• Read more about Pfizer and Moderna Bivalent COVID-19 Vaccines Authorized to use as Booster Doses

In an August 31, 2022, announcement, the Food and Drug Administration (FDA) issued Emergency Use Authorizations (EUA) for the use of Bivalent COVID-19 Vaccines from Pfizer BioN-Tech and Moderna as a Booster Dose.

• Read more about Tribal Self-Attestation, CR 108474 

Effective August 26, 2022, the Department is now allowing MaineCare members to self-attest to being members of federally recognized tribes for the purpose of waving copayments and premiums.  

• Read more about ATTENTION Section 92, Section 13, and Section 17 Providers: Passthrough process now required if organizations jointly serve an Opioid Health Home (OHH) Member   

Please see changes below that apply when a Section 92 Behavioral Health Home, Section 13 Targeted Case Management, or Section 17 Community Integration provider delivers services to members enrolled with an Opioid Health Home (OHH). 

• Read more about Attention Providers of Sections 13, 17, 28, 65, 92 Draft Rate Model(s) Public Review and Comment

Earlier this year MaineCare conducted a survey of Behavioral Health and Other Services providers. We used the provider responses to create draft rate models for the services as part of the rate determination process. We outlined this process in a bulletin on April 22, 2022. This message outlines the next step in the process.

PUBLIC REVIEW AND COMMENT

• Read more about Division of Audit Appeal Decisions

Note: The first step in the appeal process is an informal review by the Division of Audit. Those decisions are posted here. The next step in the appeal process would be an administrative hearing before the Hearings Unit. The Recommended and Final Hearing Decisions are available at the Administrative Hearings Unit’s Provider Appeal Decisions’ section of their webpage.

• Read more about Re-entry Update #12

Good morning and happy September.

Tuesday, September 6 is the official start of the new DHHS Telework Policy. We are excited to welcome many of you back to our offices. We want to use this opportunity to update you on several “hot topics.”

Department Statistics: Over 2,100 workers have approved DHHS Telework Policy forms, including workers who choose not to telework. 

• Read more about MaineCare Notice of Second Public Comment Period for Home and Community-Based Services (HCBS) Settings

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.&nbsp

• Read more about Rate Determination Initiation Notice for Section 28 Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations    

This bulletin provides notice that the Department initiated a Rate Determination Process* for Section 28 Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations of the MaineCare Benefits Manual in Spring 2022 prior to P.L. 2022 Ch. 639 becoming effective.    

• Read more about Rate Determination Initiation Notice for Section 17 Community Support Services

This bulletin provides notice that the Department initiated a Rate Determination Process* for Section 17 Community Support Services of the MaineCare Benefits Manual in Spring 2022 prior to P.L. 2022 Ch. 639 becoming effective.    

 New rates are being determined pursuant to, P.L. 2021, Ch. 398, P.L. 2022, Ch. 635 and the Department’s rate determination priorities.     

• Read more about Rate Determination Initiation Notice for Section 13 Targeted Case Management

This bulletin provides notice that the Department has initiated a Rate Determination Process* for Section 13 Targeted Case Management of the MaineCare Benefits Manual in Spring 2022 prior to P.L. 2022 Ch. 639 becoming effective.   

New rates are being determined pursuant to the Department’s rate determination priorities and P.L. 2022, Ch. 635.