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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 13, Targeted Case Management 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 67, Nursing Facility Services
Death is the first fatal case in 2024, one of three infections identified this year from the tickborne virus
AUGUSTA – The Maine Center for Disease Control and Prevention (Maine CDC) today confirmed the first fatal case of Powassan virus infection in Maine this year. The death occurred in York County. The last prior death from the tickborne virus in Maine occurred in May 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, Family Planning Services
NATURE OF PROPOSED CHANGES: The Department plans to amend reimbursement of certain family planning services, effective July 1, 2024. These changes are as follows:
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 25, Dental Services and Reimbursement
AUGUSTA– The Maine Department of Health and Human Services (DHHS) announced today that it received $1.7 million in federal grants to foster resiliency for individuals impacted by severe weather this past winter.
MaineCare discovered that some hospital non-emergency claims failed to price correctly and were overpaid. This occurred when there was more than one emergency room service on the claim, for claims submitted for Dates of Service from January 1, 2022, and March 31, 2024. MaineCare reimburses differently in cases where non emergent use of the emergency room is determined.
No provider action is required as MaineCare will re-process these claims.
The proposed rule change would update the Public Assistance Manual Temporary Assistance for Needy Families (TANF) consistent with legislative changes made to 22 M.R.S. § 3769-C made by P.L. 2024, Ch. 622, An Act to Reduce the Number of Children Living in Deep Poverty by Adjusting Assistance for Low-income Families.
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.
The Department is proposing this routine technical rulemaking following the adoption of amendments by emergency rulemaking effective May 28, 2024, that qualified the use of a dry gas standard under 10-144 CMR chapter 269 - Rules Governing Self-Contained Breath Alcohol Testing Equipment. The Department is ensuring that the dry gas standard provisions added for calibrating units in the emergency rule do not expire on August 26, 2024, with the emergency rule (5 MRS 8054(3)).