CoverME.gov Now Open for Shopping and Enrolling in Affordable Health Coverage

More Maine people than ever will be eligible for help paying for Marketplace insurance in 2023

AUGUSTA— The Maine Department of Health and Human Services (DHHS) announced today that Maine people can now visit CoverME.gov, Maine's Health Insurance Marketplace, to shop for and select affordable health insurance plans for 2023 during the Open Enrollment Period that kicks off today, November 1, 2022.

Maine People Urged to Sign Up by the January 15 Deadline for Affordable Health Insurance Through CoverME.gov

Open enrollment ends in five days for coverage in 2023

AUGUSTA— The Maine Department of Health and Human Services (DHHS) is urging Maine residents who lack affordable health insurance to sign up by the deadline of Sunday, January 15, for a 2023 health plan through CoverME.gov, Maine’s health insurance marketplace.

DHHS Announces Ian Yaffe as Next Director of Diversity, Equity, and Inclusion

Jan 1, 2023

As the largest Department in State government that serves one in three Maine residents, the Maine Department of Health and Human Services (DHHS) is committed to removing barriers to services for various populations, improving equitable outcomes, and making working in and with DHHS a positive experience for people of all cultures, races, ethnicities, and identities. To this end, Ian Yaffe will become the next Director of Diversity, Equity, and Inclusion (DEI) for the Department on January 30. 

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.  Effective April 1, 2023, MaineCare will deny UB-04 and 837I claims submitted without an enrolled attending provider.

The attending provider is the individual who has overall responsibility for the patient’s medical care and treatment reported in the claim/encounter. The attending provider requirement includes all claim submission methods (paper, HealthPAS Online Portal, or 837I).

Rounding Rule Enforcement Discretion

On May 29, 2022, MaineCare adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023. In response to provider feedback, MaineCare will exercise discretion in its enforcement of the new rounding rule until April 1, 2023, to give providers additional time to implement necessary system changes. Any providers holding claims because their systems are not compliant with the rounding rule may release those claims.

Rounding Rule Enforcement Discretion

On May 29, 2022, MaineCare adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023. In response to provider feedback, MaineCare will exercise discretion in its enforcement of the new rounding rule until April 1, 2023, to give providers additional time to implement necessary system changes. Any providers holding claims because their systems are not compliant with the rounding rule may release those claims.

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