• Read more about Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour 

The Delivery System Reform Unit (DSRU) will be holding a PCPlus Open Office Hour on Friday July 12, 2024 from 12:00 PM – 1:00 PM. The purpose of the Open Office Hour is to provide an accessible online venue for PCPlus providers to hear about pertinent information and ask MaineCare questions you might have regarding the PCPlus program. One of the topics we will be highlighting during this discussion is the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program for Children and Youth. 

• Read more about Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Section 23, Developmental and Behavioral Evaluation Services

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 23, Developmental and Behavioral Evaluation Services

NATURE OF PROPOSED CHANGES: The Department plans to add reimbursement for Foster Care Comprehensive Health Assessments (CHAs) and amend existing reimbursement for Child Abuse Evaluations in accordance with the table below.

• Read more about State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs)

SFY25 Rate Letters for NFs and RCFs are now available on the secure Health PAS online portal. New rates are effective as of July 1, 2024.

Implementation of Rates

NF rates were implemented on June 26, 2024.

Specialty NF and RCF rates will be implemented by August 1, 2024.

• Read more about Top navigation test

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• Read more about MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.

• Read more about MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology

Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, Office of MaineCare Services

CHAPTER NUMBER AND TITLE:   10-144 C.M.R., Chapter 101, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology

ADOPTED RULE NUMBER:

CONCISE SUMMARY:  

• Read more about MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 23, Developmental and Behavioral Health Services and Chapter III, Section 23, Allowances for Developmental and Behavioral Evaluation Services

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.

• Read more about MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapters II and III, Section 23

Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Ch. 101 MaineCare Benefits Manual, Chapter II, Section 23, Developmental and Behavioral Health Services and Chapter III, Section 23, Allowances for Developmental and Behavioral Evaluation Services

ADOPTED RULE NUMBER:

CONCISE SUMMARY:

• Read more about Electronic Visit Verification (EVV) Online Training Available

There are no additional live trainings for EVV scheduled after April 25, 2024. Providers can request Ad Hoc EVV Training by emailing MihmsTraining@gainwelltechnologies.com to schedule a training.

Register for online trainings through Absorb: 

• Read more about Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs

The Office of Aging and Disability Services (OADS) is excited to announce a virtual de-escalation training opportunity scheduled for Tuesday, August 20, 2024. This training is being provided under collaboration with the National Alliance on Mental Illness (NAMI) Maine and is available for caregivers providing care to Section 12, 19, and 96 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.