Code of Maine Rules 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
Here’s an enhanced overview of the Code of Maine Rules, Title 10 – Department of Health and Human Services, which governs a wide range of Maine’s health and human services programs and licensing standards:
📚 Overview: Title 10 – DHHS (Department of Health and Human Services)
Divisions within Title 10
10‑144 CMR – DHHS – General
10‑146 CMR – Office of Data, Research & Vital Statistics
10‑148 CMR – Office of Child & Family Services
10‑149 CMR – Office of Aging & Disability Services (regulations.justia.com, law.cornell.edu)
🔹 10‑144 CMR: Department of Health and Human Services – General
Covers essential statewide policies:
Chapters 1–740, including:
Ch. 1: Administrative Hearings
Ch. 2: Community Services Block Grant Program
Ch. 5: Head Start Rules
Ch. 10: Grievance Procedures for the Handicapped
Ch. 24: Purchase-of-Service Rules
Ch. 30: Uniform Accounting & Auditing Practices
Ch. 33: Family Child Care Licensing (moved from 10‑148)
Chs. 50–52: Healthcare policy oversight & hospital/physician responsibilities
Ch. 60: Background Check Center
Chs. 101–115: MaineCare Benefits & Quality oversight, including nursing facilities, hospitals, HMOs, catastrophic illness (law.cornell.edu, regulations.justia.com, maine.gov)
Notable adopted update:
10‑144 CMR Ch. 101, MaineCare Manual § I.6: Implements federal HCBS (home/community-based services) "Global HCBS Rule" (aligned with 42 C.F.R 441.301(c)), effective early 2022 (maine.gov)
Specific service standards:
Section 144‑101‑II‑21: Defines covered HCBS for individuals with intellectual disabilities or ASD, including assistive tech and community support staffing standards (regulations.justia.com)
Section 144‑101‑II‑29: Eligibility & service access for adults with intellectual disabilities or ASD under waiver, including funding caps & waiting list rules (regulations.justia.com)
Other chapters:
Ch. 115 (§13): Requirements for residential care facilities to receive MaineCare room & board reimbursement—financial records, GAAP compliance, building standards (law.cornell.edu)
Ch. 272 (C.C.S./C.S.H.N.): Governance of Coordinated Care Services for children with special health needs, authorized under state/federal statutes (law.cornell.edu)
🔹 10‑146 CMR: Data, Research & Vital Statistics
Covers rules on vital records, data collection/reporting, but detailed chapters were not fully enumerated in search results.
🔹 10‑148 CMR: Child & Family Services
Includes licensing for child welfare and advocacy services:
Example: Ch. 11 – Rules for advocacy services for disabled clients (Protections under 22 M.R.S.A. Ch. 961), governing notice, confidentiality, surrogate parent, hearings (law.cornell.edu)
🔹 10‑149 CMR: Aging & Disability Services
Likely includes licensing rules and service standards for assisted living, elder care, and home-based services.
✅ Summary
Title 10 is a comprehensive set of administrative rules under the Maine DHHS, divided into four main chapters (144, 146, 148, 149).
It governs administrative hearings, grant programs, MaineCare benefits, licensing for facilities and care providers, special health programs and information systems.
The most dynamically updated sections relate to MaineCare benefits and HCBS waiver services, aligning with federal Medicaid rules and updating caregiver standards.
🔍 Would you like?
A breakdown of a specific MaineCare chapter (e.g., assistive tech, crisis intervention rules)?
Details on licensing requirements for adult day services, assisted living, or child welfare?
Access instructions or certified copy process for any specific chapter?
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