Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs Update
As a follow up to the notice on February 2, 2023, the Department has updated the Behavioral Health Rate FAQ document on billing and authorizations for
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.
Rounding Rule Information for Providers of Section 25, Dental Services
On May 29, 2022, MaineCare adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023, which the Department will not enforce until May 1, 2023. MaineCare provided a future effective date and delayed enforcement of the rule to give providers time to make necessary system changes to bill for partial units of service.
Update to the Rounding Rule Enforcement Date
This notice is an update to the e-message sent on January 20, 2023. MaineCare is extending its delay of the enforcement of the rounding rule by one month, from April 1, 2023, to May 1, 2023, to allow further time for necessary system changes.
Correction: Section 26 Day Health Services: Rate Study Comment Summary
We previously sent this notice on March 30, 2023, with an incorrect link to the summary of comments. We corrected the link below.
DHHS Achieves Progress on MaineCare Rate Reform
Mar 3, 2023
Since the start of the Mills Administration, the Department of Health and Human Services (DHHS) has prioritized both expanding eligibility for MaineCare and improving how the program pays for services for its members. These efforts have culminated in significant achievements that the Department continues to build on to further promote quality, accessible services for the over 400,000 Maine residents currently served by the program.
10-144 CMR Ch. 270, Sample Collection and Drug Testing Rule for Suspected Operating Under the Influence Cases
The Department amended this rule to update requirements for law enforcement agencies and laboratories involved in testing of persons suspected of operating under the influence of intoxicating liquor or drugs (29-A MRS §§ 2431-2528). The adopted rule is consistent with legislative changes enacted by the 129th Maine State Legislature, impacting certification, sample collection and testing for intoxicating substances. This rule ensures accurate testing for forensic purposes and compliance with applicable rules and standards. Adopted routine technical rule changes include the following:
Correction: Section 26 Day Health Services: Rate Study Comment Summary
We previously sent this notice with an incorrect link to the summary of comments. We corrected the link below.
Section 26 Day Health Services: Rate Study Comment Summary
In August of 2022, the Office of MaineCare Services initiated a rate determination for Section 26 Day Health Services.
Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Presented Materials from Provider Rate Methodology Workgroup
On January 12, 2023, MaineCare provided notice that we initiated a rate determination process for Section 67, Nursing Facilities and Section 97, Residential Care Facilities.