reglab/statecodes huggingface dataset:
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 607 - ASPIRE-TANF PROGRAM RULES › Section 144-607-15 - REDUCTION OF ASPIRE-TANF SERVICES WHEN FUNDING IS INADEQUATE

Current through 2024-29, July 17, 2024
Summary
: This Section sets forth procedures for
				  reduction of ASPIRE-TANF services when it is determined by OFI that funding is
				  inadequate to continue to maintain existing levels of services.
I.
GENERAL PROVISIONS
A. When State and/or Federal funding for the
				ASPIRE-TANF program is inadequate to maintain existing levels of service,
				service reduction will occur. Service reduction will be as equitable as
				possible and will apply statewide. Service reduction will apply if a
				participant is being served directly by OFI or by an agency contracting with
				OFI.
B. ASPIRE-TANF will provide
				services as funding and staff distribution permits on a statewide basis to
				include both the major urban municipalities and rural areas.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 607 - ASPIRE-TANF PROGRAM RULES › Section 144-607-17 - TANF TIME LIMIT EXTENSIONS

Current through 2024-29, July 17, 2024
Summary
: This Section describes the extensions
				  to the TANF 60 month time limit and the role and responsibility of the
				  ASPIRE-TANF Program in implementing those extensions.
I.
GENERAL PROVISIONS
A. Under federal and state law, most families
				can receive TANF cash assistance for a maximum of 60 months. TANF is temporary
				cash assistance to help support families while they work with the ASPIRE-TANF
				Program to reach their employment goals and take steps to achieve
				self-support.
B. Maine may extend
				TANF cash assistance beyond 60 months to households where the adult(s) or minor
				parent head of household meets the following requirements:
1. Meets the criteria of one of the
				extensions included in III.A. or B.6., below;
2. Participates in Family Contract Amendment
				activities unless Good Cause for non-participation exists; and 3. Meets all
				other TANF eligibility requirements.
C. All hardship extension decisions and case
				closures based on the 60-month time limit must be approved by an OFI
				Supervisor.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 609 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND TRAINING (SNAP E AND T) RULES › Section 144-609-2 - PARTICIPANT ELIGIBILITY AND PRIORITY TARGET GROUPS

Current through 2024-29, July 17, 2024
I.
PARTICIPANT ELIGIBILITY
To be eligible for SNAP E&T services, recipients
				  must:
A. be receiving or enrolled for
				federal SNAP benefits in the State of Maine and be included in the federal SNAP
				household;
B. not be receiving TANF
				benefits;
C. be aged 16 or older;
				and
D. be residing within a
				one-hour one-way drive (60 miles) or commute to the location of SNAP E&T
				services or training to be provided, if such services require onsite
				participation.
Eligibility is also based on availability of funds and
				  availability of SNAP E&T Providers in the area where the recipient
				  resides.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 609 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND TRAINING (SNAP E AND T) RULES › Section 144-609-5 - COMPLETION AND DISCHARGE FROM SNAP E AND T

Current through 2024-29, July 17, 2024
SNAP E&T completion and discharge dates are recorded by
				  SNAP E&T Providers and reported to the Department for purposes of
				  reimbursement, benefit status determination, and for performance
				  measurement.
I.
COMPLETION
A participant has completed participation in SNAP E&T
				  when:
A. the participant obtains
				suitable full-time employment (at least 30 hours per week or when weekly
				earnings exceed the Federal minimum wage multiplied by 30);
B. the participant completes the component or
				indicates that SNAP E&T services are no longer needed;
C. the SNAP E&T Provider determines that
				the participant cannot meet further goals towards employment from SNAP E&T
				activity as determined in assessment; or
D. the SNAP E&T Provider discharges the
				participant.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 609 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND TRAINING (SNAP E AND T) RULES › Section 144-609-6 - SNAP E AND T SERVICES FOR ABAWDS

Current through 2024-29, July 17, 2024
ABAWDs are subject to all requirements outlined in Section
				  111-7 of the Supplemental Nutrition Assistance (SNAP) Rules, 10-144 C.M.R.
				  Chapter 301.
ABAWDs may meet some or all of their work requirements by
				  participating in a SNAP E&T program delivered by a SNAP E&T Provider.
				  Not all SNAP E&T services can be counted towards fully meeting ABAWD work
				  requirements. To fully meet ABAWD work requirements through SNAP E&T
				  participation, an ABAWD must be participating in SNAP E&T programming that
				  includes a federally defined qualifying Work Component with participation of at
				  least 20 hours per week or be enrolled in an approved Educational Component at
				  least half time, as defined by the education institution. Non-work Component
				  activities including Job Search, Job Search Training, and Job Retention may
				  only count up to 9.75 hours per week towards ABAWD work requirements, with
				  qualifying SNAP E&T Work Components or paid employment making up the
				  remainder of the 20 hours per week ABAWD work
				  requirement.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 609 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND TRAINING (SNAP E AND T) RULES › Section 144-609-7 - PARTICIPANT PERFORMANCE REQUIREMENTS

