• Read more about Section 23, Developmental and Behavioral Clinic Services: Child Abuse Evaluations, Draft Rate Model and Comment Deadline

Public Review & Comment

On May 17, 2024, MaineCare held an online public meeting to present a draft rate model and rate, along with the rationale for the Section 23, Child Abuse Evaluation service. Interested parties had the opportunity to provide public comments.

The draft rate model and video recording of the meeting will be posted on our Rate System Reform website by the end of today.

• Read more about Quarterly Physician Drug Codes Update: QTR 2

In alignment with the Centers for Medicare & Medicaid Services’ (CMS) quarterly rate update, the Department has retroactively updated the Physician Drug Rates Effective April 1, 2024. These new rates were implemented for billing on May 15, 2024.

The updated rates can be found on the Rate Setting page of the Health PAS Online Portal. 

Adjustment of Claims

• Read more about Appropriate Submission of Authorization to Release Information Forms

This notice is to clarify and provide instructions on the appropriate processes for submitting Authorization to Release Information forms (Authorizations) to DHHS offices. This form is signed by the patient to give DHHS permission to speak with someone else about their benefits.

• Read more about Reducing Stillbirths in Maine: Free Count the Kicks Educational Materials and Webinars

Educational Resources for Providers 

The Maine Department of Health and Human Services and Count the Kicks are pleased to provide free educational materials and resources for those who serve expectant parents in Maine. These materials are available in the following languages: English, Spanish, Portuguese, French, Lingala, Arabic, Haitian Creole, Kinyarwanda, and Somali.  

Webinar for Nurses & Doulas 

• Read more about Submitting Electronic Transactions through Change Healthcare/Optum Clearinghouse

Due to Change Healthcare’s recent national cyber security issue, some providers have not been able to submit Electronic Data Interchange (EDI) transactions to MaineCare. These electronic transactions include, but are not limited to, claim submission and eligibility verification. MaineCare worked with Change Healthcare/Optum to re-establish a connection, and they are now certified to submit EDI transactions in production. Contact your vendor(s) to submit EDI transactions they’ve been holding since February 2024. 

May 5, 2024

The Maine DHHS Office of Child and Family Services (OCFS) announced today new child care reimbursement rates taking effect in July 2024 that will improve access to high-quality child care and early childhood learning for families across Maine.

• Read more about Maine Office of Child and Family Services Announces Child Care Reimbursement Rate Increases

• Read more about Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Section 40, Home Health Services

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 40, Home Health Services

• Read more about SNAP E&T 7A - Mileage Reimbursement and Gift Card Policy Update

The adopted rule updates Section 8(I) Support Service Limits – Mileage Reimbursement to align with the rate afforded to those covered under the Maine Service Employees Association (MSEA) contract. The adopted rule refers readers to the State of Maine rate found on the Department of Administrative and Financial Services, Office of State Controller at https://www.maine.gov/osc/travel/mileage-other-info.

• Read more about SNAP Rule #232A - 2024 Federal Poverty Level Updates

The adopted rule make the following changes:

• Read more about SNAP Rule #232A - 2024 Federal Poverty Level Updates

The adopted rule make the following changes: