• Read more about 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.

• Read more about 10-144 CMR Ch 113 Assisted Housing Licensing Rule

This rulemaking repeals and replaces the current rule in force, 10-144 CMR Ch. 113, Regulations Governing the Licensing and Functioning of Assisted Housing Programs. The rule in force consists of ten parts, governing Assisted Living programs, four levels of Residential Care Facilities, four levels of Private Non-Medical Institutions, and Infection Prevention and Control. The proposed rule replaces those ten parts with two parts, Part A, Assisted Living Programs, and Part B, Residential Care Facilities.

• Read more about 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.

• Read more about 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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• Read more about MaineCare 2024-25 Respiratory Syncytial Virus (RSV) Update

Peak RSV activity typically occurs between October and March. Please find information below regarding MaineCare’s coverage of nirsevimab (Beyfortus™) and palivizumab (Synagis®) 

Nirsevimab 

• Read more about MaineCare 2024-25 Respiratory Syncytial Virus (RSV) Update

Peak RSV activity typically occurs between October and March. Please find information below regarding MaineCare’s coverage of nirsevimab (Beyfortus™) and palivizumab (Synagis®) 

Nirsevimab 

• Read more about 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.

• Read more about Section 98, Therapeutic Foster Care (TFC), Final Draft Rates and Summary of Comments with Department Response

In June of 2023, the Office of MaineCare Services (OMS) initiated a rate determination process for Section 97, Appendix D, specific to TFC services.

• Read more about Tips to Reduce Browntail Moth Hair Exposure During Fall Outdoor Activities

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.

• Read more about 10-144 CMR Ch. 265 Substance Use Testing in Workplace Rule

Maine’s Department of Health and Human Services has adopted amendments to 10-144 CMR Chapter 265, Substance Use Testing For The Workplace Rule.