The Maine Department of Health and Human Services (DHHS) is in the process of studying payments for services covered by Sections 13, 17, 28, 65, and 92 of the MaineCare Benefits Manual. Burns & Associates, a Division of Health Management Associates is assisting DHHS in this effort and has established this website as a repository for study-related materials.
PROVIDER RATE MODELS
The draft Behavioral Health and Targeted Case Management rate models were released for public comment in September 2022 and stakeholders were invited to comment on the draft rate models. The rate models have been finalized.
Public Meeting – 09/20/22: Targeted Case Management (Section 13), Community Integration (Section 17), and Behavioral Health Homes (Section 92)
The draft rate models which detail the specific assumptions related to direct care worker wages, benefits, and productivity; mileage; program support, and other factors can be accessed here.
The presentation that provides background on the project, outlines the methodology, and highlights the results can be accessed here.
A recording of this meeting, which lasted about 90 minutes, can be accessed here.
Public Meeting – 09/21/22: Adult and Children Outpatient & School Health-Related Services (Section 65)
The draft rate models which detail the specific assumptions related to direct care worker wages, benefits, and productivity; mileage; program support, and other factors can be accessed here.
The presentation that provides background on the project, outlines the methodology, and highlights the results can be accessed here.
A recording of this meeting, which lasted about 2 hours, can be accessed here.
Public Meeting – 09/23/22: Community-Based Mental Health and SUD Services (Sections 17, 28, and 65)
The draft rate models which detail the specific assumptions related to direct care worker wages, benefits, and productivity; mileage; program support, and other factors can be accessed here.
The presentation that provides background on the project, outlines the methodology, and highlights the results can be accessed here.
A recording of this meeting, which lasted about 2 hours, can be accessed here.
CRISIS MOBILE REDESIGN/ RATE DETERMINATION
DRAFT MOBILE CRISIS RATE MODELS
Public Meeting – 1/11/24: Mobile Crisis Services
The draft rate models which detail the specific assumptions related to direct care worker wages, benefits, and productivity; program support, and other factors can be accessed here.
The Burns and Associates presentation of the draft Mobile Crisis rate models can be accessed here.
The DHHS’s Mobile Crisis Service Model Presentation, can be accessed here.
A recording of this meeting, which lasted approximately 90 minutes, can be accessed here.
The deadline to accept written comments has been extended to Friday, February 9th and should be submitted to [email protected].
CRISIS PROVIDER SURVEY
A key consideration in the development of mobile crisis service redesign rates is a provider survey designed to collect information regarding providers’ service delivery designs and staffing. All providers of Mobile Crisis services are encouraged to complete the survey. Submitted surveys will be used solely for the purposes of the rate study and no provider-specific data will be published. Surveys are due on Tuesday, March 28th and should be submitted to [email protected].
- The survey (a Microsoft Excel file) can be accessed here.
- Instructions for completing the survey can be accessed here.
If you have any questions regarding the survey, please contact Karl Matzinger at [email protected] or (480) 210-5679.
Stakeholder Public Meeting 2/24/23 – A recording of this meeting, which lasted just over 1 hour, can be accessed here.
DRAFT CRISIS RESIDENTIAL RATE MODELS
Public Meeting – 11/22/22: Crisis Residential Services
The draft rate models which detail the specific assumptions related to direct care worker wages, benefits, and productivity; program support, and other factors can be accessed here.
A recording of this meeting, which lasted about 51 minutes, can be accessed here.
Written comments will be accepted until December 9th and should be submitted to [email protected].
PROVIDER SURVEY ANALYSIS
The results from the Crisis Service provider survey can be accessed here.
CRISIS SERVICES PROVIDER SURVEY
A key consideration in the development of proposed changes to payment policies and rates is a provider survey designed to collect information regarding providers’ service delivery designs and costs. All providers of Crisis Resolution and Crisis Residential services covered by the rate study are strongly encouraged to complete the survey. Submitted survey will be used solely for the purposes of the rate study and no provider-specific data will be published.
- The survey (a Microsoft Excel file) can be accessed here.
- Instructions for completing the survey can be accessed here.
- A webinar that walks through the survey can be accessed here.
If you have any questions regarding the survey, please contact Karl Matzinger at [email protected] or (480) 210-5679.
PROVIDER ADVISORY GROUP MEETINGS
Due to the number of services covered by this rate study, the services have been divided into four groupings, each with their own advisory group. The Department selected about 20 organizations for each advisory groups, with the goal of including a representative sample of providers based on characteristics such as size, geographic distribution, and specialized versus comprehensive array of services.
Burns facilitated kick-off meetings with these groups between March 28 – April 1, 2022 to gather initial feedback regarding current requirements and rates as well as the draft provider survey. These meetings, which lasted about 90 minutes, were recorded and can be accessed below:
- Crisis Services – meeting has not yet occurred
- Case Management and Care Coordination
- Targeted Case Management, Section 13
- Behavioral Health Homes, Section 92
- Community Integration, Section 17
3. Adult and Children Outpatient & School Health-Related Services: Section 65
4. Community-Based MH and SUD Services
-
- Rehab & Community Support for Children with Cognitive Impairments and Functional Limitations, Section 28
- Clubhouse, Children’s ACT, HCT, Disruptive Behavior Disorders, Section 65
- CRS, DLS, Skills, Day Support, Adult ACT, Section 17
The Global Provider Advisory Group kick-off meeting was held prior to the individual track meetings and was a prerequisite to participating in those meetings.
PROVIDER SURVEY
A key consideration in the development of proposed changes to payment policies and rates is a provider survey (administered between April 22nd and June 17th) designed to collect information regarding providers’ service delivery designs and costs.
The results from the provider survey can be accessed here.