Subsection 144-101-II-31.01 - DEFINITIONS31.01-1Ambulatory services are services provided by a federally qualified health center other than those core services described in Section 31.04-1 that are also included in the State's Medicaid Plan and that are provided in accordance with all applicable sections of the MaineCare Benefits Manual. This includes dental services provided by dentists, independent practice dental hygienists (effective October 1, 2013, subject to approval by CMS),dental hygienists, and licensed dental entities.31.01-2Covered services are those services described in Section 31.04 for which payment can be made under Title XIX and XXI by the Department of Health and Human Services.31.01-3Federally Qualified Health Center (FQHC) refers to a facility or program that is federally qualified and may also be known as a community health center, migrant health center, or health-care program for the homeless. A center is "federally qualified" if it: A. is receiving a grant under Section 330 of the Federal Public Health Service (PHS) Act;B. is receiving funding from such a grant under a contract with the recipient of a grant and meets the requirements to receive a grant under Section 330 of the PHS Act;C. is determined by the Secretary of the Department of Health and Human Services, to meet the requirements for receiving such a grant (look-alike), based on the recommendation of the Health Resources and Services Administration (HRSA) within the Public Health Service;D. was treated by the Secretary (of Health and Human Services), for purposes of Medicare Part B, as a comprehensive federally funded health center as of January 1, 1990; orE. is an outpatient health program or facility operated by a tribe or tribal organization under the Indian Self-Determination Act or by an urban Indian organization receiving funds under Title V of the Indian Health Care Improvement Act.31.01-4Federally Qualified Health Center Services are those primary health-care (core services) and other ambulatory services furnished by the facility's professional and other qualified staff during a visit.31.01-5Homebound member is defined as an individual who is confined permanently or temporarily to his or her place of residence because of a medical or health condition. The individual may be considered homebound if he or she leaves the place of residence infrequently. For this purpose, "place of residence" does not include a hospital or long-term care facility.31.01-6Plan of treatment is a written plan of medical services for part-time or intermittent visiting nurse care that is established and reviewed at least every sixty (60) days by a supervising physician of the health center. When delegated by the supervising physician, and when in compliance with all other State licensure requirements, it may also be established by a physician assistant, nurse practitioner, nurse midwife, or specialized nurse practitioner and reviewed and approved at least every sixty (60) days by a supervising physician of the health center.31.01-7Primary health care refers to preventative, diagnostic and therapeutic services furnished by the health center's professional staff and, where appropriate, the supplies commonly used to support those services, basic laboratory services essential for diagnosis and treatment, and emergency medical care for the treatment of life-threatening injuries and acute illness.31.01-8FQHC unit of service is a visit that includes a face-to-face contact with one or more of the center's core or ambulatory professional and other qualified staff and, where appropriate, receipt of supplies, treatments, and laboratory services.31.01-9Incidental Services and Supplies refer to certain services and supplies authorized by licensed medical, dental and mental health practitioners. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-31, subsec. 144-101-II-31.01