Appendix K Amendment Office Hours Provider Qualifications Training

Appendix K Amendment: Office Hours Provider Qualifications, Training Exemptions, and Billing Reminders Sections 18, 20, 21, and 29 June 9, 2020

Panel • Office of Maine. Care Services – Heather Bingelis – Tom Leet – Tammy Usher • Office of Aging and Disability Services – Derek Fales – Betsy Hopkins – Emily Kalafarski Maine Department of Health and Human Services 2

Agenda 1. Permitting payment for services rendered by family caregivers or legally responsible individuals 2. Modifying provider qualifications • • • Age Education Background check Orientation/ Initial Training Certification 3. Billing Reminders Maine Department of Health and Human Services 3

Permitting Payment for Services Rendered by Family Caregivers or Legally Responsible Individuals • Previously, select services could not be delivered by immediate family members or spouses. • This requirement has been temporarily modified; immediate family members or spouses can provide services during the entirety of the Appendix K period (3/1/2020 - 30 days following the end of the emergency, as declared by Governor Mills, or February 28, 2021, whichever comes sooner). Maine Department of Health and Human Services 4

Modifying Provider Qualifications: Age • Previously, Direct Support Professionals and Personal Support Specialists were required to be at least 18 years old. • This requirement has been temporarily modified during the Appendix K period; staff must be at least 17 years old. Maine Department of Health and Human Services 5

Modifying Provider Qualifications: Education • Previously, Direct Support Professionals and Personal Support Specialists were required to have a high school diploma or a GED. • This requirement has been temporarily modified; neither a high school diploma nor a GED is required during the Appendix K period. Maine Department of Health and Human Services 6

Modifying Provider Qualifications: Background Check • Previously, a provider was required to conduct background checks on prospective employees. • This requirement has been temporarily modified; staff are eligible to provide support to members prior to background check clearance. Maine Department of Health and Human Services 7

Modifying Provider Qualifications: Orientation/ Initial Training • Previously, a provider was required to deliver orientation and facilitate initial training for new employees. • This requirement has been temporarily modified; orientation and initial training must by completed by the end of the Appendix K. Maine Department of Health and Human Services 8

Modifying Provider Qualifications: Certification • Previously, DSP and PSS certifications were required within 6 and 9 months, respectively. • This requirement has been temporarily modified; certification must be completed by the end of the Appendix K. Maine Department of Health and Human Services 9

Billing Requirements: Reminders • Telehealth Modifier: GT • Telehealth Place of Service: 02 • Temporary Rate Increase – Time period of 03/01/2020 -5/31/2020 – Adjust claims; do not try to bill for difference Maine Department of Health and Human Services 10

Questions? OADS@Maine. gov – subject line: Appendix K Question Maine Department of Health and Human Services * 11