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The adopted rule increased the Federal Poverty Level (FPL) to 300% from 208% of the FPL for all children. The adopted rule aligns the MaineCare Eligibility Manual with a legislative change to 22 M.R.S. § 3174-G(B) made by P.L. 2024 ch. 597, §5. The adopted rule is anticipated to increase access to health insurance coverage.
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.
Maine people and visitors urged to protect themselves given elevated mosquito activity
The Health Alert Network notice issued on April 19, 2024, describes the current situation in the state and recommends quarterly testing for certain people. These Fast Facts for Providers on HIV Screening summarize testing recommendations.
The Office of MaineCare Services continues a phased recovery following the outage that occurred from February 21, 2024, through March 26, 2024, due to the national cyber security issue affecting Change Healthcare.
This comprehensive webinar on September 3, 2024, from 3:30-4:30 PM, provides a basic overview of MaineCare services in schools. An explanation of MaineCare eligibility will include what school related services are available, who is eligible and how to access them. Trista Collins will cover Katie Beckett coverage and dispel some myths regarding MaineCare covered services. Participants will learn about MaineCare covered services in an Individual Education Plan (IEP) and how to utilize Private Duty Nursing (PDN) both at home and in the school setting.
On December 13, 2023, MaineCare noticed the opportunity for an initial cohort of prospective CCBHCs to submit provisional certification materials. The Department is now accepting final certification documentation from provisionally certified providers. The Department will review submissions for final approval and full certification status and participation in Maine’s CCBHC Demonstration program.
Attention Section 65 Providers, Section 65 claims are temporarily pending due to an error in Gainwell’s implementation of the January 1, 2024, COLA. Gainwell corrected the error. Affected claims will process in this week’s reimbursement payment cycle which will issue reimbursements on August 23, 2024.
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services (DHHS), MaineCare Services, Division of Policy
CHAPTER NUMBER AND TITLE:
10-144 C.M.R. Ch. 101, MaineCare Benefits Manual, Chapter III, Section 45, Principles of Reimbursement for Hospital Services
PROPOSED RULE NUMBER:
CONCISE SUMMARY: