Maine DHHS and Maine Hospital Association Announce Agreement to Improve Reimbursement & Support Health of Maine People Through MaineCare Rate Reform

$90 Million Investment in Evidence-Based MaineCare Payment System Would Maintain or Increase Payments to Every Medical Center in Maine & Improve Care for Maine People

AUGUSTA— Today, the Maine Department of Health and Human Services (DHHS) and the Maine Hospital Association announced an agreement to reform hospital reimbursement rates to improve the health of Maine people.

Maine CDC Announces Possible Hepatitis A Exposure at Westbrook Restaurants

Potentially exposed patrons and staff are encouraged to contact a health care provider

AUGUSTA — The Maine Center for Disease Control and Prevention (Maine CDC) has identified a case of hepatitis A in a Westbrook food service worker. Hepatitis A is a contagious liver disease caused by the hepatitis A virus. It can spread through person-to-person contact or by consuming contaminated food or water.

Electronic Visit Verification (EVV) Phase 2 Trainings

The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.

We continue to offer weekly EVV provider and aggregator trainings. All trainings are online via Microsoft Teams.

NOTE: The Absorb training system has been updated to allow providers to register for trainings more than once.

EVV Training Schedule

EVV Phase 2 Training and Aggregator Content – State and Provider Trainings

 

Attention Providers: Survey Available on the Correlation Between Alcohol and Cancer

Partnerships For Health is working with the Maine CDC’s Comprehensive Cancer Control Program and Maine’s Impact Cancer Network to better understand clinical perspectives and practices around the link between alcohol consumption and cancer. You’ve been invited to complete a brief survey to share your thoughts and there is still time to participate! The survey should only take about 5 minutes to complete, and your responses will be completely anonymous. The survey has received Institutional Review Board determination (HRPP# 050923-42).

Provider Responsibility for Managing Users in My HealthPAS Trading Partner Accounts (TPA)

It is important for your TPA administrator to actively manage your user accounts for the Health PAS Online Portal. To manage users, log into the administrator TPA and click on “Account Maintenance” and then “Manage Users”. Edit existing, deactivated or reactivated users by clicking on the row of the user you would like to manage. The Administrator of the account and users with a security role of “R7-User Management” are allowed to use these features. 

EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) App

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 app using the Apple Store, or Google Play. The current version of the app is being phased out and will no longer be active. To avoid any interruption of visit record keeping, you should now download the app that has a version number of 3.0 or higher. 

Please contact Provider Services with questions:  

Provider Enrollment National Provider Identifier (NPI) Entry Enhancement, CR 122156

NPIs, i.e. Pay To, Rendering, and Non-Billing, Ordering, Prescribing, and Referring (NOPRs) will soon be checked against the National Plan and Provider Enumeration System (NPPES) directory to see if there is a match. If there is not a match, the NPI will not be allowed entry. Providers should review the information entered to ensure accuracy. If the system still will not accept the NPI, providers should wait at least five business days and try again.

Rules for Conversion of Seasonal Dwelling Units into Year-Round Residences in the Shoreland Zone 10-144 CMR Ch 242

The Department is adopting the repeal of this rule as it has adopted amendments to Maine's Subsurface Wastewater Disposal Rules, 10-144 CMR Ch. 241 (Ch. 241). The Department clarified the requirements and updated the language within Section 8(B)(1) of Chapter 241, so that all subsurface wastewater disposal requirements are combined within one rule at Chapter 241. This amended language to Ch. 241 make the requirements in Ch. 242 no longer applicable, therefore necessitating the repeal of this rule. Effective Date: February 4, 2024.

Sections 15, 75, 109 and 95, Calendar Year 2024 (CY24) Medicare Standardization Rates Implemented, CRs 122519, 122524, 122526

In follow up to our January 19, 2024 notice, and for the sections noted below, service codes and rates are now implemented, effective January 1, 2024, to reflect 72.4% of the most recent 2024 Medicare rates.  

The Department will reprocess claims submitted for dates of service January 1, 2024, through January 30, 2024. No provider action is needed.  

Updated Fee Schedules are linked below: 

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