department before the end of
						the facility's current fiscal year in which the CNA program began.
Any request that is not received before the end of the
						facility's current fiscal year in which the CNA program begins will not be
						considered as an allowable cost under the MaineCare Program.
All requests must include:
1. A completed schedule "Request for Budget
					 Approval" available from the Office of MaineCare Services.
2. Copies of the letters of intent to employ
					 for non-employees participating in the training program.
3. Copy of the Department of Education
					 "Notice of Status" letter.
The Department will reimburse a nursing facility the
						median plus ten percent (10%) of costs per student paid by the Department for
						state fiscal year 1998 for CNA training. The allowable cost of approved CNA
						training programs conducted at a nursing facility will not be included in the
						calculation of the facility's prospective rate, but will be reimbursed in a
						lump sum payment upon approval by the Office of MaineCare Services.
The Division of Audit will audit all CNA training costs
						at the time of the facility's final audit.
Therefore, it is very important that the facility
						maintain accurate records of the CNA training programs conducted by the nursing
						facility.