Tribal Self-Attestation, CR 108474
Effective August 26, 2022, the Department is now allowing MaineCare members to self-attest to being members of federally recognized tribes for the purpose of waving copayments and premiums.
ATTENTION Section 92, Section 13, and Section 17 Providers: Passthrough process now required if organizations jointly serve an Opioid Health Home (OHH) Member
Please see changes below that apply when a Section 92 Behavioral Health Home, Section 13 Targeted Case Management, or Section 17 Community Integration provider delivers services to members enrolled with an Opioid Health Home (OHH).
Attention Providers of Sections 13, 17, 28, 65, 92 Draft Rate Model(s) Public Review and Comment
Earlier this year MaineCare conducted a survey of Behavioral Health and Other Services providers. We used the provider responses to create draft rate models for the services as part of the rate determination process. We outlined this process in a bulletin on April 22, 2022. This message outlines the next step in the process.
PUBLIC REVIEW AND COMMENT
Division of Audit Appeal Decisions
Note: The first step in the appeal process is an informal review by the Division of Audit. Those decisions are posted here. The next step in the appeal process would be an administrative hearing before the Hearings Unit. The Recommended and Final Hearing Decisions are available at the Administrative Hearings Unit’s Provider Appeal Decisions’ section of their webpage.
Re-entry Update #12
Good morning and happy September.
Tuesday, September 6 is the official start of the new DHHS Telework Policy. We are excited to welcome many of you back to our offices. We want to use this opportunity to update you on several “hot topics.”
Department Statistics: Over 2,100 workers have approved DHHS Telework Policy forms, including workers who choose not to telework.
Rate Determination Initiation Notice for Section 28 Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations
This bulletin provides notice that the Department initiated a Rate Determination Process* for Section 28 Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations of the MaineCare Benefits Manual in Spring 2022 prior to P.L. 2022 Ch. 639 becoming effective.
Rate Determination Initiation Notice for Section 17 Community Support Services
This bulletin provides notice that the Department initiated a Rate Determination Process* for Section 17 Community Support Services of the MaineCare Benefits Manual in Spring 2022 prior to P.L. 2022 Ch. 639 becoming effective.
New rates are being determined pursuant to, P.L. 2021, Ch. 398, P.L. 2022, Ch. 635 and the Department’s rate determination priorities.
Rate Determination Initiation Notice for Section 13 Targeted Case Management
This bulletin provides notice that the Department has initiated a Rate Determination Process* for Section 13 Targeted Case Management of the MaineCare Benefits Manual in Spring 2022 prior to P.L. 2022 Ch. 639 becoming effective.
New rates are being determined pursuant to the Department’s rate determination priorities and P.L. 2022, Ch. 635.
Rate Determination Initiation Notice for Section 92 Behavioral Health Home Services
This bulletin provides notice that the Department initiated a Rate Determination Process* for Section 92 Behavioral Health Homes of the MaineCare Benefits Manual in Spring 2022 prior to P.L. 2022 Ch. 639 becoming effective.
New rates are being determined pursuant to the Department’s rate determination priorities.