• Read more about End of the 2022-2023 Seasonal Coverage for Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection

The Office of MaineCare Services (OMS), in coordination with their Pharmacy Benefits Manager, Change Healthcare (CHC), reviews data from the Maine Center for Disease Control and Prevention (Maine CDC) to track the epidemic season for respiratory syncytial virus (RSV). The Maine CDC data is used for decision making because it includes a more robust and geographically diverse data set than that provided by the National Respiratory and Enteric Virus Surveillance System (NREVSS).  

• Read more about Data Request Form

• Read more about Attention Providers of Section 65, Behavioral Health Services, Crisis Resolution and Response: Draft Service Model and Provider Survey Tool Presented Materials ​ 

Last fall, MaineCare formally noticed that we initiated a rate determination for Section 65 Crisis  Resolution and Response services. The Department’s vendor , Burns and Associates is conducting this rate determination. We kicked off this work in May of 2022.

Mar 3, 2023

This month, an extra amount of Federal food support that was provided during the COVID-19 pandemic will end in Maine and other states. The extra amounts, known as Emergency Maximum Allotments in the Supplemental Nutrition Assistance Program (SNAP), were funded by Congress and the President in response to the COVID-19 pandemic in March 2020. A recent Federal law directed that the extra benefits end in March, returning benefits to normal levels.

• Read more about Help with Food Costs as Extra COVID SNAP Funds End

• Read more about Hospital Price Transparency

Effective January 1, 2021, CMS §180.10 requires each hospital operating within the United States to make public a list of the hospital’s standard charges for all items and services provided.

Standard charges must be posted in two ways:

• Read more about Hospital Price Transparency

Effective January 1, 2021, CMS §180.10 requires each hospital operating within the United States to make public a list of the hospital’s standard charges for all items and services provided. 

Standard charges must be posted in two ways:

• Read more about Maine DHHS Launches Campaign to Promote Continued Health Coverage as Medicaid Eligibility Reviews Resume

‘Stay Connected to Stay Covered’ campaign urges MaineCare members to update their contact information to preserve coverage

AUGUSTA— The Maine Department of Health and Human Services (DHHS) is launching a new public service campaign this week to promote continued health insurance coverage with regular Medicaid (MaineCare) eligibility and enrollment operations set to resume in April, as required by federal law.

• Read more about MaineCare Unwinding Partner Information and Communications Toolkit 

Dear Partners: 

Thank you so much to those who were able to join the webinar, Planning for the end of the Medicaid Continuous Coverage requirement: Impacts for MaineCare members. We so appreciated the thoughtful questions and engagement on the impact this event will have on MaineCare members. 

• Read more about Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs 

As mentioned in the notice on February 2, 2023, the Department now has available the Behavioral Health Rate FAQ document on billing and authorizations f

• Read more about 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.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings and/or forums more than once.