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On September 15, 2022, the World Professional Association for Transgender Health (WPATH), updated the Standards of Care for the Health of Transsexual, Transgender, and Gender Diverse People to Version 8.
At the beginning of the COVID-19 pandemic, the federal government declared a PHE and relaxed certain requirements to ensure Medicaid members could continue to access healthcare services. The federal government has declared that the PHE will end on May 11, 2023.
At the beginning of the COVID-19 pandemic, the federal government declared a PHE and relaxed certain requirements to ensure Medicaid members could continue to access healthcare services. The federal government has declared that the PHE will end on May 11, 2023.
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.
NOTE: The Absorb training system has been updated to allow providers to register for trainings and/or forums more than once.
The Office of MaineCare Services has updated the Frequently Asked Questions document issued in conjunction with the e-message sent on March 6, 2023, “Notice to MaineCare Providers Regarding MaineCare Reimbursement when Restraint is Utilized in Outpatient Behavioral Heal
MaineCare previously provided notice that we had initiated a rate determination process for Section 67, Nursing Facilities and Section 97, Residential Care Facilities. As part of the rate determination process, MaineCare and our vendor Guidehouse Inc.
Kepro reviews clinical documentation submitted with Prior Authorization (PA) and Continued Stay Review (CSR) requests for members under 21 years of age, including requests for behavioral health services. Kepro reviews the documentation for medical necessity of the requested services not only under the service-specific limits of the MaineCare Benefits Manual (MBM), but also under EPSDT guidelines.
This notice provides clarification to providers of Sections 17, 65, and 92 Adult Behavioral Health Services regarding service termination approval requirements for adults receiving behavioral health services. *There are no changes for Section 97 service termination requests. Section 97 providers should follow the existing process.*
On April 18, 2023, the Food and Drug Administration (FDA) announced changes to simplify the use of Bivalent mRNA COVID-19 vaccines. As a result, the Monovalent COVID-19 vaccines produced by Pfizer BioN-Tech and Moderna are no longer authorized for use in individuals aged six months and older. See the codes below that are no longer authorized for use:
The Department of Health and Human Services (DHHS) is excited to announce the creation of a Service Locator Tool hosted on Bamboo Health’s TreatmentConnection.com. The Tool will improve access to treatment for substance use and mental health issues. The goal is to publicly launch this tool in summer 2023.