DHHS → node
The State of Maine is currently in the process of a federally mandated Payment Error Rate Measurement (PERM) audit for Reporting Year (RY) 2024. This audit covers randomly selected paid claims with a payment date from July 1, 2022, through June 30, 2023. PERM measures improper payments in Medicaid and the State Children’s Health Insurance Program (CHIP) and produces state and national level error rates for each program.
Required Medical Records
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.
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.
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.
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.
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).
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.
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
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