Attention Providers of Section 19 and 96 Services: Supervisory Visit Requirements for Personal Care Agencies

Personal care agencies currently conducting personal support specialist (PSS) supervision visits remotely must resume in-person visits beginning January 23, 2023. The Department will send out additional e-message reminders closer to the effective date for the change.  

For questions, please contact Tammy Usher.  

Reminder: Primary Care Plus (PCPlus) Application is Open

MaineCare Services is pleased to announce that we are now accepting applications for participation in MaineCare’s PCPlus program. PCPlus is a MaineCare primary care model that gives Primary Care Providers (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes.

Reminder: Primary Care Plus (PCPlus) Application is Open

MaineCare Services is pleased to announce that we are now accepting applications for participation in MaineCare’s PCPlus program. PCPlus is a MaineCare primary care model that gives Primary Care Providers (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes.

Reminder: Primary Care Plus (PCPlus) Application is Open

MaineCare Services is pleased to announce that we are now accepting applications for participation in MaineCare’s PCPlus program. PCPlus is a MaineCare primary care model that gives Primary Care Providers (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes.

Pfizer and Moderna Bivalent COVID-19 Vaccines Authorized to Use as Booster Doses in Children Ages 5 Years and Older

On October 17, 2022, the Office of MaineCare Services (OMS) sent an announcement that we will cover the Pfizer and Moderna bivalent COVID-19 vaccine booster doses as outlined in Emergency Use Authorizations (EUA) from the Food and Drug Administration (FDA).        

Atrezzo Upgrade

On Monday, November 7, 2022, Kepro will upgrade their web-based platform to Atrezzo Next Generation (ANG). 

Providers are encouraged to log into the updated platform to establish their Multifactor Authentication (MFA) for the launch on Monday, November 7, 2022.  

Attention Providers of Section 26: Draft Rate Model Public Review and Comment

Earlier this year MaineCare conducted a survey of Day Health service providers. We used the provider responses to create draft rate models for the services as part of the rate determination process. We outlined this process during our kick-off meeting with providers on August 31, 2022. This message outlines the next steps in the process.  

PUBLIC REVIEW AND COMMENT 

Attention Providers of Section 2: Draft Rate Model Public Review and Comment

Earlier this year MaineCare conducted a survey of Adult Family Care Home service providers. We used the provider responses to create draft rate models for the services as part of the rate determination process. We outlined this process during our kick-off meeting with providers on September 1, 2022. This message outlines the next steps in the process.  

PUBLIC REVIEW AND COMMENT 

CORRECTION to 2022 Rate Update Message, CR 112541, for Section 43 Providers

This is a correction to the bulletin sent on October 28, 2022, regarding rate updates for Hospice Services. The previous message incorrectly stated that the rates affected Section 90 instead of Section 43.

On September 28, 2022, some rates for Chapter 1, Section 43 have been updated in MIHMS effective October 1, 2022, and are now available for viewing on the Health PAS Online Portal.  

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