EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) Application: Revised Phase Out Date

EVV Providers who are currently using the SMC app through their phone, tablet, or other mobile device should update to the latest version of the application using the Apple Store, or Google Play. The current version of the app is now being phased out, effective September 4, 2024. To avoid any interruption of visit record keeping, you should now download the latest version of the app.

Please contact Provider Services with questions: 

Attention Section 17, Community Support Service Providers: Implementation of January 1, 2024, COLA Delayed to August 14, 2024

As an update to previous communication, the implementation of Section 17 COLA rates effective January 1, 2024, has been delayed. These new rates will be implemented for billing on August 14, 2024. We apologize for any inconvenience.

Amendment to Initiation Notice: Sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, HCBS Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology Services, & Personal Support Services

As previously shared in our June 4, 2024, bulletin, the Department has initiated a rate determination process for certain services provided under Sections 12, 18, 19, 20, 21, 29, 40, 96, & 102 of the MaineCare Benefits Manual.  

This notice amends that initiation to include Personal Support Services in this rate determination.  

Maine DHHS releases new analysis to inform outreach as final phase of MaineCare "unwinding" approaches

Aug 8, 2024

Maine's Medicaid program (MaineCare) is in the midst of significant changes that make it more important than ever to keep Maine people covered for health care. Following the end of the COVID-19 Public Health Emergency, updates to federal rules mean that every Mainer who has coverage through MaineCare will have their coverage reviewed to ensure they are still eligible -- this process is known as the "unwinding" of the continuous Medicaid eligibility requirement. This process started in April 2023, and eligibility redeterminations will be completed by October 31, 2024.

10-149 C.M.R. Ch. 5, Sec. 2; DEVELOPMENTAL DISABILITY SERVICES FOR ADULTS WITH AN INTELLECTUAL DISABILITY OR AUTISM SPECTRUM DISORDER

The purpose of the rulemaking is to clarify the application process for Developmental Services available at OADS that are supported exclusively with state funds. The rule also removes descriptions of internal agency processes regarding client intake and eligibility determination, updates the tests for determining whether an applicant has an intellectual disability (abandoning the harmful terminology of years past) and Autism Spectrum Disorder, and identifies the state-funded Developmental Disability Services available from OADS. 

Rate Determination Kickoff Meeting: Sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, Home & Community Based Services (HCBS) Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, & Assistive Technology Services

Earlier this year, MaineCare provided notice that it had initiated a rate determination process for certain HCBS services provided under Sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, of the MaineCare Benefits Manual (MBM).   

Section 92, Behavioral Health Homes (BHH): Implementation of Cost-of-Living Adjustments (COLAs) Effective December 21, 2023, CR 125416

As previously noticed on December 1, 2023, MaineCare is increasing reimbursement for Section 92 BHH services through a 2.54% COLA. The implementation of this COLA had been “pending approval of appropriations.”

Sections 2, 13, 17, 26, 28, and 65: Implementation of Cost-of-Living Adjustments (COLAs) Effective January 1, 2024

On December 1, 2023, MaineCare provided notice that it would increase reimbursement for certain eligible services through a 2.54% COLA, to be effective January 1, 2024. The notice indicated a status of “pending approval of appropriations” for several eligible services (under Sections 2, 13, 17, 26, 28, and 65).

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