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Acentra Health in collaboration with the Office of Behavioral Health have developed a process improvement for providers to better track their Hold for Service Referrals.
Beginning June 1, 2024, providers will have the ability to run their agency’s Hold for Service Report from the Atrezzo portal. The Hold for Service Report will be available to providers who have a Group Admin +Reports or Admin +Reports user role in the Atrezzo portal.
MaineCare’s Delivery System Reform (DSR) Annual Forums will be held on:
This year, MaineCare is turning the tables and wants to hear from YOU! Consider applying to be a presenter.
The Department is adopting amendments to Chapter 269 on an emergency basis, to immediately implement the allowance of the dry gas standard when performing accuracy checks and calibration adjustments on breath alcohol testing instruments. This rule change ensures dry gas standard qualifies under this rule for admissibility in Maine’s courts, aligning with the industry standards (National Highway Traffic Safety Administration (“NHTSA”) and National Institute of Standards and Technology (“NIST”)). In accordance with 5 MRS § 8054, this rule is effective for 90 days.
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until t
May 5, 2024
Reorganization strengthens child welfare operations and completes transition of Children’s Behavioral Health Services
This bulletin provides notice that the Department has initiated a Rate Determination Process* for certain Medicare covered Family Planning Services and for LARCs. The Department is conducting this rate determination to maintain member access to Family Planning Services. The Department will assess, and determine as appropriate, new rate amounts or reimbursement models in accordance with requirements found in Title 22 MRSA §3173-J.
A new report is now available to providers on the Health PAS Online Portal. The report is intended to be a supplement to the existing RA/835 which provides more information on the non-claim and reversal recoupment transactions associated with providers payment remit.
To get to the new report:
Gainwell continues to reduce the processing time for enrollment cases. Gainwell completed 572 enrollment cases in April and the average turnaround time for case completion was approximately 16.4 days. Case inventory was 520 at the end of April and the average system age of an enrollment case was approximately 19 days old.
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.
On May 13, 2024 the Offices of MaineCare Services (OMS) sent an e-message regarding dental surgery services provided in an Ambulatory Surgical Center (ASC). This message is meant to clarify how the addition of these codes to the MaineCare Benefits Manual (MBM), Chapter II, Section 4, Ambulatory Surgical Centers Fee Schedule is applicable when provided to MaineCare members.