New Chat Feature Available on Kepro Website QualityCareforMe.com
As a follow up to the August 4, 2023, notice, the Acentra Health (formerly Kepro) team is excited to announce a new way to access resources and communicate with the Acentra Health Provider Relations Team.
Pharmacies, Help Your Patients Act Now to Avoid a Gap in Their Health Coverage
The Office of MaineCare Services is working to raise awareness about the need for people with MaineCare to renew their coverage or, if they’re no longer eligible, to enroll in coverage through their employer or through CoverME.gov, Maine’s Health Insurance Marketplace.
How pharmacies can help:
Attention: Listening Session for MaineCare Residential Substance Use Disorder (SUD) Providers
Effective July 1, 2023, Acentra Health (formerly Kepro) began reviewing residential SUD admissions for MaineCare members to assess appropriate American Society of Addiction Medicine (ASAM) level of care as one of the tasks associated with MaineCare’s 1115 SUD waiver.
Maine DHHS releases updated data on MaineCare eligibility reviews
Aug 8, 2023
Today, the Maine Department of Health and Human Services (DHHS) is releasing an update including July 2023 data on the resumption of MaineCare (Medicaid) eligibility reviews after the COVID-19 public health emergency, known as “unwinding.” To view Maine’s unwinding data report, please visit the MaineCare Renewals Data Dashboard.
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840
This is a reminder that the attending provider is required on all UB-04 and 837I claims. MaineCare denies UB-04 and 837I claims submitted without an enrolled attending provider.
The attending provider is the individual who has overall responsibility for the patient’s medical care and treatment reported in the claim/encounter. The attending provider requirement includes all claim submission methods (paper, HealthPAS Online Portal, or 837I).
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Services
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Services
PROPOSED RULE NUMBER:
CONCISE SUMMARY: This proposed rulemaking seeks to make the following changes:
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
PROPOSED RULE NUMBER:
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
PROPOSED RULE NUMBER:
Jamestown Canyon Virus Detected in York County
Maine CDC urges precautions to avoid mosquito bites
The Maine Center for Disease Control and Prevention (Maine CDC) announced today that mosquitoes in the York County town of Wells have tested positive for Jamestown Canyon virus (JCV).
This is the first mosquito pool -- a group of one to 50 mosquitoes collected as part of regular testing -- from Maine to test positive for JCV since 2019. There are currently no known human cases of JCV or any other locally-acquired mosquito-borne illnesses in Maine this year.