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Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 97, Private Non-Medical Institution (PNMI), Appendix C, Residential Care Facilities (RCFs)
New app allows Maine people secure, instant digital access to their vaccine records
AUGUSTA-- The Maine Center for Disease Control and Prevention (Maine CDC) has partnered with a new, free, mobile application, Docket, to allow Maine people to opt in to easily, quickly, and securely access their vaccine records through their smartphones and other mobile devices.
As part of the rate determination process the Department initiated earlier this summer for sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, our vendor Public Consulting Group performed a code analysis to identify all services that will be included in this determination.
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The Department adopted amendments to Maine’s Rules Governing Self-Contained Breath Alcohol Testing Equipment to coincide with the expiration of the current rule adopted on an emergency basis and effective on May 28, 2024. (5 MRS 8054(3)). Consistent with the proposed rule, this routine technical rule qualifies the use of a dry gas standard, ensuring that testing equipment for calibrating units under 10-144 CMR Chapter 269 remains current with industry practice for performing accuracy checks and calibration adjustments on most evidential breath alcohol testing instruments.
The Department notified Hospitals on July 25, 2024, of changes to DRG and APC reimbursements, effective July 1, 2024.
MaineCare updated its claims system on August 20, 2024, to reflect these changes.
AUGUSTA -- The Maine Center for Disease Control and Prevention (Maine CDC) today issued new freshwater fish consumption advisories recommending either no consumption or limited consumption of fish from four waterbodies located on and around the former naval air station in Brunswick, Maine.
In December of last year, MaineCare announced the Post Incarceration Incentive Payment Pilot. Please refer to our previous notice for additional information on this Incentive Payment Pilot and how to be eligible for the incentive payment. To date, over 46 organizations have qualified, and the Department has paid more than $50,000 in incentive payments for eligible claims.
The adopted rule updates Section 444-12 based on a legislative change to 22 M.R.S. § 3104(16) made by P.L. 2024, ch. 501. The adopted rule change aligns Maine law with the Code of Federal Regulations as it relates to disqualifications based on gambling or lottery winnings. Applying one standard instead of two clarifies requirements for recipients and the Department without having an adverse impact on program integrity.
In addition, the Department determined it necessary to make non-substantial changes in FS 444-12 for consistency within the rule. These changes include:
The Department proposes rule changes to the MaineCare Eligibility Manual, Part 2, Basic Eligibility Criteria consistent with the Centers for Medicaid and Medicare Services’ “2023 Streamlining Medicare Savings Program Enrollment” final rule (89 FR 22780). The proposed rule removes the requirement that applicants apply for other benefits as a condition of MaineCare eligibility.