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This bulletin provides notice that the Department has initiated a Rate Determination Process* for Distinct Psychiatric Units, Distinct Substance Abuse Units, and Private Psychiatric Hospitals under Section 45 Hospital Services of the MaineCare Benefits Manual.
New rates are being determined pursuant to the Department’s reimbursement reform and rate determination priorities.
The Maine CDC Infectious Disease Prevention Program is here to help you understand your risks and decide on an STD screening schedule that is right for you.
All DHHS rules posted on or after January 5, 2023 are available on the DHHS Rulemaking page.
All DHHS rules posted on or after January 5, 2023 are available on the DHHS Rulemaking page.
AGENCY: Department of Health and Human Services, Office of MaineCare Services
RULE TITLE OR SUBJECT: MaineCare Benefits Manual, Section 113, Non-Emergency Transportation Waiver
P.L. 2022, Ch.639 codifies into statute the principles and processes by which MaineCare sets its rates. Pursuant to Ch. 639, the Department must:
MaineCare Services is pleased to announce that beginning October 7, 2022, we will again accept applications for participation in MaineCare’s Primary Care Plus (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. MaineCare is transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes.
On Monday, November 7, 2022, Kepro will upgrade their web-based platform to Atrezzo Next Generation. The Atrezzo Next Generation (ANG) platform is an improved interface with enhanced security features such as Multi-Factor Authentication (MFA). ANG brings the Maine Administrative Services Organization (ASO) an even more flexible, intuitive, and highly automated system that streamlines the utilization review and reporting processes for clients and providers.
MaineCare implemented a Biosimilar Preferred Drug List (PDL) this past May that establishes preferred and non-preferred Physician-Administered Drugs (PADs). Preferred drugs are available without a Prior Authorization (PA), and non-preferred drugs require a PA.