MaineCare Benefits Manual, Section 31, Federally Qualified Health Center Services
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 31, Federally Qualified Health Center Services
DHHS Awards First Round of Grants for Innovative Projects Supporting People with Disabilities
Feb 2, 2023
The Maine Department of Health and Human Services (DHHS) Office of Aging and Disability Services (OADS) has awarded $4.3 million to 13 organizations in its first round of Home and Community Based Services HCBS Innovation Pilot Grants designed to support projects that promote greater independence and community participation among individuals with disabilities.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.
Electronic Visit Verification (EVV) Notice to Home Health Providers for Certification Requirements
Providers of Section 40 Home Health services are now required to submit EVV visit records to comply with the 21st Century Cures Act.
Attention Providers of Sections 17, 28, and 65: Kepro/Atrezzo Prior Authorization Backdate Extension for Services Impacted by January 1st Rate Study Increases
OMS has historically allowed up to five days from the service start date to enter prior authorization (PA) information into Kepro’s Atrezzo system. To implement January 1st rate study increases for services that have new modifiers or service changes, Kepro end-dated all previous PAs/cases on February 19th.
Attention Providers of Sections 17, 28, and 65: Kepro/Atrezzo Prior Authorization Backdate Extension for Services Impacted by January 1st Rate Study Increases
OMS has historically allowed up to five days from the service start date to enter prior authorization (PA) information into Kepro’s Atrezzo system. To implement January 1st rate study increases for services that have new modifiers or service changes, Kepro end-dated all previous PAs/cases on February 19th.
Implementation of January 1, 2023 Rate Study Increases for Sections 28 and 65
This message is a follow up to our January 17, and February 2, 2023 billing guidance regarding rate study increases for
Implementation of January 1, 2023 Rate Study Increases for Sections 28 and 65
This message is a follow up to our January 17, and February 2, 2023 billing guidance regarding rate study increases for
Billing Guidance for Prolonged Services
Effective January 1, 2023, MaineCare adopted additional prolonged visit codes as defined by the Centers for Medicare & Medicaid Services (CMS) and identified in the table below. NOTE: On January 1, 2021, MaineCare adopted prolonged visit code G2212 as outlined in the e-message on February 18, 2021.
Prolonged Visit Codes Covered by MaineCare |
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