C.M.R. 10, 144, ch. 104, § 144-104-6, subsec. 144-104-6.01
This rule implements a state-funded program to provide reimbursement of Independent Practice Dental Hygienists (IPDHs) and to Federally Qualified Health Centers (FQHCs) employing IPDHs for certain services provided to MaineCare Members for the period October 1, 2012 through September 30, 2013.
The Department establishes this program only for this retroactive time period for the following reason: in 2012 the Maine Legislature enacted a law [P.L. 2011, ch. 457, as codified in 22 MRSA 3174-RR]) requiring the Department, by October 1, 2012, to reimburse IPDHs and FQHCs employing IPDHs under the MaineCare program for certain services provided to eligible MaineCare Members.
The Department is required to get approval from the Centers for Medicare and Medicaid (CMS) for this new type of MaineCare provider.
As of the effective date of this rule, the Department has not yet gotten CMS approval, and the earliest effective date of CMS approval would be October 1, 2013.
Accordingly, the purpose of this rule is to allow IPDHs and FQHCs who employed IPDHs to receive state reimbursement under this section for services they provided to eligible MaineCare members for the period of time October 1, 2012 through September 30, 2013.
C.M.R. 10, 144, ch. 104, § 144-104-6, subsec. 144-104-6.01