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As part of the Department’s regularly scheduled annual updates, MaineCare has increased the Section 2, AFCH room and board rate, effective January 1, 2024. The new rate of $1,352.00 was implemented on February 7, 2024.
Adjustments for affected claims:
In follow up to our January 19, 2024, Medicare Standardization notice, MaineCare has updated Section 90, Physician and Primary Care Provider rates effective January 1, 2024.
MaineCare revised rates for Section 68, Occupational Therapy Services and Section 85, Physical Therapy Services, effective January 1, 2023. Rates were implemented on February 8, 2023, and may be viewed on the Health PAS online portal.
Adjustment of affected claims:
The Department updated the Physician Drug Rates in alignment with the Centers for Medicare & Medicaid Services’ (CMS) quarterly rate updates for 2023. The updated rates can be found on the Health PAS Online Portal and were implemented for billing on the following dates:
MaineCare has updated Section 4, Ambulatory Surgical Center Services, to reflect 100% of the most current year Medicare rates.
MaineCare revised Section 90, Physician Services rates in alignment with Medicare reimbursements effective January 1, 2023. New rates were implemented on April 13, 2023. You may view all codes and rates on the Usual, Customary and Reasonable (UCR) fee schedule.
Adjustment of affected claims:
Effective January 1, 2024, MaineCare has updated the Anesthesiology conversion factors for Section 14, APRN Services and Section 90, Physician Services codes. New rates were implemented on February 14, 2024.
The Office of Aging and Disability Services is excited to announce a virtual de-escalation training opportunity scheduled for April 16, 2024. This training is being provided under collaboration with the National Alliance on Mental Illness (NAMI) Maine and is available for caregivers providing care to Section 19 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.
On October 13, 2023, MaineCare provided notice that it had initiated a Rate Determination Process* for Dental Services. Existing benchmarks are being rebased pursuant to MRS Title 22, §3173-J.
Mar 3, 2024
The Maine Department of Health and Human Services (DHHS) is committed to keeping the public informed about its provision of health and social services to approximately a third of Maine residents. The volume of information requests made directly to the Department is significant and has continued to grow in recent years. And our public communication about our responses continues, including through this update.