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In alignment with the Centers for Medicare & Medicaid Services’ (CMS) quarterly rate update, the Department has retroactively updated the Physician Drug Rates Effective April 1, 2024. These new rates were implemented for billing on May 15, 2024.
The updated rates can be found on the Rate Setting page of the Health PAS Online Portal.
Adjustment of Claims
This notice is to clarify and provide instructions on the appropriate processes for submitting Authorization to Release Information forms (Authorizations) to DHHS offices. This form is signed by the patient to give DHHS permission to speak with someone else about their benefits.
Educational Resources for Providers
The Maine Department of Health and Human Services and Count the Kicks are pleased to provide free educational materials and resources for those who serve expectant parents in Maine. These materials are available in the following languages: English, Spanish, Portuguese, French, Lingala, Arabic, Haitian Creole, Kinyarwanda, and Somali.
Webinar for Nurses & Doulas
Due to Change Healthcare’s recent national cyber security issue, some providers have not been able to submit Electronic Data Interchange (EDI) transactions to MaineCare. These electronic transactions include, but are not limited to, claim submission and eligibility verification. MaineCare worked with Change Healthcare/Optum to re-establish a connection, and they are now certified to submit EDI transactions in production. Contact your vendor(s) to submit EDI transactions they’ve been holding since February 2024.
May 5, 2024
The Maine DHHS Office of Child and Family Services (OCFS) announced today new child care reimbursement rates taking effect in July 2024 that will improve access to high-quality child care and early childhood learning for families across Maine.
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 40, Home Health Services
The adopted rule updates Section 8(I) Support Service Limits – Mileage Reimbursement to align with the rate afforded to those covered under the Maine Service Employees Association (MSEA) contract. The adopted rule refers readers to the State of Maine rate found on the Department of Administrative and Financial Services, Office of State Controller at https://www.maine.gov/osc/travel/mileage-other-info.
The adopted rule make the following changes:
The adopted rule make the following changes:
The adopted rule updates Section 4(B)(3) – Transportation to align with the rate afforded to those covered under the Maine Service Employees Association (MSEA) contract. The adopted rule refers readers to the State of Maine rate found on the Department of Administrative and Financial Services, Office of State Controller at https://www.maine.gov/osc/travel/mileage-other-info. The Department determined it necessary to make a non-substantive change to provide clarity to the final rule.