Corrected Title for Section 67, Nursing Facility Reform: Revised Draft Rates and Methodologies Presented Materials & Comment Deadline

On October 23, 2024, MaineCare held an online public meeting for Section 67, Nursing Facilities to present the impact of revisions made to the originally proposed draft rates and models. We also explained the transition plan for the new rate model implementation. The revisions were based on public and written comments received following the original proposal in March of 2024. The transition plan factored in the transition funds appropriated by the Legislature.  

Section 67, Nursing Facility Reform: Revised Draft Rates and Methodologies Presented Materials & Comment Deadline

On October 23, 2024, MaineCare held an online public meeting for Section 67, Nursing Facilities to present the impact of revisions made to the originally proposed draft rates and models. We also explained the transition plan for the new rate model implementation. The revisions were based on public and written comments received following the original proposal in March of 2024. The transition plan factored in the transition funds appropriated by the Legislature.  

10-144 C.M.R. Ch. 332; MaineCare Eligibility Manual - Part 2; MC Rule #308A - Eligibility and Verification Changes

The adopted rule updates the MaineCare Eligibility Manual, Part 2, Basic Eligibility Criteria, consistent with the Centers for Medicaid and Medicare Services’ “2023 Streamlining Medicare Savings Program Enrollment” final rule (89 FR 22780). The adopted rule removes the requirement that applicants apply for other benefits as a condition of MaineCare eligibility.

Survey for HCBS Providers and Interested Parties of Clinical, Therapeutic, Supportive Skills Building, Assistive Technology, Care Coordination and Personal Support Services

Over the last several weeks, the Department with its vendor Public Consulting Group LLC (PCG), hosted several interested party engagement meetings to gather important feedback that will inform the rate determination process for certain services under Sections 12, 18, 19, 20, 21, 29, 40, 96, and 102.

Section 107, Psychiatric Residential Treatment Facilities (PRTFs): Revised Draft Rates Public Review and Comment Public Forum

On November 6, 2024, the Department will present revisions  to the previously proposed Section 107, PRTF rates and model. Interested parties will have the opportunity to provide public comments.

Meeting Details

Psychiatric Residential Treatment Facilities (PRTF) Rate Determination – Present Revisions

Date/Time: Wednesday, November 6, 2024, 1:00PM – 2:30PM 

Zoom Information:

https://mainestate.zoom.us/j/85804451656

Meeting ID: 858 0445 1656

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Facility Licenses Under Title 5

Providers whose facility license is under a Title 5 review may use their Title 5 notice to extend their enrollment with MaineCare in MIHMS by six months, and for every six months thereafter, until the Title 5 review is resolved. Providers must complete this update by submitting a maintenance case via the Health PAS Online Portal. Providers can utilize the Provider Maintenance User Guide for a step-by-step guide for submitting a Title 5 Maintenance Case.

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