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On September 23, 2022, the Department adopted Section 25, Dental Services and Reimbursement Methodology, which is effective beginning today, September 28, 2022. This rule makes the following changes to covered service limits, prior authorization (PA) requirements, and rate changes that differ from the emergency Section 25 rule that has been in effect since July 1, 2022.
Covered Service Changes
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the propose
This bulletin provides notice that the Department has initiated a Rate Determination Process* for Section 31: Federally Qualified Health Center Services of the MaineCare Benefits Manual. The Department is conducting this rate determination pursuant to Public Law 2022, Chapter 747.
This bulletin provides notice that the Department initiated a Rate Determination Process* for Section 60: Medical Supplies and Durable Medical Equipment of the MaineCare Benefits Manual prior to P.L. 2022 Ch. 639 becoming effective. The Department is conducting this rate determination pursuant to P.L. 2021, Ch. 398, Sec.
The state is requiring that providers who fall under Sections 18, 20, 21, and 29 fill out a Home and Community Based Services (HCBS) Compliance form. This will ensure that providers of HCBS waiver services are in compliance with applicable requirements for HCBS waiver settings. Providers under the above sections of policy who are submitting new, revalidating, reactivating and maintenance cases will be required to fill out the form and upload it before the case can be finalized.
September 26, 2022
Good afternoon,
We explained in May and reminded you last week that the last step to Re-entry is for Department of Health and Human Services (DHHS) workers to fill out and supervisors to approve the Department of Administrative and Financial Services (DAFS) Telework Authorization Form.
This document is general guidance for Maine Department of Health and Human Services (DHHS) workers about the State of Maine Department of Administrative and Financial Services (DAFS) Telework Authorization system. It explains the different systems and provides tips for DHHS workers and supervisors in filling out the DAFS Telework Authorization form, with the caveat that DAFS is the authority on its form, content, process, and rules.
This reminder replaces the previous instructions to use POS 10 from February 19, 2021. The use of POS 10 has changed and is not available to indicate claims submitted for services rendered in the three scenarios listed below. Please use POS 40 instead.