• Read more about Attention Providers of Section 31, Federally Qualified Health Centers (FQHC): Draft Rate Methodology Public Review Presented Materials and Comments  

On March 30, 2023, MaineCare held an online public meeting to present a draft Alternative Payment Methodology (APM) along with the rationale for the recommended methodology for section 31, Federally Qualified Health Centers.

• Read more about Attention Providers of Section 18, 19, 20, 21, and 29 Services: Appendix K to Maine’s Home and Community Based Services (HCBS) Waivers Continues to Provide Temporary Flexibilities on Service Caps and Staffing

Appendix K to Maine’s HCBS 1915(c) waivers provides the state certain flexibilities in waiver program operations during an emergency. Maine’s Appendix K and amendments may be found on Medicaid.gov.

• Read more about Attention Section 97, Appendix B Residential Substance Use Providers: Webinar Offering 

DHHS is hosting a webinar to orient prospective or new Section 97, Appendix B Residential Substance Use Disorder (SUD) providers to DHHS. The webinar will include the following topics:   

• Read more about Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs Update 

As a follow up to the notice on February 2, 2023, the Department has updated the Behavioral Health Rate FAQ document on billing and authorizations for

• Read more about Electronic Visit Verification (EVV) Trainings and Forums

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 happened January 1, 2023.  

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

• Read more about Rounding Rule Information for Providers of Section 25, Dental Services

On May 29, 2022, MaineCare adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023, which the Department will not enforce until May 1, 2023. MaineCare provided a future effective date and delayed enforcement of the rule to give providers time to make necessary system changes to bill for partial units of service.

• Read more about Update to the Rounding Rule Enforcement Date

This notice is an update to the e-message sent on January 20, 2023. MaineCare is extending its delay of the enforcement of the rounding rule by one month, from April 1, 2023, to May 1, 2023, to allow further time for necessary system changes.

• Read more about Correction: Section 26 Day Health Services: Rate Study Comment Summary

We previously sent this notice on March 30, 2023, with an incorrect link to the summary of comments. We corrected the link below.  

Mar 3, 2023

Since the start of the Mills Administration, the Department of Health and Human Services (DHHS) has prioritized both expanding eligibility for MaineCare and improving how the program pays for services for its members. These efforts have culminated in significant achievements that the Department continues to build on to further promote quality, accessible services for the over 400,000 Maine residents currently served by the program.

• Read more about DHHS Achieves Progress on MaineCare Rate Reform

• Read more about 10-144 CMR Ch. 270, Sample Collection and Drug Testing Rule for Suspected Operating Under the Influence Cases

The Department amended this rule to update requirements for law enforcement agencies and laboratories involved in testing of persons suspected of operating under the influence of intoxicating liquor or drugs (29-A MRS §§ 2431-2528). The adopted rule is consistent with legislative changes enacted by the 129th Maine State Legislature, impacting certification, sample collection and testing for intoxicating substances. This rule ensures accurate testing for forensic purposes and compliance with applicable rules and standards. Adopted routine technical rule changes include the following: