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UPDATE: Notice of MaineCare 1115 Waiver Application: Substance Use Disorder Care Initiative Amendment
AGENCY: Department of Health and Human Services, Office of MaineCare Services
NATURE OF PROPOSED CHANGES: The state is requesting a budget neutrality projection adjustment for two components of the current 1115 Waiver Substance Use Disorder (SUD) Care Initiative.
The Office of Aging and Disability Services (OADS), in collaboration with the National Alliance on Mental Illness (NAMI) Maine is excited to announce a virtual training De-Escalation opportunity scheduled for Tuesday, December 10, 2024, from 3:00 PM – 5:00 PM.
This training is available for caregivers providing care to Section 12, 19, and 96 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.
This is a reminder that the attending provider is required on all UB-04 and 837I claims. MaineCare denies 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).
The Office of MaineCare Services (OMS) is requesting that providers include the taxonomy code on all claims. The taxonomy code is necessary for the Centers for Medicaid and Medicare Services (CMS) to collect data for Transformed Medicaid Statistical Information System (T-MSIS) reporting. This data helps to inform states of their current standing in data quality as compared to other states and is crucial for research and policy on Medicaid and CHIP. The taxonomy is also used by CMS to conduct program oversight, administration, and integrity.
Per the Affordable Care Act (ACA), Section 6401, all providers need to revalidate with all states they are enrolled with.
Durable Medical Equipment (DME) providers are required to revalidate their information with MaineCare every three years. The current round of revalidation began in January 2022.
The PRTF public review and comment forum has been rescheduled to December 17, 2024.
MEETING DATE & TIME:
Tuesday, December 17, 2024, 11:30AM – 1:00PM
ZOOM Information:
https://mainestate.zoom.us/j/89397750850
Meeting ID: 893 9775 0850
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Cost-of-Living Adjustments (COLA)
Due to current projected budget limitations, the Department will only be applying COLAs on January 1, 2025, that are required by federal law. Other COLA adjustments will be reliant on additional appropriations by the legislature.
SPT
The Maine CDC Children and Youth with Special Health Care Needs is hosting Dr. Maggie Bordeaux of the Maine CDC Lead Program and invite you to join an insightful webinar on the effects of lead on children; children who are at risk for lead exposure, and ways to prevent lead exposure.
At the end of this presentation, participants will be able to:
Effective January 1, 2025, the Department will add preferred and non-preferred drugs to the Biosimilar PDL, listed below.
Preferred drugs:
Non-preferred drugs: