Notice of Agency Rule-making Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Ch. 101, MaineCare Benefits Manual, Chapter VII, Section 5, Estate Recovery

ADOPTED RULE NUMBER:

CONCISE SUMMARY: This adopted rule implements P.L. 2021, ch. 398, Part A, §A-1, pg. 99 to modify MaineCare estate recovery rules to conform with the minimum mandatory federal requirements, which are set forth in 42 U.S.C. 1396p(b).

MaineCare Adds Coverage for Pfizer COVID-19 Ready-To-Use Vaccine Codes and Pediatric Third Dose Code, CR 107547 & CR 107724 

Effective January 3, 2022, the Office of MaineCare Services (OMS) has completed a system update to add the Pfizer COVID-19 ready-to-use vaccine codes. Please review the following table for more information.

COVID-19 Pfizer Ready-To-Use COVID-19 Vaccine Codes

Code

Description

Attention Home Health and Hospice Services Providers: Electronic Visit Verification (EVV) Provider Survey

All Home Health Services under Section 40 and Hospice Services under Section 43 are required to use EVV for services delivered in a MaineCare member's home or in a community-based services setting by January 1, 2023. An EVV system is used to verify the date, time, and site of a visit, as well as services provided and who provided the service. Maine has an open EVV system platform which allows providers to utilize the State-offered EVV system or their own EVV system (an Alternate EVV system) to connect with MIHMS.

Attention Home Health and Hospice Services Providers: Electronic Visit Verification (EVV) Provider Survey

All Home Health Services under Section 40 and Hospice Services under Section 43 are required to use EVV for services delivered in a MaineCare member's home or in a community-based services setting by January 1, 2023. An EVV system is used to verify the date, time, and site of a visit, as well as services provided and who provided the service. Maine has an open EVV system platform which allows providers to utilize the State-offered EVV system or their own EVV system (an Alternate EVV system) to connect with MIHMS.

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