Enrollment Cap. The number of participants that may be enrolled in the ICS program at any one time is limited to 100. The state will create a registry that identifies all individuals eligible for the program who have indicated interest in receiving home and community-based services. The registry will be sorted based on date and time of interest. As slots become available, the state shall will notify individuals on the registry in numerical order of the opportunity to participate in the ICS program. Interested individuals will have fifteen (15) days to indicate whether or not they are still interested in participating. If after fifteen (15) days an individual fails to respond, a second letter will be mailed to the individual. If state receives no response in seven (7) days after the second letter is mailed, the state will remove the individual’s name from the registry, and offer that slot to the next person on the registry.
Enrollment Cap. Any numeric enrollment limitation must be submitted to CMS for review and approval following the process outlined in section III, paragraph 7.
Enrollment Cap. In cases where the State determines, based on advance budget projections that it cannot continue to enroll PAC applicants without exceeding the funding available for the program the State can establish an enrollment cap for the PAC program.
i. Notice - before affirmatively implementing the caps authorized in subparagraph (g), the State must notify CMS at least 60 days in advance. This notice must also include the impact on budget neutrality.
ii. Implementing the Limit - if the State imposes an enrollment cap, it will implement a waiting list whereby applicants will be added to the Demonstration based on date of application starting with the oldest date. Should there be several applicants with the same application date, the State will enroll based on date of birth starting with the oldest applicant
iii. Outreach/or those on the Wait Lists - the State will conduct outreach for those individuals who are on the PAC wait list for at least 6 months, to afford those individuals the opportunity to sign up for other programs if they are continuing to seek coverage. Outreach materials will remind individuals they can apply for Medicaid or the MHIP programs at any time.
iv. Removing the Limit - the State must notify CMS in writing at least 30 days in advance when removing the limit.
23. Increasing Community Services (ICS) Program for Demonstration Population 15.
Enrollment Cap. The enrollment cap is set at 20,000. The State employs a rolling enrollment methodology outlined below: Major Action Steps Procedural Actions Responsible Party Due Date Completion Date Monitor size and cost of childless adult group to keep population under 20,000 Monthly query WELFRE for childless adult population size. Monthly query MECMS for childless adult expenditures. Query ACES to determine monthly closure rate OIAS/OIT* OMS OIAS/OIT 1st of each month 1st of each month 1st of each month Ongoing Ongoing Ongoing Add applicants from waiting list up to 20,000 cap Determine number to get to 20,000. Determine date up to which wait list added Mass data fix to add identified wait list. Letters/MaineCare cards to those added. OIAS OIAS OIT OIT 15th of month 15th of month 25th of month 25th of month Ongoing Ongoing Ongoing Ongoing * OIAS: Office of Integrated Access and Support OIT: Office of Information Technology OMS: Office of MaineCare Services
Enrollment Cap. Any maximum number of program participants for a given period shall be set by the university and reviewed annually, with the maximum number to be mutually adjusted to meet particular developments or circumstances.
