Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs
As mentioned in the notice on February 2, 2023, the Department now has available the Behavioral Health Rate FAQ document on billing and authorizations f
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.
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.
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.
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.
MaineCare Benefits Manual, Section 31, Federally Qualified Health Center Services
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 31, Federally Qualified Health Center Services
DHHS Awards First Round of Grants for Innovative Projects Supporting People with Disabilities
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.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.
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.
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.