DHHS → node
Acentra Health, formerly known as Kepro, in collaboration with the Office of Behavioral Health will be hosting two provider training sessions to review the Treatment Episode Data Sets (TEDS) submission requirements in the Atrezzo portal. The TEDS data submission is a requirement of all licensed SUD providers in Maine for the State to receive federal funding support for SUD treatment services and programs.
This rule change proposes to increase the income limit from 185% of the Federal Poverty Level (FPL) to 225% of the FPL consistent with 22 M.R.S. Section 3790-A(2)(E) (2017), amended by PL 2023 Ch.
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.
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.
This bulletin provides notice that the Department has initiated a Rate Determination Process* for CCBHCs and is in the final stages of procuring a vendor. There will be opportunities throughout this Rate Determination process for stakeholders to provide feedback and comment.
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.
This is the last weekly provider training notice. 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.
Training Topics
Last Fall, MaineCare initiated a rate determination for Section 45, Distinct Psychiatric and SUD units.
On June 15, 2023, MaineCare held an online public meeting to present draft rate models along with rationale for the recommended rate models for Section 107, PRTFs.
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.
In order to promote access to Sublocade, XRB, MaineCare may engage in rulemaking. In the meantime, providers may bill the medical benefit for XRB without prior authorization if their documentation meets the criteria outlined below. The criteria will be available on the Preferred Drug List after the July 2023 update. Failure to meet these criteria could result in sanctions.
MaineCare Extended-Release Buprenorphine Clinical Criteria