Jan 1, 2023

As the largest Department in State government that serves one in three Maine residents, the Maine Department of Health and Human Services (DHHS) is committed to removing barriers to services for various populations, improving equitable outcomes, and making working in and with DHHS a positive experience for people of all cultures, races, ethnicities, and identities. To this end, Ian Yaffe will become the next Director of Diversity, Equity, and Inclusion (DEI) for the Department on January 30. 

• Read more about DHHS Announces Ian Yaffe as Next Director of Diversity, Equity, and Inclusion

• 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 Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840

This is a reminder that the attending provider is required on all UB-04 and 837I claims.  Effective April 1, 2023, MaineCare will deny UB-04 and 837I claims submitted without an enrolled attending provider.

The attending provider is the individual who has overall responsibility for the patient’s medical care and treatment reported in the claim/encounter. The attending provider requirement includes all claim submission methods (paper, HealthPAS Online Portal, or 837I).

• Read more about Rounding Rule Enforcement Discretion

On May 29, 2022, MaineCare adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023. In response to provider feedback, MaineCare will exercise discretion in its enforcement of the new rounding rule until April 1, 2023, to give providers additional time to implement necessary system changes. Any providers holding claims because their systems are not compliant with the rounding rule may release those claims.

• Read more about Rounding Rule Enforcement Discretion

On May 29, 2022, MaineCare adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023. In response to provider feedback, MaineCare will exercise discretion in its enforcement of the new rounding rule until April 1, 2023, to give providers additional time to implement necessary system changes. Any providers holding claims because their systems are not compliant with the rounding rule may release those claims.

• Read more about Attention Providers of Section 45, Hospital Inpatient Psychiatric and Substance Use Disorder Services - Presented Materials and Comment Period

PUBLIC REVIEW AND COMMENT  

Jan 1, 2023

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) announced today that during the Open Enrollment Period for 2023 coverage, which ran from November 1, 2022, through January 15, 2023, 63,388 Maine people selected affordable health insurance plans at CoverME.gov, Maine’s Health Insurance Marketplace. Among Maine consumers who selected plans, 10,168 were new consumers who were not enrolled in Marketplace insurance prior to open enrollment.

• Read more about CoverME.gov Concludes Second Open Enrollment Period as Maine’s State-Based Health Insurance Marketplace Maintaining Gains in Coverage

• Read more about Attention Providers: What’s Happening with Housing Webinar

The Office of MaineCare Services and Maine State Housing Authority will host a webinar, What’s Happening with Housing, on February 2, 2023.

In 30 minutes you will learn about:  

• Read more about Attention Providers: What’s Happening with Housing Webinar

The Office of MaineCare Services and Maine State Housing Authority will host a webinar, What’s Happening with Housing, on February 2, 2023.

In 30 minutes you will learn about:  

• Read more about Attention Providers: What’s Happening with Housing Webinar

The Office of MaineCare Services and Maine State Housing Authority will host a webinar, What’s Happening with Housing, on February 2, 2023.

In 30 minutes you will learn about: