MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 94, EPSDT
Notice of Agency Rule-making Proposal
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual (MBM), Chapter II, Section 71, National Diabetes Prevention Program
ADOPTED RULE NUMBER:
CONCISE SUMMARY:
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 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
Reminder: State Funded Abortion
Effective September 19, 2019, MaineCare began covering abortion services that are not eligible for reimbursement from Centers of Medicare and Medicaid Services (CMS). It is important to submit claims with information that identifies the service because this service is only covered by State funds.
Post Exposure HIV Prophylaxis Hotline
The National Clinician Consultation Center offers free guidance on occupational and non-occupational exposure to HIV seven days a week. Call (888) 448-4911.
Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Training: Presented Materials
On October 31, 2023, the Department with its vendor provided training to interested stakeholders on the CCBHC PPS cost report, via Zoom. The data submitted will support the ongoing development of this new service for which a rate determination process was initiated earlier this year.
Clubhouse Services Staff Requirements
Under Section 65.05-15.B(4), provider staff of mental health psychosocial clubhouse services must have completed an Association of Community Rehabilitation Educators (ACRE) approved certified employment specialist training, or equivalent.
Use of Nirsevimab and Palivizumab to Prevent Hospitalizations from Severe Respiratory Syncytial Virus (RSV) in High Risk Infants
The Office of MaineCare Services (OMS) is currently accepting Prior Authorization (PA) requests for coverage of palivizumab due to the increasing trend of positive RSV tests. The clinical benefit of palivizumab therapy is best realized by timing the administration to coincide with the peak of RSV activity.
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter I, Section 4, Telehealth Services
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual (MBM), Chapter II, Section 71, National Diabetes Prevention Program
ADOPTED RULE NUMBER:
CONCISE SUMMARY: