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MaineCare does not allow contract or retail pharmacies to enroll in the 340B Medicaid drug program, either directly or under subcontract with a 340B entity. MaineCare is Fee For Service (FFS).
All 340B providers who submit claims to MaineCare must determine whether they will use 340B drugs for their MaineCare patients (carve-in to the program) or whether they will purchase drugs for these patients through other mechanisms (carve-out of the program).
The ASAM Criteria, nationally recognized as the gold standard in treatment assessment, was first developed in 1990. A new edition, The ASAM Criteria 4th edition, was released in December 2023, with subsequent volumes including:
The State requires all providers who deliver services under Sections 18, 20, 21, and 29 fill out a HCBS Compliance Form. Providers delivering HCBS services under the above sections of policy who are submitting new, revalidating, reactivating, and maintenance cases must fill out the form and upload it before the case can be finalized. This will ensure that providers of HCBS waiver services are in compliance with applicable requirements for HCBS waiver settings.
The Office of Aging and Disability Services is excited to announce a virtual training opportunity scheduled for Monday, February 26, 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 services to Section 19 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.
More than 62,500 Maine consumers enrolled in affordable coverage for 2024
On January 8, 2024, we announced to Section 67 Nursing Facilities (NFs) providers that several members had their MaineCare coverage for NF Services inadvertently end-dated on December 31, 2023. This issue is now corrected, and providers can submit their claims for dates of service from January 1, 2024, to present.
Upon reassessment, the Office of MaineCare Services determined it has sufficient flexibility in policy language to require ACT providers to maintain a panel-wide average of three contacts per member, in alignment with fidelity to the model, rather than delivering a minimum monthly average for each member of three contacts per week. In accordance with MBM Section 17.04-3, in the event a member does not receive three contacts in a week, providers must continue to document why.
Pursuant to the Consolidated Appropriations Act 2023 (CAA 2023), Public Law 117-328, Division HH, Title IV § 501, EBT Benefit Fraud Prevention requirements, the Department adopts changes to the SNAP Manual, Section 777-4 to align with the requirements of the CAA 2023. The adopted rule changes provide clarity on the Department’s procedure and timeframes for replacement of SNAP benefits determined to have been stolen through card skimming, card cloning, or similar fraudulent methods. The U.S.D.A.
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
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EVV Phase 2 Training Content – State and Providers Subscribe to |
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