• Read more about Attention Providers of Section 23, Developmental and Behavioral Health Clinics - Foster Care Comprehensive Health Assessment Service: Presented Materials and Comment Period

PUBLIC REVIEW AND COMMENT   

• Read more about Billing Requirement for Federally Qualified Health Centers (FQHC), Rural Health Centers (RHC), Indian Health Services (IHS), and School Health Centers Reminder

As a reminder, the edit that posts on claims submitted with a T1015 service code and no paid encounter service(s) will deny the T1015 claim line. An e-message from August 12, 2021, describes this edit. 

• Read more about Billing Requirement for Federally Qualified Health Centers (FQHC), Rural Health Centers (RHC), Indian Health Services (IHS), and School Health Centers Reminder

As a reminder, the edit that posts on claims submitted with a T1015 service code and no paid encounter service(s) will deny the T1015 claim line. An e-message from August 12, 2021, describes this edit. 

• Read more about Attention Providers of Section 17 and Section 92 Services, Hold for Service Referral Provider Training

Kepro, in collaboration with the Office of Behavioral Health, is hosting a training on Thursday, December 15, 2022, at 9:00 AM. This training will review the process for submitting a hold for service referral in Atrezzo for members who cannot immediately be served in Assertive Community Treatment (ACT), Community Integration (CI) or Behavioral Health Homes (BHH) services.     

• Read more about Application Fee for 2023 Reminder, CR 114074

Effective January 1, 2023, in accordance with the Centers for Medicare and & Medicaid Services (CMS) application fee requirements, MaineCare’s provider enrollment application fee will increase to $688 per enrollment application. This increase will apply to new, reactivating, or revalidating providers, or when adding new service locations to an existing enrollment. You can pay the application fee by credit or debit card at the time of application submission.    

• Read more about DHHS Rulemaking Posting

Posting a new rule

1. Post the title of the rule in the "Title" field
2. Select the date the rule was posted to the site using the date picker
3. Add the summary of the rule/rule change
4. Select the Type of Post

Dec 12, 2022

The Maine Department of Health and Human Services (DHHS) today announced additional heating cost relief to help older Mainers with low income pay for high energy costs, complementing Governor Mills’ Emergency Winter Energy Relief Plan. 

• Read more about Maine DHHS Announces Additional Heating Cost Relief for Vulnerable Low-Income Residents 

• Read more about Test CNA Registry

Maine Registry of Certified Nursing Assistants and Direct Care Workers

• 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 is January 1, 2023.  

With these EVV deadlines quickly approaching, we continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams. 

• Read more about Attention Providers of Section 45, Hospital Services: Draft Rate Model Public Meeting

PUBLIC COLLABORATION 

MaineCare is conducting a rate study for Section 45 of the MaineCare Benefits Manual. This study is being performed by Burns and Associates, a division of Health Management Associates.

MaineCare is holding an online public meeting on December 19, 2022, to obtain important feedback regarding a draft reimbursement model specific to inpatient discharges at distinct psychiatric units and distinct substance use disorder units.