Virtual Forum for Dental Service Providers
MaineCare is hosting a dental forum on July 30, 2024, 12:00PM – 1:00PM.
The first 30 minutes will include updates and clarification from MaineCare about the following topics:
Attention Providers of MaineCare Benefits Manual (MBM) Section 45, Hospital Services: GME Add-On Amounts by Facility
The Department is conducting a rate determination for MBM Section 45, Hospital Services.
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology
PROPOSED RULE NUMBER:
CONCISE SUMMARY:
Jamestown Canyon Virus Detected in Penobscot County
Maine CDC shares tips to prevent diseases spread by mosquito bites
AUGUSTA- - The Maine Center for Disease Control and Prevention (Maine CDC) announced today that mosquitoes in the Penobscot County town of Orono tested positive for Jamestown Canyon virus (JCV). This is the first mosquito pool in Maine to test positive this year for any virus transmitted by mosquitoes. There are currently no known human cases of JCV or any other locally-acquired mosquito-borne diseases in Maine this year.
Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour
The Delivery System Reform Unit (DSRU) will be holding a PCPlus Open Office Hour on Friday July 12, 2024 from 12:00 PM – 1:00 PM. The purpose of the Open Office Hour is to provide an accessible online venue for PCPlus providers to hear about pertinent information and ask MaineCare questions you might have regarding the PCPlus program. One of the topics we will be highlighting during this discussion is the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program for Children and Youth.
Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Section 23, Developmental and Behavioral Evaluation Services
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 23, Developmental and Behavioral Evaluation Services
NATURE OF PROPOSED CHANGES: The Department plans to add reimbursement for Foster Care Comprehensive Health Assessments (CHAs) and amend existing reimbursement for Child Abuse Evaluations in accordance with the table below.
State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs)
SFY25 Rate Letters for NFs and RCFs are now available on the secure Health PAS online portal. New rates are effective as of July 1, 2024.
Implementation of Rates
NF rates were implemented on June 26, 2024.
Specialty NF and RCF rates will be implemented by August 1, 2024.
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MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.
MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, Office of MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology
ADOPTED RULE NUMBER:
CONCISE SUMMARY: