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May 5, 2025
Federal enhanced premium tax credits have been instrumental in making health insurance more affordable for thousands of Mainers through CoverME.gov, the state's health insurance marketplace, and are set to expire at the end of 2025 unless Congress takes action to extend them.
10-144 C.M.R. Chapter 330; Higher Opportunity for Pathways to Employment (HOPE) Program Rules
HOPE Rule #104P – Section 4: Dental Services Update
To ensure that members are receiving high-quality care, the Office of MaineCare Services (OMS) requests that providers review the Telehealth Policy within the MaineCare Benefits Manual (MBM). Please review your current practices and ensure compliance with the MBM.
We updated Secondary Billing Instructions to add detail about entering primary insurance payment information. Enter primary insurance payment information at the line level. If there are lines that do not have payment due to bundled services, enter the payment information at the header level.
When billing MaineCare secondary claims, you must attach an EOB to all claims, regardless if the submission type is Direct Data Entry (DDE), paper, or Electronic Data Interchange (EDI).
Maine CDC is adopting amendments to its Rules Relating to Youth Camps, Day Camps and Primitive Trip Camping which it has renamed “Youth Camps Rule”. The Department’s amendments to the rule include rule format changes and a change to the rule title for consistency with other Maine CDC rules. The Department also added, updated and clarified definitions within the rule. Other changes within the rule include incorporating the application, licensing and enforcement provisions and requirements from its Health Inspection Program Administration Rule (Ch. 201).
May 5, 2025
For a more up-to-date summary of impact, we encourage you to refer to a more recent blog post on this topic.
Federal Proposals Threaten Health Coverage, Nutrition Assistance, and Marketplace Stability in Maine
All errors found during a PERM audit are considered improper payments.Maine is required to reimburse the federal government for all improper payments and has the right to seek recoupment from providers for improper payments resulting from provider error.
The most common errors found in the RY 2024 PERM Audit cycle are listed below. The most common errors from the previous two PERM cycles are also included in the list. Before submitting a claim, check that the information for the member and the services provided are accurate and complete.
CONCISE SUMMARY: Maine’s Department of Health and Human Services Maine Center for Disease Control and Prevention is adopting this rule to coincide with the expiration of the rule adopted on an emergency basis (effective January 31, 2025), ensuring the additional $5.00 for burial-transit permits issued in Maine remains in rule as required by Public Law 2023, Chapter 677, § 4. This routine technical rule adopts changes that reflect the collection of an additional $5.00 above the current fee charged for the permit required for the transportation, temporary storage, disinterment, or final dispo
CONCISE SUMMARY: Maine’s Department of Health and Human Services Maine Center for Disease Control and Prevention is adopting this rule to coincide with the expiration of the rule adopted on an emergency basis (effective January 31, 2025), ensuring the additional $5.00 for burial-transit permits issued in Maine remains in rule as required by Public Law 2023, Chapter 677, § 4. This routine technical rule adopts changes that reflect the collection of an additional $5.00 above the current fee charged for the permit required for the transportation, temporary storage, disinterment, or final dispo
This rule adoption includes the additional $5.00 fee for burial-transit permits issued for the transportation, temporary storage, disinterment, or final disposition of a dead human body, pursuant to Public Law 2023, chapter 677, section 4, and replaces the outdated reference to a repealed statute (30 MRS § 2352) with the correctly referenced statute, 30-A MRS § 2652. Additionally, the amended rule includes technical changes to the format to conform to agency standards.