MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter III, Section 67
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed ru
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter III, Section 67
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed ru
Adult Protective Services System
The Office of Aging and Disability Services (OADS) is currently divided into two Chapters: 10-149 (formerly the Office of Elder Services) and 14-197 (formerly the Office of Adults with Cognitive and Physical Disability Services). OADS is completing the process of combining these two former State agencies into one by eliminating use of 14-197 and creating a single comprehensive OADS Policy Manual under 10-149. This rulemaking repeals the current 10-149 Chapter 1 and replaces is with 10-149, Chapter 2, Section 1: Adult Protective Services System. The rule also co
Secondary Billing Instructions Updated
MaineCare’s Secondary Billing Instructions have been updated to reflect the following.
When billing MaineCare secondary claims, you must attach an Explanation of Benefits (EOB) to all claims regardless of submission type:
- Direct Data Entry (DDE)
- Paper
- Electronic Data Interchange (EDI)
When submitting electronically, you will need to upload the EOB once the claim is in MIHMS. The charges billed on claim lines must match the charges billed on the EOB, or the claim will be denied.
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers
The Office of Aging and Disability Services is excited to announce a virtual training opportunity entitled Mental Health First Aid, scheduled for Monday, December 11, 2023. This training is provided under collaboration with the National Alliance on Mental Illness (NAMI) Maine and is available for caregivers providing care to Section 19 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840
This is a reminder that the attending provider is required on all UB-04 and 837I claims. MaineCare denies UB-04 and 837I claims submitted without an enrolled attending provider.
COVID-19 Therapeutics Transition to Commercial Market, and UPDATE on COVID-19 Vaccine Coverage
In a letter released October 27, 2023, the U.S.
RESCHEDULED: Draft Rate Model Public Review and Comment for Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services
MaineCare has identified a new date and time for the Section 97, App D, TFC, Draft Rate Model Public Review and Comment forum.
PUBLIC REVIEW AND COMMENT
Deadline Extended for Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Submissions
The deadline for cost report submissions has been extended from December 1, 2023, to December 15, 2023, for providers interested in being considered for the CCBHC Demonstration Program. Cost reports should be submitted to CCBHC_DHHS@maine.gov.
Maine DHHS Recognizes Maine Adoptive Families During National Adoption Month
AUGUSTA— The Maine Department of Health and Human Services’ (DHHS) Office of Child and Family Services (OCFS) is recognizing November as National Adoption Month by highlighting the vital role that adoptive parents play in creating safe and stable homes for Maine children. In 2022, 413 children in Maine were adopted and provided permanency by resource (foster), kin and adoptive parents.