№ files_lp_3_process_7_041763
File format: docx
Character count: 56759
File size: 1570 KB
Non-Emergency Transportation (NET) services under MaineCare for eligible members provide coverage for transportation to and from medical appointments when no other transportation means are available, within a structured regional system managed by brokers.
Year:
2015
Region / City:
Maine
Topic:
Non-Emergency Transportation
Document Type:
Policy and Procedure
Organization / Institution:
Maine Department of Health and Human Services
Author:
MaineCare Services
Target Audience:
MaineCare Members, Transportation Providers, Brokers
Effective Period:
From 4/5/2015
Approval Date:
4/5/2015
Date of Last Update:
4/5/2015
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.
The file will be delivered to the email address provided at checkout within 12 hours.
Don’t have cryptocurrency yet?
You can still complete your purchase in a few minutes:- Buy Crypto in a trusted app (Coinbase, Kraken, Cash App or any similar service).
- In the app, tap Send.
- Select network, paste our wallet address.
- Send the exact amount shown above.
The final amount may vary slightly depending on the payment method.
The file will be sent to the email address provided at checkout within 24 hours.
The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2025
Region / City:
Maine
Theme:
Healthcare, Medicaid
Document Type:
Manual
Institution:
Department of Health and Human Services, Office for Family Independence
Author:
State of Maine
Target Audience:
General public, healthcare professionals, individuals seeking MaineCare benefits
Period of Validity:
Until April 29, 2025
Approval Date:
April 29, 2025
Date of Changes:
Not specified
Year:
2025
Region / City:
Maine
Topic:
Healthcare Eligibility
Document Type:
Manual
Organization:
Department of Health and Human Services, Office for Family Independence
Author:
Unknown
Target Audience:
State officials, healthcare providers, and applicants for MaineCare
Period of Validity:
Effective April 29, 2025
Approval Date:
Not specified
Date of Last Update:
April 29, 2025
Contextual Description:
A policy manual providing eligibility criteria and administrative processes for MaineCare, including coverage groups, benefits, and eligibility verification methods.
Year:
2023
Region / City:
Maine
Subject:
Home Health Care Services
Document Type:
Regulations
Agency:
MaineCare
Author:
Maine Department of Health and Human Services
Target Audience:
Healthcare providers, home health agencies, certified home health aides, and healthcare professionals involved in home care services
Effective Period:
Ongoing
Approval Date:
N/A
Date of Amendments:
N/A
Year:
N/A
Region / City:
Maine
Topic:
Medicaid Administration
Document Type:
Policy Manual
Organization / Institution:
Maine Department of Health and Human Services
Author:
N/A
Target Audience:
Health Providers, MaineCare Participants
Validity Period:
N/A
Approval Date:
N/A
Modification Date:
N/A
Note:
Year
Subject:
Speech and Hearing Services
Document Type:
Policy
Organization:
MaineCare
Target Audience:
Healthcare Providers, Speech and Hearing Professionals
Context Description:
Policy detailing specific billing codes and modifiers for speech and hearing services covered under MaineCare, including professional rates for various diagnostic and treatment procedures.
Jurisdiction:
State of Maine, United States
Program:
MaineCare
Governing Law:
Title XVIII, XIX, and XXI of the Social Security Act; 42 U.S.C.A. §§1395 et seq.; 42 U.S.C.A. §§1396 et seq.; 42 U.S.C. §1397; 22 M.R.S. §§10, 12, 42(1), 3173 et seq.; 22 M.R.S. §1901 et seq.; 22 M.R.S. §3174-T
Administering Authority:
Maine Department of Health and Human Services
Federal Oversight:
Centers for Medicare and Medicaid Services (CMS)
Document Type:
Benefits manual / administrative regulations
Subject:
Administration, provider participation, member eligibility, covered services, reimbursement, compliance, appeals, and program integrity
Related Programs:
Medicare; Medicaid; State Children’s Health Insurance Program (CHIP); Cub Care Program
Responsible Units:
Office for Family Independence; Program Integrity Unit; Division of Audit; Office of MaineCare Services
Scope:
Statewide administration of MaineCare benefits and services
Year:
2023
Region / City:
Maine
Theme:
Health care services
Document type:
Policy
Agency:
MaineCare
Author:
Maine Department of Health and Human Services
Target audience:
MaineCare providers and beneficiaries
Period of validity:
Ongoing
Approval date:
N/A
Amendment date:
N/A
Year:
2022
Region / City:
Maine
Theme:
Healthcare Services for Children and Adolescents
Document Type:
Guidelines
Organization:
MaineCare
Author:
Maine Department of Health and Human Services
Target Audience:
Healthcare Providers, MaineCare Members, and Their Caregivers
Effective Period:
Ongoing
Approval Date:
Not specified
Amendment Date:
Not specified
Effective Date:
11/18/14
Program:
MaineCare
Jurisdiction:
Maine
Country:
United States
Issuing Authority:
Department of Health and Human Services
Regulatory References:
45 C.F.R. §162.1000; 45 C.F.R. §1011; 42 C.F.R. §447.205
Related Agency:
Centers for Medicare and Medicaid Services (CMS)
Document Type:
Reimbursement rate schedule and billing code list
Subject:
Family planning services and related medical procedures
Code System:
Healthcare Common Procedure Coding System (HCPCS)
Update Frequency:
Approximately quarterly updates issued by CMS
Provider Requirements:
