DHHS → node
Effective October 1, 2024, MaineCare has updated the Hospice rates. New rates were implemented for billing on October 23, 2024. You may view the fee schedule on the Health PAS Online Portal.
Adjustments for affected claims with dates of service October 1, 2024 – October 23, 2024:
We are rescheduling the Provider Dental Services Forum to January 22, 2025, 12:00 – 1:00 PM.
MaineCare staff are actively coordinating with Gainwell and Optum/Change Healthcare to better understand providers’ issues with dental billing clearinghouses, to understand who has responsibility for resolving these issues, to push for resolution where possible, and to understand alternatives for providers. Please know that not all issues are within our or Gainwell’s control.
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, Chapter III, Section 45, Principles of Reimbursement for Hospital Services
ADOPTED RULE NUMBER:
CONCISE SUMMARY:
In March of 2024, the Department with its vendor Guidehouse Inc., hosted two public forums to present the recommended draft rate methodology and rationale resulting from the rate determination process* that was initiated in 2023. Revisions were then made based on public and written comments received.
There are no additional live trainings for EVV scheduled after April 25, 2024. Providers can request Ad Hoc EVV Training by emailing MihmsTraining@gainwelltechnologies.com to schedule a training.
Register for online trainings through Absorb:
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.
As previously noticed, MaineCare and our vendor, Public Consulting Group LLC (PCG) are conducting a survey to collect information from providers and interested parties about certain services under Sections 12, 18, 19, 20, 21, 29, 40, 96, and 102. The survey will further inform this rate determination process. This notice serves as a reminder of the upcoming survey deadline on November 1, 2024.
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 43, Hospice Services
ADOPTED RULE NUMBER:
CONCISE SUMMARY:
The Department of Health and Human Services (the “Department”) adopts this rule to amend MaineCare Benefits Manual Chapter II, Section 43: Hospice Services.
Mainers without health coverage may enroll through CoverME.gov to receive financial savings on high quality health insurance
The CCBHC public review and comment forum has been rescheduled to November 6, 2024.
MEETING DATE/TIME:
Date/Time: Wednesday, November 6, 2024, 9:00AM – 10:30AM
ZOOM REGISTRATION LINK: