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The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Ch. 101 MaineCare Benefits Manual, Chapter II, Section 23, Developmental and Behavioral Health Services and Chapter III, Section 23, Allowances for Developmental and Behavioral Evaluation Services
ADOPTED RULE NUMBER:
CONCISE SUMMARY:
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 Office of Aging and Disability Services (OADS) is excited to announce a virtual de-escalation training opportunity scheduled for Tuesday, August 20, 2024. This training is being provided under collaboration with the National Alliance on Mental Illness (NAMI) Maine and 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.
Acentra Health and the Office of Behavioral Health previously sent an announcement on May 29, 2024, regarding the ability for providers to run their agency’s hold for service reports from the Atrezzo portal. We would like to clarify the process of how a member is removed from the agency’s hold for service report.
A member will only be removed from the waitlist under the following scenarios:
The member is receiving the referral service from the referring provider
There has been an approved Referral Refusal for the referring provider
One of the tasks associated with MaineCare’s 1115 SUD waiver is the “establishment of a Utilization Management (UM) approach for appropriate access and level of care for SUD services, including an independent process for reviewing placement in SUD residential treatment”. This UM is a component of Maine’s Implementation Plan and Special Terms & Conditions approved by the Centers for Medicare & Medicaid Services (CMS) for this waiver and was implemented in July 2023.
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 45, Hospital Services
NATURE OF PROPOSED CHANGES: The Department plans to address the following changes in hospital reimbursement:
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: The MaineCare Accountable Communities Program
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Sections 67, Nursing Facility Services and Section 97, Private Non-Medical Institution (PNMI) providers delivering services through Appendix C, Principles of Reimbursement for Medical and Remedial Service Facilities
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 97, Private Non-Medical Institution (PNMI) Substance Use Treatment Facilities (Appendix B) and Children's Residential Care Facilities (Appendix D)