Use of FP modifier for applicable services; CLIA-waiver certificate required for certain laboratory codes
Reimbursement Basis:
Fee-for-service rates
State Plan Requirement:
Payment subject to approval of a state plan amendment by CMS
Publication Method:
Notices of reimbursement methodology change and revised billing instructions
Web Reference:
www.maine.gov/dhhs/audit/rate-setting/index.shtml
Year:
2012
Region / City:
Maine
Topic:
Occupational Therapy Services
Document Type:
Policy document
Organization:
MaineCare
Author:
MaineCare
Target Audience:
Healthcare providers and occupational therapists
Period of Validity:
Ongoing
Approval Date:
06/29/12
Modification Date:
None
Year:
2026
Region:
Maine, USA
Topic:
Healthcare Payment and Delivery Model
Document Type:
Policy and Program Manual
Organization:
Maine Department of Health and Human Services
Author:
MaineCare Program Administration
Target Audience:
Primary Care Providers and MaineCare Members
Participation:
Voluntary for both providers and members
Payment Model:
Population-Based Payments with Performance-Based Adjustments
Implementation Period:
Ongoing
Certification Reference:
CEHRT under 42 CFR §414.1305
Legal Authority:
Social Security Act Section 1905(t)(1)
Scope:
Primary care, behavioral health integration, care plans, and community health workers
Operational Structure:
Accountable Communities, Joint Care Management, Community Care Teams
Risk Assessment:
Member attribution, risk scores, and performance measures
Reimbursement Mechanism:
Tiered PBPs and quarterly PBAs
Note:
Year
Type of Document:
Informed Consent Form
Target Audience:
Patient or legal representative
Treatment:
Unapproved drug, device, or biologic
Condition:
Serious medical condition without FDA-approved treatments
Duration of Treatment:
Specified per case
Risks:
Potential unknown harms including death or harm to fetus
Costs:
May be billed to patient or insurance
Oversight:
Institutional Review Board (IRB) and FDA
Year:
2024
Region / City:
Victoria, Australia
Topic:
Non-emergency patient transport, clinical protocols
Document type:
Clinical Practice Protocols
Author:
Victorian Government, Department of Health
Target audience:
Licensed non-emergency patient transport providers, healthcare services
Period of validity:
August 2024 - June 2025
Approval date:
August 2024
Revision date:
June 30, 2025
Year:
2022
Region / City:
Massachusetts
Topic:
Transportation Services
Document Type:
Contract Appendix
Organization / Institution:
Commonwealth of Massachusetts, EOHHS, HST Office
Author:
Not specified
Target Audience:
Transportation Providers under contract
Effective Period:
From 7/1/22
Approval Date:
Not specified
Revision Date:
Not specified
Jurisdiction:
Victoria, Australia
Legislation reference:
Non-Emergency Patient Transport Regulations 2016 Part 3, Regulations 19–21
Subject:
Clinical competency standards for Non-Emergency Patient Transport staff
Document type:
Official regulatory standard
Issuing authority:
Victorian Government, Department of Health
Place of publication:
Melbourne
Address:
1 Treasury Place, Melbourne
Publication date:
November 2021
Copyright holder:
State of Victoria, Australia
Applicable roles:
Clinical Instructor (CI), Ambulance Transport Attendant (ATA), Patient Transport Officer (PTO)
Training requirements:
Annual skills maintenance training aligned to patient acuity levels
Contact:
[email protected]
Note:
Year
Theme:
Non-Emergency Healthcare Transportation
Document Type:
Policy / Program Information
Organization / Institution:
Aetna Better Health of Ohio, Molina Healthcare
Target Audience:
Medicaid members, Medicare members, MyCare Ohio members, CareSource members
Year:
2024
Region / City:
Victoria, Australia
Topic:
Non-Emergency Patient Transport Licence Renewal
Document Type:
Checklist
Organization:
Department of Health, Victoria
Author:
Victorian Government, Department of Health
Target Audience:
NEPT service providers and applicants
Validity Period:
Ongoing
Approval Date:
February 2024
Last Modified:
February 2024
Year:
2023
Region / City:
Victoria, Australia
Subject:
Non-Emergency Patient Transport (NEPT) licensing
Document type:
Form
Organization:
Department of Health, Victoria
Author:
Victorian Government
Target audience:
Individuals or corporate bodies applying for a Non-Emergency Patient Transport license
Effective period:
Indefinite, subject to updates
Approval date:
September 2023
Date of amendments:
N/A
Year:
2023
Region / City:
Victoria, Melbourne
Country:
Australia
Sector:
Non-Emergency Patient Transport (NEPT)
Subject:
Clinical staff qualifications and crew-mix requirements
Document Type:
Official guidance sheet
Issuing Authority:
Victorian Government, Department of Health
Legislative Reference:
Non-Emergency Patient Transport Regulations 2016
Related Document:
Non-Emergency Patient Transport Clinical Practice Protocols 2023
Date of Publication:
May 2023
Minimum Crew Requirement:
Two crew members per vehicle
Source Availability:
NEPT legislation and clinical protocols
Year:
Not specified
Region / City:
Not specified
Document Type:
Operational medical report form
Responsible Unit:
Medical Unit / Incident Management Team
Intended Audience:
EMS personnel, on-scene incident commanders
Operational Period:
Click or tap here to enter text
Patient Assessment Sections:
Initial patient assessment, treatment, evacuation plan
Transport Options:
Air ambulance, ground ambulance
Communication Channels:
State Air/Ground EMS Frequencies, hospital contacts
Prepared By:
Medical Unit Leader
Reviewed By:
Safety Officer