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This bulletin provides notice that the Department has initiated a Rate Determination Process* for Section 67, Nursing Facility Services and Section 97, Appendix C, Medical and Remedial Services of the MaineCare Benefits Manual. New rates are being determined pursuant to the Department’s reimbursement reform and rate determination priorities.
This e-message is to notify providers that updated rates are now available for billing in MIHMS for Sections 13, 17, and 26. These new rates will be effective retroactive to January 1, 2023, and result from our recent rate studies conducted in relation to P.L. 2021 Ch. 398, Pt. AAAA; Ch. 635, Pt JJJ; and Ch. 639. New rates will apply only to services provided on or after January 1, 2023.
This e-message is to notify providers that updated rates are now available for billing in MIHMS for Sections 13, 17, and 26. These new rates will be effective retroactive to January 1, 2023, and result from our recent rate studies conducted in relation to P.L. 2021 Ch. 398, Pt. AAAA; Ch. 635, Pt JJJ; and Ch. 639. New rates will apply only to services provided on or after January 1, 2023.
This e-message is to notify providers that updated rates are now available for billing in MIHMS for Sections 13, 17, and 26. These new rates will be effective retroactive to January 1, 2023, and result from our recent rate studies conducted in relation to P.L. 2021 Ch. 398, Pt. AAAA; Ch. 635, Pt JJJ; and Ch. 639. New rates will apply only to services provided on or after January 1, 2023.
Jan 1, 2023
Governor Janet Mills’ biennial and supplemental budgets propose $169 million for initiatives to expand and improve home-based care, invest in the safety of older residents, and continue to invest in long-term care facilities, including nursing homes. This includes full funding of home-delivered meals to ensure that eligible older adults continue to receive meals as one-time federal funding is depleted.
Jan 1, 2023
The Maine Department of Health and Human Services (DHHS) announced today an unprecedented increase in behavioral health investments to $237 million in federal and state funds to continue MaineCare and related payment improvements as well as make critical investments in the children’s behavioral health system and opioid response.
MaineCare has increased reimbursement rates for MaineCare Benefits Manual, Chapter III, Sections 12, 18, 19, 20, 21, 29, 65 (Substance Use Disorder Intensive Out-Patient only), and 96 for services that are associated with Part AAAA of P.L. 2021, ch.398, retroactively to January 1, 2023. Providers may submit claims for the new rates and adjust any previously submitted claims to the higher rate. Please adjust your claims within 120 days of this notice.
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. All trainings are online via Microsoft Teams.
NOTE: The Absorb training system has been updated to allow providers to register for trainings more than once.
Training Topics
As detailed in the January 4, 2023, and December 30, 2022, notices, the Department has posted State Plan methodology notices detailing rate increases for Sections 13, 17, 26, 28, 65, and 92 on our State Plan Methodology page. The new rates will be effective retroactive to January 1, 2023.