DHHS → node
How Community Action Programs can help you and your patients with housing, food, childcare and more. Megan Hannan, Executive Director of Maine Community Action Partnership will highlight the services and supports that 10 agencies offer throughout the state in this no cost 30-minute webinar on July 13, 2023, at 11:30 AM.
The video recording linked into the Presented Materials and Comment Period notice was incomplete. Please see the full video recording here.
MaineCare recently implemented its new VBP supplemental sub-pool payments, totaling $600,000, which the Department will distribute each year to eligible hospitals based on performance on one or more quality measures. This sub-pool helps align incentives across the health care system to drive desired outcomes. The 2022 and 2023 distribution of these funds will focus on primary care access among MaineCare members within designated Hospital Service Areas (HSAs).
Pursuant to PL 2023, ch.
Jun 6, 2023
While the Legislature considers budget proposals for future MaineCare reforms, the Department of Health and Human Services (DHHS) Office of MaineCare Services continues its implementation of payment rates already developed under the landmark law (P.L. 2022, Ch. 639 (PDF)). Specifically, the Office of MaineCare Services implemented reformed payment for Federally Qualified Health Centers effective March 1 and will implement an array of cost-of-living adjustments effective July 1.
As a follow-up to our June 21, 2022, e-message regarding Behavioral Health and Targeted Case Management supplemental payments for providers of:
This bulletin provides notice that the Department has initiated a Rate Determination Process* for Hospital Services, with the exception of Distinct Psychiatric and Substance Use Disorder Unit services for which the Department recently completed a rate determination, under Section 45 of the MaineCare Benefits Manual.
MaineCare, and its vendor will host the 5th Rate Workgroups meeting on June 26, 2023. Presented materials will then be posted to the Rate System Reform webpage shortly after. Please watch for future notices.
The FY 2024 Section 50 ICF rate letters are now available on the secure Health PAS Online Portal. You can view them by logging into your Trading Partner Account and following this pathway: Exchange > Reports > Rate Setting Letters.
In order to promote access to Sublocade, Extended Release Buprenorphine (XRB), MaineCare may engage in rulemaking. In the meantime, providers may bill the medical benefit for XRB without Prior Authorization (PA) if their documentation meets the criteria outlined below. The criteria will be available on the Preferred Drug List after the July 2023 update. Failure to meet these criteria could result in sanctions.