Subsection 144-101-II-12.07 - NON-COVERED SERVICES The following services are non-covered services:
B. Travel time and mileage by the Service Coordination Agency staff, and/or the attendant to and from the location of the member's residence and mileage for travel by the attendant in the course of delivering a covered service;C. Case management services;D. Transportation to and from medical appointments is not covered under this Section and must be referred to a local MaineCare transportation agency (see Section 113 of the MaineCare Benefits Manual);E. Household tasks except when delivered as an integral part of the authorized plan of care;F. Services provided by the member's family member, as defined in Section 12.02-10;G. Custodial care or respite care;H. Services received when a member enters a hospital, nursing facility, private non-medical institution, or Intermediate Care Facility for the Individuals with Intellectual Disabilities as an inpatient, or any other Assisted Housing Program that is licensed to provide personal care services or when a member is receiving personal care services under "Private Duty Nursing/Personal Care Services," Section 96, or is receiving any "Home and Community-Based Benefits," "Home Based Care services," or any other service where personal care services are covered;I. Other services described as non-covered in Chapter I of the MaineCare Benefits Manual, including vocational, recreational, custodial and educational activities.J. Services provided by a personal attendant who has any criminal convictions, except for Class D and Class E convictions over ten (10) years old that did not involve as a victim of the act, a patient, client, or resident of a health care entity; or (b) any specific documented findings by the State survey Agency of abuse, neglect or misappropriation of property of a resident, client or patient;K. Services provided not in the presence of the member, unless in the provision of covered IADLs;M. Services that are in excess of the limits described under 12.06. C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-12, subsec. 144-101-II-12.07