Subsection 144-101-II-50.09 - CLASSIFICATION FOR CERTAIN CHILDREN WITH DISABILITIES AGED EIGHTEEN AND UNDER FOR HOME CARE (KATIE BECKETT)The classification for certain disabled children age eighteen (18) and under for home care has additional criteria above and beyond that of typical MaineCare. All of the following criteria must be met for a child to receive MaineCare under this eligibility option:
A.Age and Disability: The child must be eighteen (18) years of age or younger and be determined disabled by standards established through the Social Security Act. A disability determination is made as part of the application process.B.Level of Care: The member must require a level of care that is typically provided in Intermediate Care Facilities for Persons with Mental Retardation. Although the member does not have to be admitted, relocated nor have a history of admissions to an institution, he or she must need the level of care provided there.C.Appropriateness of Community-Based Care: The child must be able to receive or currently be receiving appropriate care outside an institutional setting that provides that level of care.D.Cost Limits of Community-Based Care: The total annual cost to MaineCare for home care through this eligibility option must be not greater than the amount MaineCare would pay for the child's care in an institution. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-50, subsec. 144-101-II-50.09