• Read more about Sandata Electronic Visit Verification (EVV) Certification Interface Update, CR 114059

The Sandata Electronic Visit Verification (EVV) interface now flags all submitted Home Health certifications with an ‘active’ status and will be loaded in Sandata immediately. Some certifications were previously flagged as ‘inactive,’ which prevented them from loading and prohibited providers from creating visit records for members. This update will enable Home Health providers to create EVV visit records in a timely manner but does not guarantee MaineCare approval of the certification.

• Read more about Electronic Visit Verification (EVV) Billing Instructions for Hospice Providers Billing Service Code T2042

Hospice providers can indicate a claim is EVV or non-EVV related when submitting T2042 by using the following guidelines: 

• Revenue code 0651 and service code T2042 should be used to bill for days when there are in-person services provided in the member’s home.   

• Read more about Whole Person Approach to Treatment 

January 11, 2023, 7:30-8:30 am  

Via Zoom Webinar!   

Please Register Here    

• Read more about MaineCare Job Openings

MaineCare will now send notices of job opportunities periodically through our General, All Services e-message list. All positions are located in Augusta, Maine.

We are accepting applications for the following state positions:

Health Services Consultant RN (Case Mix team)

Application Deadline: January 11, 2023

Management Analyst I (Emergency Department Collaborative team)

Application Deadline: January 13, 2023

• Read more about Further Guidance on January 1, 2023, Rate Study Increases

As noted in our message issued December 30, 2022, the Department has posted State Plan methodology notices detailing the rate changes for Sections 13, 17, 26, 28, 65, and 92 on our State Plan Methodology page.

• Read more about Attention Providers of Section 18, 19, 20, 21, and 29 Services: Appendix K to Maine’s Home and Community Based Waivers Continues to Provide Temporary Flexibilities on Service Caps, Staffing

Appendix K to Maine’s Home and Community-Based Services 1915(c) waivers provides the state certain flexibilities in waiver program operations during an emergency. Maine’s Appendix K and amendments may be found here. 

• Read more about 2022 Healthcare Reviews

Below are the Certificate of Need healthcare reviews conducted during the year of 2022.

Hospital/Acute Care Reviews

MaineHealth

Combine Hospital Licenses of MMC and SMHC

• Read more about Rounding Rule Changes Effective January 1, 2023

On May 29, 2022, MaineCare adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023. MaineCare provided a delayed effective date to give providers time to make necessary system changes and has not further extended the effective date.

• 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.  

With these EVV deadlines quickly approaching, we continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams. 

• Read more about Update on January 1, 2023, Rate Study Increases

The Maine Department of Health and Human Services (DHHS) is in the process of implementing rate studies for Sections 2, 13, 17, 26, 28, 65, and 92. Once implemented, these rate increases will be effective as of January 1, 2023. The Department has posted State Plan methodology notices detailing the rate changes for Sections 13, 17, 26, 28, 65, and 92 on our State Plan Methodology page. If a code for a service is not listed on these notices, there is no rate change for that code.