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Current PERM Audit
The State of Maine is currently in the process of a federally mandated PERM audit for Reporting Year 2024. This audit covers randomly selected paid claims with a payment date from July 1, 2022, through June 30, 2023. Due to the random sampling of claims, all providers should be prepared to send requested medical records to support claims that were or will be paid during this time period.
In June of 2023, MaineCare provided notice that it had initiated a rate determination for Section 97, PNMI Appendix D, TFC Services. The Office of Child and Family Services in collaboration with the Office of MaineCare Services has revised the service model to inform the development of the draft rates.
January 1, 2023 was the federal deadline to implement the EVV requirements for Home Health providers delivering services under Section 40 and Hospice providers delivering services under Section 43.
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
Jul 7, 2023
The Maine Center for Disease Control and Prevention (Maine CDC) Women Infants and Children (WIC) and Farmers Market Nutrition Program (FMNP) announced today the start of the 2023 FMNP season, during which WIC participants automatically receive additional benefits to purchase fresh, local produce.
The FMNP season opened on July 1 and will end on October 31, 2023. Each WIC participant over 12 months old will have $30 to spend on Maine grown fruits and vegetables this season.
As a follow up to our June 16, 2023 Rate Determination Update Notice for Section 45 Hospital, Distinct Psychiatric and SUD units, please see the proposed per diem base rates in the table below.
The Office of Aging and Disability Services is excited to announce a virtual training opportunity for De-escalation Training, scheduled on August 21, 2023. De-escalation Training for Caregivers will help build understanding of the signs of someone who is escalated. Training will support participants to gain tools and techniques to assist with de-escalating situations.
Below please find billing guidance for using 340B modifiers.
340B Providers:
Acentra Health, formerly known as Kepro, in collaboration with the Office of Behavioral Health will be hosting two provider training sessions to review the Treatment Episode Data Sets (TEDS) submission requirements in the Atrezzo portal. The TEDS data submission is a requirement of all licensed SUD providers in Maine for the State to receive federal funding support for SUD treatment services and programs.
Jul 7, 2023
The final piece of the FY24-25 biennial budget, passed by the Legislature on July 6, 2023 and signed into law yesterday by Governor Mills, includes more than $4 million in investments to reduce abuse, neglect, and exploitation of older adults and adults with disabilities in Maine.
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 60, Medical Supplies and Durable Medical Equipment
PROPOSED RULE NUMBER: