Rate Determination Initiation Notice and Public Forum Invite for Section 23, Developmental and Behavioral Clinic Services: Child Abuse Evaluations

This bulletin provides notice that the Department has initiated a Rate Determination Process* for Child Abuse Evaluations under Section 23 of the MaineCare Benefits Manual (MBM). The Department is conducting this rate determination to improve member access to this service. The Department will assess, and determine as appropriate, a new rate amount or reimbursement model in accordance with Maine statute.  

Section 17, Assertive Community Treatment (ACT) Services Staff Requirements

Under Section 17.04-3(A)(4), ACT provider team staff must include a certified rehabilitation counselor or a certified employment specialist who has completed an Association of Community Rehabilitation Educators (ACRE) approved course or an equivalent DHHS approved training.

The Department will exercise enforcement discretion of this requirement by allowing a person who is not a fully certified employment specialist or rehabilitation counselor to fill the position and obtain full certification within six months of being hired.

Maine CDC Marks Lyme Disease Awareness Month with “Little Tick, Big Deal” Campaign

Avoid ticks with prevention tips

AUGUSTA – The Maine Center for Disease Control and Prevention (Maine CDC) urges Maine residents and visitors to take precautions to make tick prevention a “big deal” this month. Governor Janet Mills has again proclaimed May Lyme Disease Awareness Month and this year’s theme is “Little tick, Big Deal.”

MaineCare Provider Training Opportunities and Survey

Health PAS Online Portal Training

Beginning in June 2024, the Office of MaineCare Services, in collaboration with Gainwell Technologies, will be offering weekly training on various Health PAS Online Portal modules, listed below. These trainings will be held via Microsoft Teams, and a list of course dates and times can be found in the Event Calendar on the Health PAS Online Portal.  

Section 45, Hospital Inpatient Psychiatric and Substance Use Disorder (SUD) Unit Services – Rate Determination Comment Summary with Department Response

In October of 2022, the Department’s Office of MaineCare Services initiated a rate determination process for Section 45, Inpatient Psychiatric and SUD units. On January 12, 2023, we held a virtual public forum with our vendor Burns & Associates (HMA – Burns), to present draft rate models and methodologies to interested parties and allow for public comment. Written comments were accepted through February 3, 2023.

New Health Home Model for Substance Use Disorders (SUDs) –Rate Study Kickoff Meeting: Presented Materials

On May 7, 2024, MaineCare held a virtual public meeting with interested parties to present the major elements of the new SUD Health Home model and describe the process and timeline for this rate study. Participants had the opportunity to ask questions and provide feedback.

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