C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-71, subsec. 144-101-II-71.04

Current through 2024-51, December 18, 2024
Subsection 144-101-II-71.04 - PROVIDER REQUIREMENTS

Providers shall meet all MaineCare-specific requirements and all requirements outlined in the DPRP Standards, including, but not limited to, the following criteria:

A. Have and maintain pending, preliminary, or full recognition awarded by the DPRP;
B. Have a Lifestyle Coach lead all National DPP LCP sessions. Lifestyle Coaches shall meet all DPRP qualifications and training standards and fulfill all responsibilities outlined in the DPRP Standards. For MaineCare auditing purposes, Providers shall retain proof of Lifestyle Coaches' approved and ongoing training for auditing purposes;
C. Have a Program Coordinator who meets all DPRP qualifications, training, and eligibility standards. Program Coordinators shall serve both as the primary external champions of the program and as the organizational experts for program implementation consistent with the DPRP Standards;
D. Document each MaineCare participant's primary care provider (PCP) in the member's record and report each member's National DPP LCP participation and outcomes to their PCP no more than 60 days after the final session of the program;
E. Deliver all National DPP LCP sessions in accordance with DPRP location and delivery standards. Providers may only deliver sessions through the delivery modes for which the CDC has authorized them;
F. Comply with all DPRP safety and data privacy standards; and
G. Submit evaluation data to the DPRP in accordance with DPRP Standards. To collect and track evaluation data, providers may use any type of spreadsheet or data tracking tool or any other system that meets DPRP data privacy standards.

C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-71, subsec. 144-101-II-71.04