On June 30, 2025, Maine submitted a request for a five-year extension of the Maine Substance Use Disorder Care Initiative Section 1115 Demonstration, including its current services. Additionally, the state seeks to change the name of the demonstration from “Maine Substance Use Disorder Care Initiative” to “Maine’s Whole Person Care Waiver” and to include additional services. The proposed services include: 1) Contingency Management; 2) Transitions of Care Incentive Payments; 3) Pre-Release Medicaid Services for Justice-Involved Individuals; 4) three Health Related Social Needs (HRSN) initiatives, Food is Medicine (FIM), Recuperative Care, and Structured Recovery Housing Services; 5) Traditional Healing Therapies for Native Americans and 6) authorization to provide reimbursement for clinically appropriate services that are otherwise approvable under the Medicaid state plan, delivered to individuals aged 21-64 with serious mental illness (SMI) who are short-term residents in facilities that meet the definition of an IMD. The federal public comment period will be open from July 10, 2025 through August 9, 2025.
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