SPH, Appendix III, Medicaid Type Program Codes for STAR+PLUS Home and Community Based Services and Community First Choice Revision 18-2; Effective September 3, 2018 TP MAO Waiver Chart Check ME- CFC Eligible? Code Description Waiver Box? 03 ME Pickle Y Y – 07 MA Earnings Transitional N Y – 08 Foster Care Federal Match With Cash N Y – – 08 MA TANF-Level Families N Y – 09 Medicaid for the Transitioning Foster Care Youth N Y 09 MA Non-AFDC Foster Care JPC N Y – – 09 Foster Care Federal Match No Cash N Y – – 10 MA State Foster Care A N Y – – 10 MA State Foster Care 32 N Y – – 10 MA State Foster Care D N Y – – 10 MA State Foster Care JPC N Y – – 10 MA State Foster Care N Y – 12 ME Manual SSI Waivers N Y – 12 ME Manual SSI State Group Home N N – 12 ME Manual SSI Non-State Group Home N N – 12 ME Manual SSI Nursing Facility N N – 12 ME Manual SSI State Hospital N N – 12 ME Manual SSI State Supported Living Center N N – 12 ME Manual SSI N Y – 12 ME Temp Manual SSI N Y – 13 ME Interim SSI Denied Child N Y – 13 ME SSI Waivers N Y – 13 ME SSI State Group Home N N – 13 ME SSI Non-State Group Home N N – 13 ME SSI N Y – 13 ME SSI Nursing Facility N N – 13 ME SSI State Hospital N N – 13 ME Skilled Nursing Care N N – 13 ME SSI State Supported Living Center N N – 13 ME Temp SSI N Y – 14 ME Waivers Y Y/N – 14 ME State Group Home Y N – 14 ME Supported Living Center Y N – 14 ME Non-State Group Home Y N – 14 ME State Hospital Y N –
SPH, Appendix III, Medicaid Type Program Codes for STAR+PLUS Home and Community Based Services and Community First Choice Revision 18-2; Effective September 3, 2018 TP Code MAO Waiver Chart Description Check ME- Waiver Box? CFC Eligible? 03 ME – Pickle Y Y 07 MA – Earnings Transitional N Y 08 Foster Care – Federal Match – With Cash N Y 08 MA – TANF-Level Families N Y 09 Medicaid for the Transitioning Foster Care Youth N Y 09 MA – Non-AFDC Foster Care – JPC N Y 09 Foster Care – Federal Match – No Cash N Y 10 MA – State Foster Care – A N Y 10 MA – State Foster Care – 32 N Y 10 MA – State Foster Care – D N Y 10 MA – State Foster Care – JPC N Y 10 MA – State Foster Care N Y 12 ME – Manual SSI Waivers N Y 12 ME – Manual SSI State Group Home N N 12 ME – Manual SSI Non-State Group Home N N 12 ME – Manual SSI Nursing Facility N N 12 ME – Manual SSI State Hospital N N 12 ME – Manual SSI State Supported Living Center N N 12 ME – Manual SSI N Y 12 ME – Temp Manual SSI N Y 13 ME – Interim SSI Denied Child N Y 13 ME – SSI Waivers N Y 13 ME – SSI State Group Home N N 13 ME – SSI Non-State Group Home N N 13 ME – SSI N Y 13 ME – SSI Nursing Facility N N 13 ME – SSI State Hospital N N 13 ME – Skilled Nursing Care N N 13 ME – SSI State Supported Living Center N N 13 ME – Temp SSI N Y 14 ME – Waivers Y Y/N 14 ME – State Group Home Y N 14 ME – Supported Living Center Y N 14 ME – Non-State Group Home Y N 14 ME – State Hospital Y N