This section establishes procedures for implementing the Benefit for People Living with HIV/AIDS (Benefit), a waiver granted by the federal Centers for Medicare and Medicaid Services. Under the waiver, MaineCare provides a targeted set of services for some individuals diagnosed with HIV/AIDS who are not eligible for full MaineCare benefits. The benefit is a disease management program with defined treatment protocols. Candidates for the benefit must agree to be monitored and participate in medical treatment.
The goal of the waiver is to improve the health status of individuals diagnosed with HIV/AIDS in Maine by improving access to continuous health care services, arresting progression of HIV/AIDS status by providing early and optimal care coupled with high quality and cost efficiency, and expanding coverage to additional low-income individuals diagnosed with HIV with the savings generated from diseaseprevention and the delayed onset of AIDS.
C.M.R. 10, 144, ch. 101, ch. X, § 144-101-X-1, subsec. 144-101-X-1.01