Rulemaking Proposal; Immunization Requirements for Healthcare Workers Rule - 10-144 CMR c. 264

The Department is proposing routine technical rule changes to amend Chapter 264, Immunization Requirements for Healthcare Workers, to remove COVID-19 from the list of vaccine preventable diseases for which Designated Healthcare Facility employees must show proof of immunization or provide appropriate exemption documentation.

MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter Chapter III, Section 45, Hospital Services

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes.  The MaineCare Benefits Manual is available on-line at the Secretary of State’s website

Attention All Providers: Payment Error Rate Measurement (PERM) Audit

Current PERM Audit 

The State of Maine is currently in the process of a federally mandated PERM audit for Reporting Year 2024. This audit covers randomly selected paid claims with a payment date from July 1, 2022, through June 30, 2023. Due to the random sampling of claims, all providers should be prepared to send requested medical records to support claims that were or will be paid during this time period. 

Attention Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services: Draft Rate Model Public Review and Comment

In June of 2023, MaineCare provided notice that it had initiated a rate determination for Section 97, PNMI Appendix D, TFC Services. The Office of Child and Family Services in collaboration with the Office of MaineCare Services has revised the service model to inform the development of the draft rates.

Electronic Visit Verification (EVV) Phase 2 Trainings

January 1, 2023 was 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.

We continue to offer weekly provider and aggregator trainings. All trainings are online via Microsoft Teams.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings more than once.

EVV Training Schedule

Maine WIC Announces 2023 Farmers Market Nutrition Program Season

Jul 7, 2023

The Maine Center for Disease Control and Prevention (Maine CDC) Women Infants and Children (WIC) and Farmers Market Nutrition Program (FMNP) announced today the start of the 2023 FMNP season, during which WIC participants automatically receive additional benefits to purchase fresh, local produce.

The FMNP season opened on July 1 and will end on October 31, 2023. Each WIC participant over 12 months old will have $30 to spend on Maine grown fruits and vegetables this season.

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