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MaineCare has posted updated rate letters for all Section 97 Appendix F providers operating on a Fiscal Year basis to the Health PAS Online Portal. We have also posted revised rate letters for Section 97 Appendix F providers operating on a Calendar Year basis. The rates shown on rate letters are effective July 1, 2022.
The EVV requirement deadline for Personal Care Services (PCS) was January 1, 2021, and will be January 1, 2023, for Home Health providers delivering services under Section 40 and for Hospice Services providers delivering services under Section 43.
We are offering provider and aggregator trainings, forums, and town hall events online via Microsoft Teams. The trainings are designed to help providers and aggregators to comply with federal EVV requirements.
Training topics include, but are not limited to:
This is a follow-up to the e-message sent on September 2, 2022, and a correction sent on September 8, 2022, regarding the new requirement for Passthrough Payments for Opioid Health Home (OHH) services delivered by an expanded care team.
Sep 9, 2022
Federal grants complement state-funded payments for child care workers
The Maine Department of Health and Human Services (DHHS) announced today that it will distribute $13.6 million in American Rescue Plan Act funds to improve Maine families’ access to safe, affordable, and high-quality child care.
The Centers for Medicare & Medicaid Services (CMS) released a Request For Information (RFI) seeking public input on accessing healthcare and related challenges, understanding provider experiences, advancing health equity, and assessing the impact of waivers and flexibilities provided in response to the COVID-19 Public Health Emergency. Through this RFI, CMS also seeks to better understand the factors impacting provider wellness and learn more about the distribution of the healthcare workforce.
The Department of Health and Human Services (DHHS) is initiating a bi-monthly virtual stakeholder meeting series to gather input and inform efforts on the development of a Certified Community Behavioral Health Clinic (CCBHC) model in Maine. The first meeting will Monday, September 26th, 10:30am-12pm, held virtually through Zoom.
Starting September 7, 2022, a new functionality has been made available for Hospice providers using the Sandata Solution. This new functionality will allow providers to create Prior Authorizations (PA) within the Sandata system. This will also allow providers to create an electronic visit record for MaineCare members who have a PA.
Effective July 1, 2022, Children’s Residential Care Facilities (CRCFs) delivering Aftercare Services may now submit claims utilizing quarter-hour units. This change has been made to allow providers to bill more accurately for this service. The adjusted rate of reimbursement is as follows:
Effective August 15, 2022, Eli Lilly will begin commercial distribution of bebtelovimab, 175mg. Please see guidelines for ordering and billing here.
Please join the Department of Health and Human Services’ Office of Aging and Disability Services (OADS), Office of Child and Family Services (OCFS), and Office of MaineCare Services (OMS) for a presentation and listening session on a proposed Lifespan Project for individuals with Intellectual and Developmental Disabilities (IDD).