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This message is to confirm and clarify that all providers of services under Sections 2, 13, 17, 26, 28, and 65 do not need to hold their claims and are able to currently bill for services in order to maintain cash flow as the Department works to implement rate updates. See additional detail below, which varies by section of policy.
In August 2022 the Office of MaineCare Services initiated a rate determination for Section 2, Adult Family Care Homes.
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.
The goal of the Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT) is to ensure that individual children get the right care to the right child at the right time in the right setting.
There are two ways the EPSDT program can be utilized:
Providing Routine Primary Care and Preventative Services
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 65, Behavioral Health Services
The Maine Department of Health and Human Services is pleased to announce that Paul Saucier has been appointed as Director of the Office of Aging and Disability Services. Saucier comes to the Department with extensive aging and disability experience nationally and locally. He has done oversight work in Maine's developmental disabilities system, worked for the Legislature's Office of Policy and Legal Analysis, and directed the Cutler Institute for Health and Social Policy at the University of Southern Maine's Muskie School of Public Service.
Providers have asked how to request an Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) authorization midway through services that have already been approved under MaineCare policy. Below is the process to request an EPSDT authorization in conjunction with an active service:
Providers have asked how to request an Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) authorization midway through services that have already been approved under MaineCare policy. Below is the process to request an EPSDT authorization in conjunction with an active service:
The recent Behavioral Health Support and Crisis Services System Analysis Report Stakeholder Meeting recording is now available on our website.