• Read more about Maine Center for Disease Control and Prevention (CDC) Webinar on PrEP (Pre-Exposure Prophylaxis) and nPEP (non-occupational Post Exposure Prophylaxis)

Please save the date for the Maine Center for Disease Control and Prevention (CDC) webinar on PrEP (Pre-Exposure Prophylaxis) and nPEP (non-occupational Post Exposure Prophylaxis) in Maine on April 19, 2023, from 12-1:30 PM.

This session will feature presentations from PrEP207.org and a panel discussion on efforts to help individuals access PrEP and nPEP in Maine. The intended audience for this webinar is non-clinical HIV prevention and care partners in Maine.

• Read more about Denials for JCode/NDC Combination, CR 115839

MaineCare has identified some pharmacy claim lines that denied in error for JCode/NDC missing or invalid due to a delay in the January 1, 2023, quarterly update from the Centers for Medicare & Medicaid Services (CMS). The Claims Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) are as follows. 

• Read more about 2023 Indian Health Services (IHS) Rate Update, CR 115822

Effective March 7, 2023, MaineCare increased the rate for IHS providers to $654.00 retroactively to January 1, 2023. We will adjust claims billed between January 1, 2023, and March 7, 2023, and you do not need to take action.     

Please contact your Provider Relations Specialist with questions.    

• Read more about Vision Service Codes 92250 and 92341, CR 112321

MaineCare identified a claims issue where vision service codes 92250 and 92341 processed with MaineCare as the primary payor even though the member had an active primary vision insurance carrier that the provider did not bill first.  

• 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.

• Read more about Attention Section 43 Hospice Providers: Electronic Visit Verification (EVV) Implementation Temporarily Suspended 

As of March 15, 2023, MaineCare temporarily excluded Hospice services from EVV requirements retroactive to January 1, 2023, as a delayed enforcement of our approved State Plan requirements. This temporary exclusion will continue until the Department can adopt final rules for Section 43, Hospice Services, which we currently anticipate will happen in the second half of 2023. This change affects hospice providers who bill codes T2042, G0299, G0155, and T2043. 

• Read more about Service Locator Tool – Invitation to Behavioral Health Providers

The Department of Health and Human Services (DHHS) is excited to announce the creation of a Service Locator Tool hosted on Bamboo Health’s TreatmentConnection.com. The Tool will improve access to substance use and mental health treatment. The goal is to publicly launch this tool in spring 2023. 

There is NO COST to your agency to participate in this initiative. To learn more about this and how to onboard to the platform, we encourage you to attend an orientation event listed below.  

• Read more about DAFS DHHS Service Center

The DHHS Financial Service Center is a Division of DAFS (Department of Administrative and Financial Services). This Service Center consists of a consolidation of functions which include Grant Accounting, Budgeting, Forecasting, Accounts Payable, Accounts Receivable, Cost Allocation, Collections, Hospital Billing, and Business Intelligence. Our sole client is the Department of Health and Human Services.

Sarah Gove | Director
Sarah.Gove@maine.gov
(207) 458-6626

• Read more about Maine Comprehensive And Limited Environmental Laboratory Accreditation Rule - Adopted, effective 3-15-2023

The Department of Health and Human Services - Maine Center for Disease Control and Prevention (DHHS) adopted routine technical rule changes jointly with the Department of Environmental Protection (DEP) to amend the Maine Comprehensive and Limited Environmental Laboratory Accreditation Rule by establishing a revised fee schedule based on the cost of certifying or accrediting laboratories, pursuant to 22 MRS §567(4).

• 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.