Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers

The Office of Aging and Disability Services is excited to announce a virtual training opportunity scheduled for Monday, March 18, 2024- Mental Health First Aid. 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, CNAs, nurses or other natural and family supports.

Provider Survey- Attitudes Towards Contingency Management (CM) for Treatment of Substance Use Disorder (SUD)

The Department of Health and Human Services is partnering with the Substance Use Research & Evaluation (SURE) unit at the Catherine E. Cutler Institute, University of Southern Maine to evaluate the system of care for SUD. We have identified that more information is needed to understand attitudes of providers towards CM within the SUD continuum of care. To assist the Department, the SURE unit developed an electronic survey of provider beliefs about CM as a treatment option for SUD.

Correction: Taxonomy Code Requested on Claim Submissions – Portal Claims

The Office of MaineCare Services (OMS) is requesting that providers include the taxonomy code on all claims. The taxonomy code is necessary for the Centers for Medicaid and Medicare Services (CMS) to collect data for Transformed Medicaid Statistical Information System (T-MSIS) reporting. This data helps to inform states of their current standing in data quality as compared to other states and is crucial for research and policy on Medicaid and CHIP and helping the Centers for Medicare & Medicaid Services (CMS) conduct program oversight, administration, and integrity.  

Maine DHHS reaching out to Maine people to keep them covered

Feb 2, 2024

The Maine Department of Health and Human Services is prioritizing a comprehensive outreach effort to ensure MaineCare (Medicaid) members know they need to connect with the Department to continue their coverage.

As part of the resumption of eligibility reviews after the COVID-19 Public Health Emergency, known as “unwinding,” the Department is reviewing the eligibility of all MaineCare members. DHHS outreach is focused on make sure members know the steps to take to avoid unnecessarily losing coverage. Efforts include:

Provider Enrollment Presentation Follow-Up and Progress Update

On January 17, 2024, the Office of MaineCare Services (OMS) and Gainwell held a listening session about provider enrollment. During this session, providers asked questions and shared suggestions about how to improve the enrollment, revalidation, and maintenance case submission process and case review process. We appreciate the time that providers took to attend, participate, and share their ideas to improve these processes.

Electronic Visit Verification (EVV) Phase 2 Trainings

The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.

We continue to offer weekly EVV provider and aggregator trainings. All trainings are online via Microsoft Teams.

NOTE: The Absorb training system has been updated to allow providers to register for trainings more than once.

EVV Training Schedule

EVV Phase 2 Training and Aggregator Content – State and Provider Trainings

 

Taxonomy Code Requested on Claim Submissions

The Office of MaineCare Services (OMS) is requesting that providers include the taxonomy code on all claims. The taxonomy code is necessary for the Centers for Medicaid and Medicare Services (CMS) to collect data for Transformed Medicaid Statistical Information System (T-MSIS) reporting. This data helps to inform states of their current standing in data quality as compared to other states and is crucial for research and policy on Medicaid and CHIP and helping the Centers for Medicare & Medicaid Services (CMS) conduct program oversight, administration, and integrity.  

Section 45, Hospital Service Providers: Public Forum Draft Reimbursement Methods

On December 11, 2023, MaineCare in coordination with its vendor Burns and Associates, a Division of Health Management Associates (HMA-Burns), hosted a virtual public forum via Zoom for interested providers and stakeholders. We presented an initial recommended draft reimbursement methodology and rationale for inpatient services in acute care and rehabilitative hospitals.  

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