CoverME.gov Attracting New Consumers as Final Deadline for 2024 Coverage Approaches

Jan 1, 2024

As open enrollment for Health Insurance Marketplace plans for 2024 approaches its conclusion next Tuesday, January 16, 2024, thousands of new consumers are selecting plans through Maine’s state-based marketplace, CoverME.gov.

As of December 15, 2023, 7,321 new consumers had selected plans, the largest number of new consumers selecting plans by that date in all three years Maine has operated a state-based marketplace. December 15 was the deadline for coverage that started January 1, 2024.

Attention Section 67 Providers – Members Coverage Inadvertently End-Dated in MIHMS

This notification is to advise Section 67 Nursing Facilities (NFs) that several members have had their MaineCare coverage for nursing facility services inadvertently end-dated on December 31, 2023. We are aware of the issue and a resolution is forthcoming. 

Section 67 providers can continue to bill for nursing facility services up to December 31, 2023 but should refrain from billing for dates of service on or after January 1, 2024.

Attention Nursing Facilities (NFs) and Residential Care Facilities (PNMI, Appendix C, RCFs) – Rates Effective January 1, 2024

Effective January 1, 2024, MaineCare is increasing reimbursement rates for NFs and RCFs in accordance with Part AAAA of P.L. 2021 Ch. 398, to continue to enable providers to cover labor costs for essential support workers to at least 125% of the minimum wage.

Rate letters are posted at the secure Health PAS Online Portal and rates have been implemented for billing.

For questions on rates please contact the individual listed on the rate letter.

Attention Section 65, Behavioral Health Service Providers: Mobile Crisis Response Teams Draft Service Model and Rates, Public Review and Comment

Earlier this year, the Department’s vendor, Burns and Associates, a division of Health Management Associates (HMA-Burns), conducted a survey for Section 65 Crisis Resolution and Response Services.

Help MaineCare Members Avoid a Gap in Health Coverage

As you may know, changes are coming to MaineCare, and the Maine Department of Health and Human Services is hoping that pharmacies can help to spread the word!

We are working to raise awareness about the need for people with MaineCare to renew their coverage or, if they’re no longer eligible, to enroll in coverage through their employer or through CoverME.gov, Maine’s Health Insurance Marketplace. 

More information about this process can be found at MaineCare.gov/unwinding.

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