Appendix III, Medicaid Type Program Codes for STAR+PLUS Home and Community Based Services and Community First Choice

12-2023

TP Code	MAO Waiver Chart Description	Check ME-Waiver Box?	CFC Eligible?
03	ME – Pickle	Y	Y
07	MA – Earnings Transitional	Y	Y
08	Foster Care – Federal Match – With Cash	N	Y
08	MA – TANF-Level Families	Y	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(1)
14	ME - State Group Home	Y	N
14	ME – State Supported Living Center	Y	N
14	ME – Non-State Group Home	Y	N
14	ME – State Hospital	Y	N
14	ME – Nursing Facility	Y	N
14	ME – Temp Institutional	Y	N
14	ME – Historical Institutional-waiver	Y	N
14	ME – Temp Waivers	Y	N
14	MA – MBCC - Medicaid for Breast and Cervical Cancer	Y	Y
18	ME – Disabled Adult Child	Y	Y
19	ME – SSI Denied Children	N	Y
20	MA – Child Support Transitional	N	Y
21	Adoption Assistance – Federal Match – No Cash	N	Y
21	Adoption Assistance – Federal Match – With Cash	N	Y
22	ME – Disabled Widow(er)	Y	Y
22	ME – Early Aged Widow(er)	Y	Y
22	ME – Temp Widow(er)(s)	Y	Y
29	MA – State Time Limit Transitional	N	Y
37	MA – EID Transitional	N	Y
40	MA – Pregnant Women	Y	Y
43	MA – Children Under 1	N	Y
44	MA – Children 6-18	N	Y
45	MA – Newborn Children	N	Y
47	MA – Children denied TANF w/Applied Income	N	Y
48	MA – Children 1-5	N	Y
55	MA – Refugee	N	Y
55	MA – MN w/Spend Down	N	Y
87	ME – Medicaid Buy In	Y	Y

1. Individuals with this Medicaid eligibility through a 1915(c) waiver are eligible for Community First Choice (CFC). Individuals with this Medicaid eligibility through STAR+PLUS Home and Community Based Services (HCBS) program are not eligible for CFC due to federal rules.