Maine DHHS and Maine Child Welfare Action Network Release Child Safety and Family Well-Being Plan
Governor Mills proposes $1 million in her forthcoming change package to launch the plan to keep children safe by keeping families strong
Electronic Visit Verification (EVV) Trainings and Forums
The federal deadline to implement the EVV requirements for Home Health providers delivering services under Section 40 and Hospice providers delivering services under Section 43 happened January 1, 2023.
We continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams.
Attention Section 19 Providers: Home and Community Based Services for Older and Disabled Adult Caregivers Training is Available
The Office of Aging and Disability Services is excited to announce a virtual training opportunity on Mental Health First Aid scheduled for June 5, 2023. This training is provided in collaboration with National Alliance on Mental Illness (NAMI) Maine and is available for caregivers who provide care to MaineCare members under MaineCare Benefits Manual, Chapter II, Section 19. Caregivers may include personal support staff, attendants, home health aides, nurses or other natural and family
Billing Guidance to Include National Drug Codes (NDCs) in Drug Claim Lines
When submitting drug claims, please bill your usual and customary charge for the drug and populate it in the charge field of the claim.
Removing Custom Fee Schedules from the HealthPAS Online Portal, CR 115784
Today, May 8, 2023, MaineCare removed custom fee schedules for chiropractor, optometry, podiatry, and home health services and incontinence supplies from the HealthPAS Online Portal.
Update to the Biosimilar Preferred Drug List
On April 21, 2023, we updated Biosimilar Preferred Drug List (PDL) on the Health PAS Online Portal.
Attention all Providers: Payment Error Rate Measurement (PERM) Audit
The State of Maine is currently in the process of a federally mandated PERM audit for Reporting Year 2024. This audit covers randomly selected paid claims with a payment date from July 1, 2022, through June 30, 2023. Due to the random sampling of claims, all providers should be prepared to send requested medical records (more information below) to support claims that were or will be paid during this time period.
Maine CDC Marks Lyme Disease Awareness Month with “Tick Free ME” Tips
AUGUSTA – The Maine Center for Disease Control and Prevention (Maine CDC) urges Maine residents and visitors to take precautions to stay “tick free” during Lyme Disease Awareness Month (PDF) this May.
Pfizer-BioNTech COVID-19 Bivalent Vaccine Booster Authorized for Use in Individuals Aged Six Months to Four Years, CR 116564
On March 28, 2023, we sent an announcement that we will cover the Pfizer-BioNTech bivalent COVID-19 vaccine booster for individuals ages six months to four years as outlined in the Emergency Use Authorization (EUA) form the
Delivery System Reform Unit (DSRU) Virtual Update Session
MaineCare’s DRSU is holding a virtual learning session about MaineCare’s strategy for delivery system and rate reform, along with updates on other important initiatives. This session is open to all providers. This session is on May 22, 2023, from 1:30 to 3:00 PM.