Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 272 - COORDINATED CARE SERVICES FOR CHILDREN WITH SPECIAL HEALTH NEEDS › Chapter VII - SUPPLEMENTAL SERVICES THROUGH THE C.C.S./C.S.H.N. PROGRAM › Section 144-272-VII-M - Support Services

Current through 2024-29, July 17, 2024
Support services are available through the C.C.S./C.S.H.N.
					 Program for children and their families who are both financially and medically
					 eligible children and for the families of children eligible for Supplemental
					 Social Security (SSI) benefits as follows:
1. Lodging
For those children who are required to travel 150 miles
					 round trip out of their usual area for their subspecialty treatment and must
					 stay overnight for a prior approved laboratory studies, clinic visits or
					 hospitalization, the C.C.S./C.S.H.N. Program may pre-authorize payment for
					 lodging as follows: single room rate for lodging up to seven nights per
					 hospitalization if hospital policy does not allow a parent to stay in the
					 child's room. The rate of reimbursement will not exceed the single room rate
					 allowed state employees.
NON-COVERED SERVICE:
cost of meals and phone
					 calls.
2. Parent
				  Training/Consultation:
For families whose children under the age of five have
					 primary and subspecialty care verification of either a congenital, neurological
					 or neuromuscular condition known to have associated developmental delays, the
					 C.C.S./C.S.H.N. Program will pre-authorize payment for:
four units (two hours) per month of consultation with their
					 child's occupational, physical therapist and or speech pathologist to assist
					 them in carrying out the therapy treatment in the home environment if
					 recommended by the treating subspecialist and included in the prior authorized
					 therapist's plan of care.
3. Transportation:
For those children who are required to travel 150 miles
					 round trip or per week out of their usual area for their subspecialty medical
					 care/treatment and whose travel is not covered by any other source, the
					 C.C.S./C.S.H.N. Program may pre-authorize payment for travel reimbursement to
					 the families as follows:
a. round trip
				  mileage reimbursement for ground travel to prior authorized medical
				  appointments at the rate of $0.15 per mile and not to exceed the State rate of
				  reimbursement for State employees;
b. mileage reimbursement for ground travel
				  not to exceed the State rate of reimbursement for State employees for up to two
				  (2) round trips when the travel is related to a prior authorized in-patient
				  admission;
c. round trip bus fare
				  when the travel is related to prior authorized subspecialty medical treatment
				  or in-patient hospitalization and if the family has no other means of
				  transportation; or
d. round trip
				  air travel only when the cost of the air travel is less than ground travel and
				  when the travel is related to a prior authorized in-patient admission.
NON COVERED TRANSPORTATION SERVICES:
transportationcosts when appropriate providers are available in the child's
					 usual area, but families choose providers out of this area for whatever
					 reason.