• Read more about Notice to MaineCare Providers Regarding MaineCare Reimbursement when Restraint is Utilized in Outpatient Behavioral Health Settings, Including Schools

This notice clarifies that MaineCare does not reimburse providers for time periods when a provider subjects a member to a restraint in outpatient behavioral health settings, including school settings.  Department rules, in particular the Rights of Recipients of mental health services (RoR) for adults and children (14-193 C.M.R. ch. 1 and 14-472 C.M.R. ch.

• Read more about Notice to MaineCare Providers Regarding MaineCare Reimbursement when Restraint is Utilized in Outpatient Behavioral Health Settings, Including Schools

This notice clarifies that MaineCare does not reimburse providers for time periods when a provider subjects a member to a restraint in outpatient behavioral health settings, including school settings.  Department rules, in particular the Rights of Recipients of mental health services (RoR) for adults and children (14-193 C.M.R. ch. 1 and 14-472 C.M.R. ch.

• Read more about Attention Providers of Section 31, Federally Qualified Health Centers (FQHC): Rebasing Stakeholder Informational Session Presented Materials 

The Department and its vendor are collaborating with interested stakeholders to perform a rebasing of rates for FQHCs pursuant to P.L. 2021 Ch. 639 and Ch. 747.

• Read more about MaineCare Benefits Manual, Section 31, Federally Qualified Health Center Services

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.

• Read more about DHHS Awards First Round of Grants for Innovative Projects Supporting People with Disabilities

• 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. 

• Read more about 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.     

• Read more about 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.

• Read more about 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.

• Read more about 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