DHHS → node
On August 22, 2022, the Department will remove Dental Procedures and Nomenclature (CDT) code D1206, Topical Application of Fluoride Varnish, from non-dental provider contracts so that it is no longer billable by non-dental providers. This change is part of the rulemaking for MaineCare Benefits Manual, Chapter II, Section 90, Physician Services, which was adopted on May 9, 2022.
Effective July, 22, 2022, MaineCare is accepting Housing Outreach and Member Engagement (HOME) Provider applications from providers interested in delivering HOME services for eligible individuals experiencing long-term homelessness, as described in the newly adopted MaineCare
Jul 7, 2022
The Office of MaineCare Services has launched Primary Care Plus (PCPlus), a new initiative to support primary health care, advance health care quality, and improve the efficiency of health care spending. PCPlus enables MaineCare to replace the prior outdated and convoluted system of payments and offer primary care practices a single, integrated process for reimbursement with greater flexibility and incentives to meet MaineCare members’ health care needs.
On January 12, 2022, we updated certain drug code rates retroactively to either January 1, 2021, or July 1, 2021, in MIHMS based on updates from the Centers for Medicare & Medicaid Services (CMS).
On February 10, 2022, as part of a regular annual update, we updated the rates for MaineCare Benefits Manual, Chapter II, Section 4, Ambulatory Surgical Center Services, in MIHMS retroactively to January 1, 2022.
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed
The Department of Health and Human Services (DHHS) Office of Aging and Disability Services (OADS) is hosting a virtual listening session to gather input on Supporting Access to Technology by Individuals with Intellectual and Developmental Disabilities (IDD).
We published an updated Alternate Electronic Visit Verification Specification document on the Health PAS Online Portal, called “EVV Requirement Specification.” This document is for providers using an alternate/third-party vendor to meet EVV requirements.
Effective July 1, 2022, Primary Care Plus (PCPlus) is MaineCare’s new value-based approach to support the primary care system, improve healthcare quality, and reduce inefficient health care spending. PCPlus replaces MaineCare’s former primary care programs, including Primary Care Case Management (PCCM), Primary Care Provider Incentive Payment (PCPIP), and primary care Health Homes, with a single, integrated initiative.
In June 2021, the Maine Department of Health and Human Services (DHHS) received $32 million grant funding through a National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities.