Payment Error Rate Measurement (PERM) Audit
Empower AI is currently requesting medical records from providers. Please be advised that this is a legitimate request and is part of the federally mandated PERM audit.
Attention Providers: Survey to Help Identify Programs that Support Children and Families in Maine
To better understand more about existing programs within communities that help children and families in Maine, the Maine Department of Health and Human Services and Maine Child Welfare Action Network are partnering with Chapin Hall at the University of Chicago.
Attention Providers of Section 65: Behavioral Health Rate FAQs Update
As a follow up to the notice on April 14, 2023, the Department has updated the
Attention Primary Care Plus (PCPlus) Providers: Reminder - PCPlus Open Office Hour
MaineCare’s Delivery System Reform Unit (DSRU) will be holding a PCPlus Open Office Hour on Tuesday, November 14, 2023, at 12PM. The purpose of the Open Office Hour is to provide an accessible online venue for PCPlus providers to come and ask MaineCare questions regarding the PCPlus model. During the Open Office Hour, we will also discuss the April 1, 2024 requirements for Tier 2 and Tier 3 PCPlus practices regarding hiring or contracting with community health workers and community-based organizations.
Maine DHHS releases updated data on MaineCare eligibility reviews, including transitions to CoverME.gov
Nov 11, 2023
Today, the Maine Department of Health and Human Services (DHHS) released updated data on the resumption of MaineCare (Medicaid) eligibility reviews after the COVID-19 Public Health Emergency, known as “unwinding.” This update is available on the MaineCare Renewals Data Dashboard and is based on more current data than reflected in previous months’ updates.
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 94, EPSDT
Notice of Agency Rule-making Proposal
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual (MBM), Chapter II, Section 71, National Diabetes Prevention Program
ADOPTED RULE NUMBER:
CONCISE SUMMARY:
Electronic Visit Verification (EVV) Phase 2 Trainings
The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.
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
Reminder: State Funded Abortion
Effective September 19, 2019, MaineCare began covering abortion services that are not eligible for reimbursement from Centers of Medicare and Medicaid Services (CMS). It is important to submit claims with information that identifies the service because this service is only covered by State funds.
Post Exposure HIV Prophylaxis Hotline
The National Clinician Consultation Center offers free guidance on occupational and non-occupational exposure to HIV seven days a week. Call (888) 448-4911.