2022 Podiatry Code Rate Update, CR 109908
Effective June 1, 2022, the revised rates for Chapter III Section 95: Podiatric Services codes have been updated in MIHMS retroactively to January 1, 2022.
Please see the list of affected codes below:
2022 Rate Update for Section 2 Adult Family Care Home and Remote Island Facility, CR 110467
Effective July 1, 2022, Section 2, Chapter III, Adult Family Care Services for Adult Family Care Home (AFCH) and Remote Island Facility daily rates increased by 3.38 percent. Please see the tables below for more detail.
2022 Rate Update for Section 26 Day Health Services, CR 110465
Effective July 1, 2022, the rate for Section 26, Chapter III, Day Health Services (S5100 HC – Day Care Services) increased from $3.86 to $3.99 per unit. The increase is based on 3.38 percent inflation
Section 60 DME Cures Act Codes, CR 109579
Effective May 13, 2022, MaineCare Benefits Manual (MBM), Section 60, Durable Medical Equipment (DME) codes have been updated in MIHMS retroactively to January 1, 2022.
Access to Abortion Care in Maine
Jul 7, 2022
In the wake of the Supreme Court striking down Roe v. Wade, Governor Janet Mills has signed an Executive Order to further safeguard access to abortion in Maine and to protect Maine health care providers who provide reproductive health care and their patients.
MaineCare Pediatric COVID-19 Vaccine Administration and Vaccine Counseling: Please Hold Claims Pending Further Billing Guidance
Effective June 17, 2022, the Food and Drug Administration authorized emergency use of the Moderna and Pfizer-BioNTech vaccines for the prevention of COVID-19 to include children as young as 6 months. &n
Updated Payment Rate Details for Substance Use Disorder (SUD) Intensive Outpatient Program (IOP) Service Providers, CR 110559
Effective June 29, 2022, we have updated the rate for Sections 65, Substance Use Disorder (SUD) Intensive Outpatient Program (IOP) services in MIHMS retroactively to January 1, 2022. These rates are now ready to bill.
Primary Care Plus (PCPlus) Orientation Events
PCPlus is MaineCare’s new value-based approach to support the primary care system, improve healthcare quality, and reduce inefficient health care spending. PCPlus gives primary care providers greater flexibility and incentives to meet MaineCare members’ healthcare needs.
Over 230 primary care practices are expected to participate in PCPlus starting July 1, 2022. Participation includes:
Dental Prior Authorization (PA) Forms, CR 110373
Effective July 1, 2022, we have updated the Prior Authorization (PA) process for dental services. We have updated some dental PA forms. Please see below for more information about the changes that are in effect on July 1, 2022.
Please discontinue use of these forms:
- Dentures PCP PA Form
- Supplemental Denture PA Form
Please use the following new forms: