HP0311, LD 423, item 1, An Act To Provide a Safe Sleeping Environment for Children with Disabilities To Enable Them To Remain in Their Homes

An Act To Provide a Safe Sleeping Environment for Children with Disabilities To Enable Them To Remain in Their Homes

Be it enacted by the People of the State of Maine as follows:

Sec. 1. 22 MRSA §3174-LL is enacted to read:

§ 3174-LL. MaineCare reimbursement for certain durable medical equipment

1. Reimbursement provided. The department shall provide reimbursement under MaineCare for durable medical equipment that provides a safe sleeping environment for individuals under 18 years of age if:

A. The durable medical equipment is necessary to correct or ameliorate a behavioral health condition;

B. The durable medical equipment is the least restrictive alternative for the treatment of the behavioral health condition;

C. The durable medical equipment is approved on a case-by-case basis by a review team composed of the same representatives as the team conducting children's behavioral treatment reviews under Title 34-B, section 5605, subsection 13, paragraph B, subparagraph (3); and

D. The department determines that the durable medical equipment is cost-effective in comparison to the provision of other covered services or equipment that can sufficiently correct or ameliorate the behavioral health condition.

2. Rules. The department may adopt rules as necessary to implement this section. Rules adopted pursuant to this subsection are routine technical rules as defined in Title 5, chapter 375, subchapter 2-A.

summary

This bill requires the Department of Health and Human Services to provide MaineCare reimbursement for durable medical equipment that will provide a safe sleeping environment for individuals under 18 years of age if the equipment is: necessary to correct or ameliorate a behavioral health condition; the least restrictive alternative for the treatment of that condition; approved on a case-by-case basis by a review team specified in the bill; and cost-effective in comparison to other covered services or equipment for correction or amelioration of the condition. The bill authorizes the department to adopt routine technical rules as necessary to implement this proposed section of law.

HP0311 LD 423	First Regular Session - 124th Maine Legislature Text: MS-Word, RTF or PDF		LR 1055 Item 1
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