EPSDT Coverage for Children’s Residential Care Facility Level of Care
In certain exceptional and high-risk situations for youth under the age of 21, the Office of MaineCare Services (OMS) will approve a MaineCare member’s clinical eligibility for services in a Children’s Residential Care Facility (CRCF) under the Early Periodic Screening Diagnostic and Treatment (EPSDT) benefit, MaineCare Benefits Manual (MBM) Chapter II, Section 94, without requiring an attempt to use a lower level of care.
EPSDT Coverage for Children’s Residential Care Facility Level of Care
In certain exceptional and high-risk situations for youth under the age of 21, the Office of MaineCare Services (OMS) will approve a MaineCare member’s clinical eligibility for services in a Children’s Residential Care Facility (CRCF) under the Early Periodic Screening Diagnostic and Treatment (EPSDT) benefit, MaineCare Benefits Manual (MBM) Chapter II, Section 94, without requiring an attempt to use a lower level of care.
Reminder for Providers Billing on UB-04 and 837I Claims, CR 107682
Effective June 30, 2022, UB-04 and 837I claims submitted without an attending provider will be denied.
Electronic Visit Verification (EVV) Web Browser Notice
Effective Monday, July, 18, 2022, Sandata will update their web browser security requirements. Users accessing the Sandata EVV and Aggregator portal on or after July 18th must use up-to-date web browsers to access these tools.
CORRECTION: COVID-19 Vaccine Counseling Under the American Rescue Plan, CR 109388 – PLEASE HOLD ON SUBMITTING CODES
This is a follow-up to the message we sent on June 13, 2022. Please hold on submitting claims for COVID-19 vaccine counseling until further notice.
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the propose
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 21, Allowances for Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the propose
COVID Vaccine Counseling Under the American Rescue Plan, CR 109388
Retroactive to the effective date of April 1, 2021, COVID-19 vaccine counseling is now a MaineCare-covered service for providers of MaineCare Benefits Manual Sections 3, 7, 14, 40, 45, and 90.
COVID Vaccine Counseling Under the American Rescue Plan, CR 109388
Retroactive to the effective date of April 1, 2021, COVID-19 vaccine counseling is now a MaineCare-covered service for providers of MaineCare Benefits Manual Sections 3, 7, 14, 40, 45, and 90.