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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.
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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Peak RSV activity typically occurs between October and March. Please find information below regarding MaineCare’s coverage of nirsevimab (Beyfortus™) and palivizumab (Synagis®)
Nirsevimab
Peak RSV activity typically occurs between October and March. Please find information below regarding MaineCare’s coverage of nirsevimab (Beyfortus™) and palivizumab (Synagis®)
Nirsevimab
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.
In June of 2023, the Office of MaineCare Services (OMS) initiated a rate determination process for Section 97, Appendix D, specific to TFC services.
AUGUSTA – The Maine Center for Disease Control and Prevention (Maine CDC), the Maine Department of Agriculture, Conservation and Forestry’s Maine Forest Service (MFS), and 211 Maine remind residents and visitors to protect themselves from browntail moth hairs this fall.
Maine’s Department of Health and Human Services has adopted amendments to 10-144 CMR Chapter 265, Substance Use Testing For The Workplace Rule.
The Continuing Appropriations and Extensions Act, 2025, Public Law 118-83, Division B, Title I § 105, EBT Benefit Fraud Prevention Requirements will expire December 20, 2024. The Department proposes to update Section 777-4 of the Supplemental Nutrition Assistance Program (SNAP) Rules consistent with the end of the federal authorization for replacement of EBT benefits stolen through card skimming, card cloning, or similar fraudulent methods.
MaineCare Rule #309A - DEL Updates
The adopted rule updated Section 2, APPLICATION PROCESS, consistent with a legislative change to 22 M.R.S. § 3174-LLL made by P.L. 2023, ch. 412. Effective retroactive to July 1, 2024, individuals who are enrolled in Medicaid and/or Medicare Buy-In (MSP), who are eligible for Medicare Part D, and meet the income criteria in Section 2.2, are deemed to be eligible for and enrolled in DEL. These individuals do not need to file a separate application.
In addition, the adopted rule effectuates the following changes: