DHHS → node
July 15, 2022
Good morning,
It is halfway through July which is a good time for me to remind supervisors to process your workers’ DHHS Telework Approval Forms. The deadline to finish this work is two weeks from today.
So far, 2,620 forms have been submitted with 1,821 approved: we have 25 percent left for review. Supervisors may also be working on adjustments to telework to balance space, office coverage, etc. As such, workers may be asked resubmit forms to get them approved.
PCPlus is MaineCare’s new value-based approach to support the primary care system, improve healthcare quality, and reduce inefficient health care spending. PCPlus gives primary care providers greater flexibility and incentives to meet MaineCare members’ healthcare needs.
Over 230 primary care practices are expected to participate in PCPlus starting July 1, 2022. Participation includes:
Town Hall Sessions to Support Alternate Electronic Visit Verification (Alt EVV) Systems
To support providers who intend to utilize an alternate/third-party vendor to meet EVV requirements, we are offering a series of Town Hall Sessions facilitated by Sandata’s Technical Support Team. These Town Hall Sessions are geared toward third-party vendors, but any provider delivering services subject to EVV requirements is welcome to attend.
Below is a brief description of each session and a registration link.
Town Hall Session 1
Attention All Electronic Visit Verification (EVV) Providers: New Foreign Language Quick Reference Guides
July 7, 2022
We are pleased to announce that Sandata is offering foreign language Quick Reference Guides for the Sandata Mobile Connect (SMC) application on the Sandata On Demand learning platform. These Quick Reference Guides are available in the following languages:
Attention Section 18, 20, 21, and 29 Providers – Appendix K Retainer Payments for newly eligible service providers
The Department is issuing payments this week to providers of select eligible services under Sections 18, 20, 21, and 29 newly eligible for Home and Community-Based Services (HCBS) Appendix K Retainer Payments.
CORRECTION: Attention Section 60 – Medical Supplies and Durable Medical Equipment Providers: Upcoming Changes - Billing of Infliximab
The e-message sent on July 12, 2022, included an incorrect link for the J1745 PA criteria sheet. The correct pathway is below.
Attention Section 60 – Medical Supplies and Durable Medical Equipment (DME) Providers: Billing of Infliximab
CRCFs, also referred to as Private Non Medical Institution (PNMI) Appendix D facilities, serve children with mental health disorders, substance use disorders, intellectual disabilities, autism spectrum disorders, and children with co morbid diagnoses and treatment needs. MaineCare Benefits Manual Chapter II, Section 97, Appendix D identifies CRCFs as either having an Intellectual Disability/Developmental Disability (ID/DD) or Mental Health (MH) model of service.
Effective June 1, 2022, the revised rates for Chapter III Section 95: Podiatric Services codes have been updated in MIHMS retroactively to January 1, 2022.
Please see the list of affected codes below: