• Read more about Electronic Visit Verification (EVV) Trainings and Forums

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 happened January 1, 2023.

We continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings and/or forums more than once.

• Read more about Section 107, Psychiatric Residential Treatment Facility (PRTF) Providers and Interested Stakeholders: Draft Rate Model Public Review and Comment

Last Fall, MaineCare provided notice that it had initiated a rate determination process for Psychiatric Residential Treatment Facilities (PRTFs) pursuant to P.L. 2021, Ch. 635, an Act to Improve the Child Welfare System. The Department began this rate determination prior to the adoption of P.L. 2021, Ch. 639.

• Read more about Section 97, Private Non-Medical Institutions (​PNMI) Appendix F: Rate Letters for Fiscal Year (FY) 2024, CR 117697

The FY 2024 PNMI Section 97, Appendix F rate letters will be accessible on the secure Health PAS Online Portal by July 1, 2023. You can view them by logging into your Trading Partner Account and following this pathway: File Exchange > Reports > Rate Setting Letters. We will provide additional notice once the letters have been posted.    

• Read more about ​New Codes for Pfizer and Moderna Bivalent COVID-19 Vaccines, CR 118032

On April 18, 2023, the Food and Drug Administration (FDA) announced changes to simplify the use of Bivalent mRNA COVID-19 vaccines. As a result, additional CPT codes have been created by the American Medical Association (AMA) for use in billing for the administration of COVID-19 vaccines.

• Read more about ​Discontinued Laboratory Codes Related to COVID-19​, CR 117890

On May 10, 2023, CMS updated the Laboratories: CMS Flexibilities to Fight COVID-19 document found on the CMS Coronavirus waivers and flexibilities web page.

• Read more about Delay of Remittance Advice (RAs) on the HealthPAS Portal

There is a delay with posting this week’s posting of the paper and PDF Remittance Advices (RAs) on the HealthPAS Online Portal. We are working to correct the issue and will notify you when the RAs are available. We apologize for the inconvenience.  

• Read more about Update on Verbal Consent in Place of Signatures: End of Public Health Emergency (PHE)

During the COVID-19 PHE, the Department issued guidance to providers allowing verbal consent in place of wet signatures, except where a signature is specifically required through federal regulation.   

• Read more about Attention: Section 28 Electronic Visit Verification (EVV) Providers, CR 117818

Earlier this year, the Department made changes to Section 28 rates and modifier combinations as a result of recent rate studies conducted in relation to P.L. 2021 Ch. 398, Pt. AAAA; Ch. 635, Pt JJJ; and Ch. 639.

• Read more about Clone of Member Resources

• Read more about Attention Section 25 Providers: Learn How to Bill for Interpreter Services

On Monday, June 5, 2023, from 12:00 to 1:00 PM, MaineCare will host a public forum for Section 25, Dental Services providers to learn how to bill for interpreter services and comply with relevant requirements.

Zoom Meeting link: https://mainestate.zoom.us/j/88509241238

Meeting ID: 885 0924 1238

Please contact Jane Brann, Provider Relations Specialist, with any questions.