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Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services (DHHS), MaineCare Services, Division of Policy
CHAPTER NUMBER AND TITLE:
10-144 C.M.R. Ch. 101, MaineCare Benefits Manual, Chapter II, Section 43, Hospice Services
10-144 C.M.R. Ch. 101, MaineCare Benefits Manual, Chapter III, Section 43, Allowances for Hospice Services
PROPOSED RULE NUMBER:
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
The Affordable Care Act (ACA), Section 6401, states that almost all provider types must revalidate their information with MaineCare every five years. Durable Medical Equipment (DME) providers are required to revalidate their information with MaineCare every three years. The current round of revalidations began in January 2022.
The NRT standing order can be accessed on the MaineCare website Providers Resources page, under Pharmacy. Please use NPI 1407110893 as the prescriber NPI on the claim. This NPI is only to be used for MaineCare members and submission of the MaineCare voucher.
The Delivery System Reform Unit (DSRU) will hold a PCPlus Open Office Hour on Tuesday, August 15, 2023, at 12:00 PM. The purpose of the Open Office Hour is to provide an accessible online venue for PCPlus providers to ask MaineCare's DSRU questions you have regarding the PCPlus program.
Please help us reach groups in your community who are newly eligible for MaineCare coverage as of July 1, 2022, with or without proof of citizenship:
The SFY2024 rates for Residential Care Facilities that we calculated for the July 1, 2023 rate letters and implemented on August 9, 2023, by error did not include the direct care and routine cost adjustments.
This adopted rule provides continuing MaineCare coverage for parents, of children in the custody of the Office of Child and Family Services (OCFS), who are actively participating in family reunification. It also removes exclusions, lock-out periods, and premiums for Cub Care and increased the Federal Poverty Level (FPL) to 208% for all children. The adopted rule changes increase access to health insurance coverage.
The adopted rule updates the program name and references to the Supplemental Nutrition Assistance Program Employment and Training Program (SNAP E&T) from FSET to reflect recent updates for the SNAP program. The adopted rule is consistent with Maine revised statutes pursuant to P.L. 2021 c. 398 Part OO.
The adopted rule clarifies federal requirements for case management and job retention services and other minor updates made to clarify wording. Each of these updates more closely aligns the rule with 7 C.F.R. Section 273.3.