CoverME.gov Launches Special Enrollment Period for Maine People Transitioning from MaineCare
Individuals losing eligibility for MaineCare can enroll in plans on CoverME.gov through July 31, 2024
Clone of COVID-19 & Public Health Emergency (PHE)
Tab one content
Tab two content
10-144 CMR Ch. 241, Maine Subsurface Wastewater Disposal Rules
BRIEF SUMMARY: On December 14, 2022, the Maine CDC proposed amendments to the Maine Subsurface Wastewater Disposal Rule and solicited public comments until January 13, 2023. The Department reviewed and considered all comments received and as a result plans to make additional changes to the rule.
Section 2, Adult Family Care Homes (AFCH) – Public Comment Summary with Department Response and Final Draft Rates, CR 116777
In August 2022, the Office of MaineCare Services initiated a rate determination for Section 2, AFCH, with our vendor Burns and Associates and interested stakeholders. We presented our goals for this study and provided an overview of the cost survey. In October 2022, we met with stakeholders to go over the findings of the cost survey and obtain additional feedback.
Attention Primary Care Plus (PCPlus) Practices - PCPlus Application and Recertification Opening – Required for all PCPlus Practices
MaineCare Services is pleased to announce that the PCPlus application period is now open. The open application period runs through Friday, May 12, 2023.
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.
Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs Update
As a follow up to the notice on February 2, 2023, the Department has updated the Behavioral Health Rate FAQ document on billing and authorizations for services for Sections 28 and 65.
Microdyn Update for Ambulatory Payment Classifications (APCs), CRs 115172, 115173, 115447, 115619
Effective March 11, 2023, we have made the Centers for Medicare & Medicaid Services’ (CMS) quarterly updates in MIHMS.
The following CMS document provides the details of the APC updates:
January 2023 Integrated Outpatient Code Editor Specs:
Revalidate with MaineCare to Avoid Claim Denials
The Affordable Care Act (ACA), Section 6401, states that almost all provider types must revalidate their information with MaineCare every five years. Durable Medical Equipment (DME) providers are required to revalidate their information with MaineCare every three years. The current round of revalidations began in January 2022.
MaineCare Notice of Agency Waiver Amendment-ME.0467, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver
Notice of Agency Waiver Amendment
AGENCY: Department of Health and Human Services, MaineCare Services
RULE TITLE OR SUBJECT: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
WAIVER: ME.0467, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver