10-144 CMR Rules Governing the Maine Certification of Healthcare Cooperative Agreements
This routine technical rulemaking repeals 10-144 CMR Chapter 500, Rules Governing the Maine Certification of Healthcare Cooperative Agreements.
Rate Adjustments to Reflect Repeal of Service Provider Tax (SPT) for Health Providers
Questions & Answers
September 9, 2024
Question: Why is the Department planning to reduce certain rates?
MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder
Notice of Agency Waiver Amendment
AGENCY: Department of Health and Human Services, MaineCare Services
RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder.
WAIVER: ME.0159, Intellectual Disabilities or Autism Spectrum Disorder Waiver
MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury
Notice of Agency Waiver Amendment
AGENCY: Department of Health and Human Services, MaineCare Services
RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury
WAIVER: ME.1082, Home and Community Based Services for Members with Brain Injury Waiver
MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
Notice of Agency Waiver Amendment
AGENCY: Department of Health and Human Services, MaineCare Services
RULE TITLE OR SUBJECT: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
WAIVER: ME.0467, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver
Maine Department of Health and Human Services Issues $30 Million to Maine Nursing Facilities
Payments will help facilities address rising costs and workforce challenges
AUGUSTA – The Maine Department of Health and Human Services (DHHS) announced today that it has issued $30 million in one-time Medicaid (MaineCare) payments to Maine nursing facilities to help them address unforeseen increases in staffing and other operating expenses in the wake of the pandemic.
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840
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).
Clone of Materials for MaineCare Communications Toolkits
Download or Order Materials
The materials on this page were developed by the Office of MaineCare Services for anyone who wishes to give out information about the recent MaineCare.
Materials may be downloaded, or you may request printed materials be sent to you. Most materials are available in several languages.
Revalidate with MaineCare to Avoid Claim Denials
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.
Taxonomy Code Requested on Claim Submissions – Portal Claims
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.