Current through 2024-29, July 17, 2024
Participants who do not adhere to SNAP E&T Provider
				  performance requirements may be discharged from SNAP E&T services by the
				  Provider and/or discharged from SNAP E&T by the Department. Requirements
				  are part of the IEP. Participants may request conciliation or administrative
				  hearings, as detailed in Section 11.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 609 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND TRAINING (SNAP E AND T) RULES › Section 144-609-9 - PARTICIPANT RIGHTS AND RESPONSIBILITIES

Current through 2024-29, July 17, 2024
Participants have certain rights and responsibilities in
				  relation to the SNAP E&T program. Rights include being made aware of what
				  services the SNAP E&T program offers, Good Cause, the availability of
				  conciliation and administrative hearings, and disqualifications that may be
				  applied for failure to comply with SNAP E&T rules or federal work
				  registration requirements in 7 C.F.R. § 273.7. Responsibilities include
				  following the rules of the program with regard to participation, keeping
				  appointments and abiding by provisions of the IEP.
Registrants are advised orally and in writing of their rights
				  and responsibilities by the SNAP E&T Provider at the time of
				  enrollment.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 609 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND TRAINING (SNAP E AND T) RULES › Section 144-609-10 - DISQUALIFICATIONS

Current through 2024-29, July 17, 2024
I.
DISQUALIFICATION OF VOLUNTARY
				PARTICIPANTS
Voluntary participants may be disqualified from SNAP E&T
				  in accordance with this section, but do not lose other SNAP benefits. SNAP
				  E&T services are denied for the disqualification period when a voluntary
				  participant is disqualified.
II.
GOOD CAUSE
Disqualifying acts are excused if Good Cause exists. Good
				  Cause reasons include those listed below:
A. Illness or incapacitation of the
				participant or a family member, which requires the presence of the participant.
				Verification by a physician may be required.
B. Sexual harassment occurring while a
				participant is engaged in SNAP E&T activities.
C. Court required appearance or
				incarceration.
D. Lack, or
				breakdown, of necessary support services such as childcare or transportation
				with no alternative available at no additional cost to the
				participant.
E. Inclement weather
				which is serious enough to prevent other participants from traveling to the
				activity.
F. Assignment of a
				participant to an activity which has not been made part of the IEP (other than
				orientation or assessment which predate development), or which is in violation
				of SNAP E&T rules.
G.
				Assignment to an activity, which requires the participant to relocate outside
				the immediate geographical area (an area within a one hour one way commute),
				unless the participant has voluntarily elected to relocate.
H. Inability to participate due to domestic
				violence. When the person is unable to participate due to physical injuries or
				psychological effects of abuse; because of legal proceedings counseling or
				other activities related to abuse; because the abuser actively interferes with
				the individual's participation; because the location puts the individual at
				risk; or for other Good Cause related to domestic violence.
Other circumstances beyond the control of the participant or
				  that a reasonable person would consider to be Good Cause. It is the
				  responsibility of the participant to demonstrate that Good Cause exists and to
				  provide documentation or other proof of Good Cause when requested. Failure to
				  do so to the satisfaction of the Department results in
				  disqualification.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 609 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND TRAINING (SNAP E AND T) RULES › Section 144-609-11 - CONCILIATION AND ADMINISTRATIVE HEARINGS

Current through 2024-29, July 17, 2024
I.
CONCILIATION
Conciliation meetings are informal meetings which are
				  designed to resolve program related disputes between SNAP E&T Providers and
				  the participant, without going to administrative hearing.
The following conditions apply to conciliation:
A. The SNAP E&T Provider shall attempt to
				establish conciliation prior to issuing a notice of non-compliance in instances
				where it is reasonable to believe that issues may be resolved. A SNAP E&T
				request for conciliation is made in writing within the ten calendar days of the
				date of an adverse action or an action, which is known to be in dispute. The
				participant may also initiate conciliation in instances where an action by the
				SNAP E&T Provider is disputed, although non-compliance may or may not be at
				issue. The participant must make the request orally or in writing within ten
				calendar days of the date the disputed action was received or acknowledged by
				the participant. If the participant's request is timely, the disputed action
				will not take effect pending completion of conciliation. Non-disputed actions
				must still take effect.
B. The
				conciliation process must not exceed 30 calendar days from the first meeting.
				If agreement has not been reached at the end of this period, the disputed
				decision remains in force unless overturned by administrative
				hearing.
C. The participant or the
				SNAP E&T Provider may terminate conciliation at any time the parties
				believe it is unproductive. If any party terminates conciliation, the action
				remains in force unless overturned by administrative hearing.
D. The participant may request an
				administrative hearing in addition to or instead of conciliation, providing the
				request is in accordance with time limits set forth for administrative
				hearings. If a timely request for conciliation is made, an administrative
				hearing request may be made within 90 days of the conciliation
				decision.
E. Any changes resulting
				from conciliation will be placed on the IEP. If there is no change, original
				actions remain in force unless overturned by administrative hearing.
F. The participant may have the same
				representation and access to records as allowed for administrative
				hearings.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 609 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM EMPLOYMENT AND TRAINING (SNAP E AND T) RULES › Section 144-609-12 - CONFIDENTIALITY

Current through 2024-29, July 17, 2024
The confidentiality of SNAP E&T participants is protected
				  by the Maine Department of Health and Human Services, and provisions outlining
				  confidentiality are at:
https://www.maine.gov/dhhs/privacy/
and Supplemental Nutrition Assistance Program (SNAP) Rules, 10-144 C.M.R.
				  Chapter 301, Section I. SNAP E&T Providers are contractually required to
				  protect the confidentiality of SNAP E&T participants.
Release of information about a SNAP E&T participant
				  (including to other Offices and Divisions within the Department of Health and
				  Human Services and to SNAP E&T Providers under contract with the Department
				  to provide services to SNAP E&T participants, or other agencies providing
				  services) are made only when such release is directly related to that
				  individual's participation in SNAP E&T and necessary to determine
				  eligibility for benefits or services provided by the Department or other
				  agencies.
Release of information to entities other than those described
				  above are made only upon receipt of written permission from the participant
				  using the Department's Authorization to Release Form available at:
https://www.maine.gov/dhhs/privacy/authorization-release.pdf
.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 610 - MAINE AT-RISK CHILD CARE PROGRAM RULES › Section 144-610-1 - DEFINITIONS

Current through 2024-29, July 17, 2024
Families which are "at risk" of becoming recipients of AFDC
				  are those families:
which have countable income of less than 200% of the
					 Federal Poverty Level, and
									 which are not receiving AFDC but would be in danger of
					 becoming AFDC recipients if they lost their child care, and
									 which need child care in order to accept or maintain
					 employment.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 610 - MAINE AT-RISK CHILD CARE PROGRAM RULES › Section 144-610-2 - AUTHORIZATION

Current through 2024-29, July 17, 2024
The Department of Human Services, Bureau of Income
				  Maintenance (BIM) in cooperation with the Department's Division of Purchased
				  and Support Services (DPSS), is authorized under the Omnibus Budget
				  Reconciliation Act of 1988 (
				  Public Law
				  101-508 ) and Section 402(1) of the Social
				  Security Act to operate an At-Risk Child Care Program, and receive state and
				  federal funds in accordance with these laws to operate the
				  program.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 610 - MAINE AT-RISK CHILD CARE PROGRAM RULES › Section 144-610-3 - OBJECTIVE

Current through 2024-29, July 17, 2024
The objective of the MARCC program is to enable families
				  which are at risk of becoming recipients of Aid to Families with Dependent
				  Children (AFDC) to obtain employment or continue working, by providing a
				  subsidy for child care payment.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 610 - MAINE AT-RISK CHILD CARE PROGRAM RULES › Section 144-610-4 - ADMINISTRATION

Current through 2024-29, July 17, 2024
As a Title IV-A Agency, the Bureau of Income Maintenance has
				  elected to determine eligibility for MARCC. The Division of Purchased and
				  Support Services, as the agency responsible for administration of Title XX
				  child care and the child care voucher program, as well as being responsible for
				  the funding and coordination of the community based Voucher Management Agencies
				  (VMA's) operates the program using Title XX slots, or vouchers issued and
				  administered through the VMA's. BIM and DPSS jointly develop all rules and
				  procedures for MARCC. However, BIM has final approval of such rules and
				  procedures. The provisions of coordination and mutual responsibilities of BIM
				  and DPSS are set forth in a written working agreement which may be updates as
				  necessary.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 610 - MAINE AT-RISK CHILD CARE PROGRAM RULES › Section 144-610-8 - NOTICE TO CLIENT AND RIGHT TO JUDICIAL REVIEW

Current through 2024-29, July 17, 2024
Decisions by the hearing officer, rendered in the name of the
				  Department, shall specify the reason for the decision and identify the
				  supporting evidence. They shall be binding on the Department. No person who
				  participated in the decision being appealed will participate in the final
				  administrative decision on such case. The Department assures that the decision
				  is carried out promptly. The original copy of the decision will be filed in the
				  state office fair hearing officer folder and copy in the MARCC Program case
				  folder.
Within five days of the decision by the hearing officer the
				  copy of the decision, its basis and the individual's rights to judicial review
				  under Maine Rules of civil Procedures, Rule 80B, if dissatisfied, will be
				  mailed to the individual. THE notice will also advise the individual that if
				  the individual wishes to take advantage of this right, a petition for review
				  must be filed with the Superior Court within thirty days of the receipt of the
				  fair hearing decision.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 610 - MAINE AT-RISK CHILD CARE PROGRAM RULES › Section 144-610-9 - PAYMENT FOR SERVICES

Current through 2024-29, July 17, 2024
All payment for child care services will be made by vouchers
				  or payment for slots to the child care provider. In order to qualify for
				  payment, the provider must be licensed or registered by the Department of Human
				  Services. Providers caring for relatives only, need not meet this requirement.
				  Payment will not be made to providers living in the same home as the child
				  receiving care.
Payments will be sent to the child care provider within ten
				  working days of receipt of the voucher or by the Voucher Management
				  Agency.
Payments for services are limited to the market rate or
				  actual cost (whichever is less) for the age of the child, geographic area of
				  the provider, and type of facility. The payment schedule is shown in Appendix
				  III. Each family must contribute to the cost of the child care. The amount of
				  the contribution is dependent on gross family income. The family fee and a
				  description of the determination of the fee amount is shown on Appendix
				  II.
All intentional overpayments will be referred to the Special
				  Investigation and Recovery Unit for recovery and possible
				  prosecution.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-1.0 - PURPOSE AND STATUTORY AUTHORITY

Current through 2024-29, July 17, 2024
These rules implement the Department's duties and
				  responsibilities in the establishment of a maternal, fetal and infant mortality
				  review panel as enacted by P.L. 2005, c. 467 and P.L. 2009, c.531, codified at
				   22
				  M.R.S.A. §261.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-2.0 - Definitions

Current through 2024-29, July 17, 2024
As used in this section, unless the context otherwise
				  indicates, the following terms have the following meanings.
A. "Authorized Representative" means parent,
				guardian or
guardian ad litem
, or other person authorized by
				the parent or guardian to act as a representative.
B. "Maine CDC" means the Maine Center for
				Disease Control and Prevention, Department of Health and Human
				Services.
C. "Deceased person" means
				a woman who died during pregnancy or within 42 days of giving birth or a child
				who died within 1 year of birth.
D.
				"Director" means the director of the Maine Center for Disease Control and
				Prevention, Department of Health and Human Services.
E. "Family" means a woman who has experienced
				a fetal death, or the parent or parents or other authorized representative of a
				deceased person.
F. "Panel" means
				the maternal, fetal and infant death review panel established under this
				section.
G. "Panel Coordinator"
				means an employee of the Maine Center for Disease Control and Prevention who is
				appointed by the Director, or a person(s) designated by the Panel
H. The "Panel Coordinator" must be a licensed
				physician or registered nurse or other health care professional licensed or
				registered in this State. The Panel Coordinator provides administrative
				oversight and project management and support for the Maine Maternal and Infant
				Mortality Review Panel.
I. "Home
				Interviewer" means a person under the direction and at the discretion of the
				Panel Coordinator who shall meet the requirements for Panel Coordinator and
				have professional training or experience in bereavement services.
J. "Hospital" means any facility licensed
				under the provisions of Title 22 of the Maine Revised Statutes, which provides
				health careservices.
K. "Specialty
				Provider" means those persons licensed pursuant to Title 32 of the Maine
				Revised Statutes who have additional certification by or eligibility for one of
				the disciplines of the American boards of certification and who are registered
				and certified by the appropriate specialty boards.
L. The "Medical Director" means an employee
				of the Maine Center for Disease Control and Prevention who is a licensed
				physician within the State of Maine who shall oversee Panel operations and
				Panel appointments.
M. "State Health
				Officer" means the Director of the Maine Center for Disease Control and
				Prevention.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-3.0 - RESPONSIBILITies OF MEDICAL director

Current through 2024-29, July 17, 2024
3.1. The
				Medical Director shall recommend the size of the Panel; and shall recommend the
				Panel Coordinator, all members of the Panel, and replacements to the Director
				of the Maine CDC.
3.2.The Medical
				Director shall provide oversight and guidance in all aspects of Panel
				development, implementation and operation.
3.3. The Medical Director shall appoint the
				Home Interviewer, who must meet the qualifications of the Panel Coordinator and
				shall have professional experience or training in bereavement
				services.
3.4.The Medical Director
				shall have authority to seek funds and authorize disbursements for Panel
				functions.
3.5. The Medical
				Director shall have authority to recommend removal of Panel members for failure
				to discharge their duties.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-4.0 - RESPONSIBILITies OF PANEL COORDINATOR

Current through 2024-29, July 17, 2024
4.1The Panel
				Coordinator has the following duties and powers pursuant to 22 M.R.S.A.
				§261(4):
The Panel Coordinator may appoint suitable persons as
				  Designees to perform or assist with the duties of the Panel Coordinator. Any
				  Designee appointed by the Panel Coordinator shall possess sufficient experience
				  and/or training to conduct the activity and shall operate at all times under
				  the direct supervision of the Panel Coordinator.
The Panel Coordinator or designee(s) shall maintain a
				  central registry of statewide organizations dedicated to improving the health
				  of mothers and infants by preventing birth defects, premature births, and
				  maternal and infant mortality
The Panel Coordinator or designee(s) shall review the deaths
				  of all women, currently residents of Maine, who die during pregnancy or within
				  42 days of giving birth. Should the Panel Coordinator determine that medical
				  record review is necessary for selected cases, the Panel Coordinator shall
				  first obtain written consent in accordance with state and federal law for that
				  review from the family, no sooner than four months after the date of death.
The Panel Coordinator or designee(s) shall review the
				  majority of cases in which a fetal death occurs after 28 weeks of gestation
				  when not the result of an abortion and in which the mother is currently a
				  resident of Maine. Should the Panel Coordinator determine that medical record
				  review is necessary for selected cases, the Panel Coordinator shall first
				  obtain written consent in accordance with state and federal law for that review
				  from the family, no sooner than four months after the date of death.
The Panel Coordinator or designee(s) shall review a majority
				  of infant deaths and determine the selection of cases based on the need to
				  review particular causes of deaths or to obtain a representative sample of all
				  infant deaths. Should the Panel Coordinator determine that medical record
				  review is necessary for selected cases, the Panel Coordinator shall first
				  obtain written consent in accordance with state and federal law for that review
				  from the family, no sooner than four months after the date of death.
The Panel Coordinator or designee(s) shall prepare a summary
				  of relevant information regarding the case, removing any identifying
				  information prior to case presentation, and shall not release, furnish,
				  disclose, publish, or otherwise disseminate any identifying information.
The Panel Coordinator or designee(s) may conduct voluntary
				  interviews with the of a deceased mother, fetus and/or infant, subject to the
				  requirements of 22 M.R.S.A. §261(4)(D).
The Panel Coordinator or designee(s) shall inform any
				  interested parties of the purpose and function of the Panel.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-5.0 - PANEL MEMBERSHIP

Current through 2024-29, July 17, 2024
5.1. The Maine CDC
				Director, upon recommendations from the Medical Director, shall appoint Panel
				members, who shall serve at his or her pleasure.
5.2.The Panel members shall consist of health
				and social service providers, public health officials, law enforcement
				officers, and other persons with professional expertise in maternal and infant
				health and mortality.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-6.0 - Responsibilities of Panel Members

Current through 2024-29, July 17, 2024
6.1.All members of
				the Panel shall sign a confidentiality agreement regarding case review conduct
				and assurances of confidentiality when working with case specific
				data.
6.2.All members of the Panel
				shall discharge in a timely manner their following duties and powers:
The Panel shall conduct comprehensive multidisciplinary
				  reviews of the case summary presented by the Panel Coordinator.
The Panel shall present an annual report to the Department
				  of Health and Human Services and to the joint standing committee of the
				  Legislature having jurisdiction over health and human services matters. The
				  Department may publish the annual report, or excerpts thereof, at its
				  discretion. The report must identify factors contributing to maternal, fetal
				  and infant death in the State, determine the strengths and weaknesses of the
				  current maternal and infant health care delivery system and make
				  recommendations to the Department to decrease the rate of maternal, fetal and
				  infant deaths.
The Panel shall offer a copy of the annual report to the
				  person or persons that granted permission to the Panel Coordinator for a
				  voluntary interview or medical record review.
The Panel shall share the results of its data reviews and
				  recommendations with the Maine Child Death and Serious Injury Review Panel
				  established pursuant to 22 M.R.S.A. §4004(1)(E). The Panel may request and
				  review data from the Child Death and Serious Injury Review
				  Panel.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-7.0 - Responsibilities of the Home interviewer

Current through 2024-29, July 17, 2024
7.1.
				The Home Interviewer shall collect data that is limited for the purposes of the
				Panel in summary or abstract form without family names or patient
				identifiers.
7.2. The Home
				Interview shall only take place as long as a valid and written signed consent
				remains in effect. The consent shall remain in effect unless revoked.
7.3. The Home Interviewer may make a referral
				for bereavement counseling with family consent.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-8.0 - Responsibilities of Those Providing Services

Current through 2024-29, July 17, 2024
8.1.
				Any healthcare facility or healthcare provider shall provide access to medical
				records and other information pursuant to State and Federal Laws.
8.2. A health care practitioner, hospital or
				healthcare facility, or the employee or agent of that person or entity is not
				subject to civil or criminal liability arising from the disclosure or
				furnishing of records or information to the Panel pursuant to 22 M.R.S.A.
				§261(8).
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-9.0 - Contact with Families

Current through 2024-29, July 17, 2024
9.1.The Panel
				Coordinator shall not contact families prior to 4 months after the date of the
				death of the mother, fetus or infant.
9.2. Initial family contact shall occur
				through a letter from the State Health Officer on the letterhead of the Maine
				Center for Disease Control and Prevention and shall include the following
				information:
An invitation for the family to participate in a home
				  interview and/or medical record review through a voluntary process.
The data gathered will be used to determine and understand
				  the significant social, economic, cultural, safety, and health care delivery
				  system factors that are associated with fetal, infant and maternal mortality.
The information obtained is confidential, and the name of the
				  deceased person and his or her family or other identifying information cannot
				  be released.
A family may decline participation in the home interview,
				  medical record review, or both.
Information on bereavement services shall be offered
				  regardless of status of participation in the interview and/or review
				  process.
9.3.The initial
				family contact shall also include an invitation to participate in a review of
				the death of the deceased person from a statewide organization dedicated to
				improving the health of babies by preventing birth defects, premature birth and
				infant mortality.
9.4.Upon family
				request, referrals shall be made to the Department of Health and Human
				Services, Public Health Nursing, to provide information on available
				services.
9.5. No family shall be
				required to accept any services offered.
9.6. In the event of documented family
				objection to participation or indication of unwillingness to participate, the
				Panel Coordinator shall not collect or gather any confidential medical
				information relating to death of the infant and/or mother.
9.7. In the event the family wishes to revoke
				the consent, the Panel shall not pursue any further review of the
				case.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-10.0 - Confidentiality of all individually identifiable health Information

Current through 2024-29, July 17, 2024
10.1. All data collected or developed by the
				Panel Coordinator, containing either direct or indirect individually
				identifiable information, shall be confidential and privileged and will not be
				considered a public record.
10.2.Confidential medical information
				submitted to or developed by the Panel Coordinator shall only be available to
				the Panel Coordinator for the purposes of analysis prior to de-identification
				of such information to the Panel.
10.3.In the event a proposed research plan
				involves contacting family members, written consent of the family of any
				deceased fetus, infant or mother shall be required for use or release of any
				information by the Panel Coordinator.
10.4.All data will be maintained in a manner
				consistent with 22 M.R.S.A. §42(5) and §261(7).
10.5. Confidentiality provisions which govern
				the Panel will be reviewed periodically to ensure that public confidence in the
				ability of the Panel and Maine CDC to safeguard individually identifiable
				information will be maintained.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-11.0 - LIMITATIONS OF USE OF IDENTIFYING INFORMATION

Current through 2024-29, July 17, 2024
11.1. The Panel Coordinator shall ensure that
				any information collected or developed by the Panel is necessary for the
				conduct of an appropriate maternal or infant death review.
11.2.Access to privileged medical information
				is restricted to the Panel Coordinator or designee(s) and is essential for the
				conduct of such investigations. Tasks performed by the Panel Coordinator or
				designee(s) shall include, but not be limited to, the following functions:
Medical record reviews.
Audits and abstractions.
Review of discharge summaries.
Compilation of datasets.
Analysis of vital statistic data with confidential data
				  elements.
11.3. Identifying
				information shall be used only to gain access to medical records and other
				medical information pertaining to case findings.
11.4. Identifying information shall be used
				to the minimum extent possible to accomplish the purposes of the approved Panel
				activities.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 700 - RULES RELATING TO THE MAINE MATERNAL AND INFANT MORTALITY REVIEW PANEL › Section 144-700-12.0 - PURPOSE FOR USE OF IDENTIFYING INFORMATION

Current through 2024-29, July 17, 2024
12.1. The Panel Coordinator or designee(s)
				may only use individually identifying information for the following purposes:
Verification and validation of maternal, fetal and infant
				  death oversight, including accuracy of data and document linkage to avoid
				  duplication of occurrence, through contact with hospitals and other
				  institutions regarding data gathering and management.
Full scale epidemiological study of factors contributing to
				  fetal, infant and maternal deaths.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 707 - RULES RELATING TO THE NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM (NBCCEDP) IN MAINE › Section 144-707-1.0 - Introduction

Current through 2024-29, July 17, 2024
The Maine Breast and Cervical Health Program (MBCHP) is
				  funded through a cooperative agreement with the U. S. Department of Health and
				  Human Services, Centers for Disease Control and Prevention (CDC) under the
				  National Breast and Cervical Cancer Early Detection Program (NBCCEDP)
				  [
established under Title XV of the Public Health Service Act
];
				  and, Maine General Fund dollars. Maine first received CDC funding in the fall
				  of 1994 and began providing early detection services in 1995. The mission of
				  The Maine Breast and Cervical Health Program is, within available financial
				  resources, to provide breast and cervical cancer screening and diagnosis
				  services to underserved women, to provide public and professional education,
				  and to support community partnerships to enhance statewide cancer control
				  activities.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 707 - RULES RELATING TO THE NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM (NBCCEDP) IN MAINE › Section 144-707-3.0 - Enrollment

Current through 2024-29, July 17, 2024
3.1. After a woman is determined to be
				eligible for services [as defined in Section 2 ].
The woman must complete, sign and return an
Initial
				  Enrollment Form
to MBCHP. The date MBCHP receives the signed form will
				  be the client's application date.
Eligibility can be retroactive up to 90 days prior to the
				  application date, if requested at the time of the application and the applicant
				  meets all eligibility requirements throughout the retroactive period.
MBCHP will send the client a notice of determination of
				  eligibility for the Program no later than 30 days after receiving the signed
Initial Enrollment Form
.
Upon enrollment, the client selects a MBCHP Primary Care
				  Provider and is eligible for 12-months from the Application Date, subject to
				  restrictions in Program coverage as provided in Sections 2 and 6 of these
				  rules. The term "MBCHP Primary Care Provider" means a provider that is under
				  contract with MBCHP or has signed an MBCHP Provider
				  Application/Agreement.
If an applicant is unable to access a particular MBCHP
				  Primary Care Provider due to unavailable "slots", MBCHP will assist the
				  applicant in selecting another MBCHP PCP who is available in her area.
If a client is requesting to change to another MBCHP Primary
				  Care Provider due to any "good cause" reason, MBCHP will assist the client in
				  selecting another MBCHP PCP who is available in her area.
3.2.Re-Enrollment.
Continued eligibility [as defined in Section 2 ] for program
				  coverage will be determined annually.
No more than 45 days prior to the end of the 12-month
				  coverage period, MBCHP will, by letter, inform client of the re-enrollment
				  period.
The woman must complete, sign and return a
MBCHP
				  Re-enrollment Form
before the indicated deadline.
In the case that a woman does not return the re-enrollment
				  form before the indicated deadline due to a justifiable event causing the
				  delay, the woman will be re-enrolled as of the date the form is received by
				  MBCHP. If the lapse is 90 days or more, a re-enrollee may not obtain benefits
				  more than 90 days retroactively from the date the form is received by
				  MBCHP.
3.3.Termination of
				Enrollment.
The MBCHP will terminate a client's Program Enrollment if the
				  woman:
Requests termination from the Program;
No longer meets all of the criteria set forth in Section 2:
				  Eligibility for Services;
Does not return the
MBCHP Re-Enrollment Form
by 30 days after the last day of the eligibility period [unless for
				  good cause excused pursuant to Section 3.2.3 ]
Refuses to receive screening services and referrals through
				  her MBCHP Primary Care Provider site.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 707 - RULES RELATING TO THE NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM (NBCCEDP) IN MAINE › Section 144-707-4.0 - Covered Services

Current through 2024-29, July 17, 2024
4.1.MBCHP will
				cover the following services when provided by a participating MBCHP Provider
				and determined to be medically necessary:
Physical examinations, which must include one or more of the
				  following screening services: clinical breast exam, pelvic exam, and Pap test.
				  Annual physical examinations are only covered when provided by a MBCHP Primary
				  Care Provider;
Mammography (screening and diagnostic);
Breast diagnostic services (to include but may not be
				  limited to diagnostic mammography, ultrasound, breast biopsies, and fine needle
				  aspirations). Hospital charges for breast biopsies are not covered; however,
				  physician charges are covered.
Effective date 7/25/2007
Cervical diagnostic services (to include but may not be
				  limited to Colposcopy, cervical biopsy and Endocervical curettage)
Surgical consults for diagnosis of breast and cervical
				  cancer;
Interpretation/translation services for MBCHP covered
				  services;
Pathology charges for breast and cervical biopsies;
Anesthesia for breast biopsies (physician charges only,
				  hospital charges are not covered).
4.2.Non-covered Services.All other services
				are not covered including, but not by way of limitation, the following:
Services not related to breast or cervical cancer screening
				  or diagnosis;
Treatment procedures and/or services;
Services provided by non-participating providers;
Hospital charges for breast biopsies;
In-patient services
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 707 - RULES RELATING TO THE NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM (NBCCEDP) IN MAINE › Section 144-707-5.0 - Hearing/Appeal Rights

Current through 2024-29, July 17, 2024
If a client disagrees with or is dissatisfied with program
				  eligibility, covered service determination or decision, she has the right to
				  request an administrative fair hearing before the Administrative Hearing Unit
				  of the Department in accordance with 5 M.R.S.A. Ch. 375, Subchapter IV.
How To Appeal:
MBCHP will process as a hearing
				  request any clear expression, written or verbal [in person or by calling], made
				  by a client or person lawfully acting on the client's behalf, to the effect
				  that the client wants a hearing. The request must be directed to the Program
				  Director, Maine Breast and Cervical Health Program, Department of Health and
				  Human Services, Maine Center for Disease Control and Prevention, 11 State House
				  Station, Augusta, ME, 04333. The client may select, at her discretion, legal
				  counsel to represent her during the administrative appeal.
When To Appeal:
The client must request the
				  hearing to the Program Director within 30 days from the date of the MBCHP
				  closure or denial notice. The Program Director will consider an appeal request
				  received more than 30 days after a closure or denial, provided the client
				  demonstrates good cause for the late appeal. Upon receipt of the request, MBCHP
				  will immediately forward the appeal to the DHHS Office of Administrative
				  Hearings.
Civil Rights Notice:
If a client believes she
				  has been discriminated against because of race, color, sex, physical or mental
				  disability, sexual orientation, religion, ancestry, or national origin, she may
				  file a complaint by submitting the details of the complaint in writing to the
				  Affirmative Action Officer, Department of Health and Human Services, 11 State
				  House Station, Augusta, ME 04333.
Free Legal Services May Be Available At:
(The addresses & telephone numbers listed below are
				  subject to change without notice).
Legal Services for the Elderly (60 or
				  over)
1-800-750-5353, 623-1797, P.O. Box 2723, Augusta, ME
				  04338-2723.
Pine Tree Legal Assistance, Inc.:
(207) 774-8211, P.O. Box 547, 88 Federal St., Portland, ME
				  04112
(207) 622-4731, P.O. Box 2429, 39 Green St., Augusta, ME
				  04338
(207) 784-1558, 145 Lisbon Street, Lewiston, ME 04240
(207) 942-8241, 61 Main Street, Bangor, ME 04401
(207) 764-4349, 373 Main St., Presque Isle, ME 04769
(207) 255-8656, 1 School St., Machias, ME 04654
TTY Maine Relay Service 1-800-855-1155
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 707 - RULES RELATING TO THE NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM (NBCCEDP) IN MAINE › Section 144-707-6.0 - Priority for Program Expenditures

Current through 2024-29, July 17, 2024
In the event the Maine Breast and Cervical Health Program
				  Director certifies, in her/his judgment, that there are inadequate funds to
				  meet clients' needs, either attributable to a curtailment of allotments by the
				  Governor, a reduction in federal funding from the Centers for Disease Control
				  and Prevention, or a projected enrollment of women in excess of anticipated
				  enrollment, she/he may restrict new applicants' participation in MBCHP as
				  follows:
First priority will be given to women age
					 50+.
									 Second priority will be given to women, age 40-49, who
					 are symptomatic.
									 Third priority will be given to women, age 40-49, who
					 are high risk.
									 Fourth priority will be given to women, age 35-39, who
					 are symptomatic.
Rule in Effect since 4/25/07
In the event the financial exigency abates, the Program
				  Director shall withdraw the financial shortfall certification, at which time
				  clients shall be eligible for program services in accordance with Sections 1-4
				  of these rules.
Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 708 - RULES RELATING TO THE BREAST AND CERVICAL CANCER PREVENTION AND TREATMENT ACT (BCCPTA) IN MAINE › Section 144-708-1 - Introduction

Current through 2024-29, July 17, 2024
In 2001, the Maine Legislature approved state funding to
				  implement the federal Breast & Cervical Cancer Prevention and Treatment Act
				  of 2000 ( Public Law
				  106-354 ) (hereinafter referred to as "the
				  Treatment Act"). The Treatment Act, which became effective October 1, 2001,
				  affords full MaineCare benefit eligibility to certain eligible women who are
				  diagnosed with breast or cervical cancer or a pre-cancerous condition through
				  the Maine Breast and Cervical Health Program (MBCHP).