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On January 8, 2024, we announced to Section 67 Nursing Facilities (NFs) providers that several members had their MaineCare coverage for NF Services inadvertently end-dated on December 31, 2023. This issue is now corrected, and providers can submit their claims for dates of service from January 1, 2024, to present.
Upon reassessment, the Office of MaineCare Services determined it has sufficient flexibility in policy language to require ACT providers to maintain a panel-wide average of three contacts per member, in alignment with fidelity to the model, rather than delivering a minimum monthly average for each member of three contacts per week. In accordance with MBM Section 17.04-3, in the event a member does not receive three contacts in a week, providers must continue to document why.
Pursuant to the Consolidated Appropriations Act 2023 (CAA 2023), Public Law 117-328, Division HH, Title IV § 501, EBT Benefit Fraud Prevention requirements, the Department adopts changes to the SNAP Manual, Section 777-4 to align with the requirements of the CAA 2023. The adopted rule changes provide clarity on the Department’s procedure and timeframes for replacement of SNAP benefits determined to have been stolen through card skimming, card cloning, or similar fraudulent methods. The U.S.D.A.
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
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EVV Phase 2 Training Content – State and Providers Attention Providers: New Ways to Connect Your Patients to Mental Health CareThe MaineCare HIV Program and the Delivery System Reform Units will host a 30-minute tour of Treatment Connection, an online platform that helps you locate and contact mental health and substance use disorder (SUD) providers. This session is specifically for providers who seek mental health and SUD services for their patients. The live event will start at 11:30 AM, Thursday, January 25, 2024. Register Here. (Recording will be posted). MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 29The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed rules on fi Maine DHHS provides update on MaineCare “unwinding”Jan 1, 2024 Today, the Maine Department of Health and Human Services (DHHS) released an update on the resumption of MaineCare (Medicaid) eligibility reviews after the COVID-19 Public Health Emergency, known as “unwinding.” During the first eight months of the unwinding period (from May to December, 2023), the Department’s efforts have resulted in over 204,000 MaineCare members successfully renewing or retaining coverage. Provider Enrollment Presentation Session MaterialsOn January 17, 2024, the Office of MaineCare Services (OMS) hosted a provider enrollment presentation and listening session. During this session OMS and Gainwell Technologies delivered presentations on the provider enrollment process and listened to comments from providers. Comment Deadline Extended: Mobile Crisis Response Teams, Draft Service Model and RatesMaineCare is extending the Mobile Crisis Response Teams draft rate model comment deadline from January 26, 2024, to February 9, 2024. Please consider sending comments earlier if possible, to allow the Department to continue to make progress. Comments should be submitted to Karl Matzinger of HMA-Burns at the following email: kmatzinger@healthmanagement.com The American Society of Addiction Medicine (ASAM) 4th Edition ReleaseThe ASAM Criteria, nationally recognized as the gold standard in treatment assessment, was first developed in 1990. A new edition, The ASAM Criteria 4th edition, was released in December 2023, with subsequent volumes including: |
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