• Read more about MaineCare Notice of Agency Major Substantive Rulemaking Provisional Adoption, MaineCare Benefits Manual, Chapter III, Section 29

Notice of Agency Major Substantive Rulemaking Provisional Adoption

AGENCY:  Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder

PROPOSED RULE NUMBER: 2023-P173

CONCISE SUMMARY:

• Read more about Section 23, Developmental and Behavioral Evaluation Clinic Services: Foster Care Comprehensive Health Assessment - Comment Summary and Final Draft Rates

In October of 2022, the Office of MaineCare Services initiated a rate determination for Foster Care Comprehensive Health Assessments, a new service under Section 23 of the MaineCare Benefits Manual.

Jan 1, 2024

MaineCare continues progress toward ensuring equitable, accessible, and sustainable health coverage for low-income people, through its nationally recognized transformation of Maine’s rate-setting system.

• Read more about MaineCare Implements Cost of Living Adjustments as Part of Rate Reform

Jan 1, 2024

As open enrollment for Health Insurance Marketplace plans for 2024 approaches its conclusion next Tuesday, January 16, 2024, thousands of new consumers are selecting plans through Maine’s state-based marketplace, CoverME.gov.

As of December 15, 2023, 7,321 new consumers had selected plans, the largest number of new consumers selecting plans by that date in all three years Maine has operated a state-based marketplace. December 15 was the deadline for coverage that started January 1, 2024.

• Read more about CoverME.gov Attracting New Consumers as Final Deadline for 2024 Coverage Approaches

• Read more about TANF 118P - Noncitizen Language Proposed Rule

10-144 C.M.R Chapter 331; Public Assistance Manual Temporary Assistance for Needy Families (TANF) – Table of Contents, Chapter I, Eligibility Process, Chapter II, Eligibility Requirements (non-financial), Chapter III, Asset Limits, IV, Budgeting Process, Chapter V, Transitional Benefits, Appendices – Maximum Benefit and Standard of Need and Worksheet for Calculating TCC Parent Fe

• Read more about 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 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

• Read more about Attention Section 67 Providers – Members Coverage Inadvertently End-Dated in MIHMS

This notification is to advise Section 67 Nursing Facilities (NFs) that several members have had their MaineCare coverage for nursing facility services inadvertently end-dated on December 31, 2023. We are aware of the issue and a resolution is forthcoming. 

Section 67 providers can continue to bill for nursing facility services up to December 31, 2023 but should refrain from billing for dates of service on or after January 1, 2024.

• Read more about ​Attention Providers: Survey Available on the Correlation Between Alcohol and Cancer

Healthcare providers are critical to cancer care throughout Maine.  

• Read more about Attention Providers: The Most Current Guidelines for Asthma Diagnosis and Management

Free information sessions are available in-person at your location, customized to your needs, and with flexible schedules!   

Subjects include: 

• Read more about Attention Nursing Facilities (NFs) and Residential Care Facilities (PNMI, Appendix C, RCFs) – Rates Effective January 1, 2024

Effective January 1, 2024, MaineCare is increasing reimbursement rates for NFs and RCFs in accordance with Part AAAA of P.L. 2021 Ch. 398, to continue to enable providers to cover labor costs for essential support workers to at least 125% of the minimum wage.

Rate letters are posted at the secure Health PAS Online Portal and rates have been implemented for billing.

For questions on rates please contact the individual listed on the rate letter.