DHHS → node
Nov 11, 2023
Today, the Maine Department of Health and Human Services (DHHS) released updated data on the resumption of MaineCare (Medicaid) eligibility reviews after the COVID-19 Public Health Emergency, known as “unwinding.” This update is available on the MaineCare Renewals Data Dashboard and is based on more current data than reflected in previous months’ updates.
Notice of Agency Rule-making Proposal
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual (MBM), Chapter II, Section 71, National Diabetes Prevention Program
ADOPTED RULE NUMBER:
CONCISE SUMMARY:
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
Effective September 19, 2019, MaineCare began covering abortion services that are not eligible for reimbursement from Centers of Medicare and Medicaid Services (CMS). It is important to submit claims with information that identifies the service because this service is only covered by State funds.
The National Clinician Consultation Center offers free guidance on occupational and non-occupational exposure to HIV seven days a week. Call (888) 448-4911.
On October 31, 2023, the Department with its vendor provided training to interested stakeholders on the CCBHC PPS cost report, via Zoom. The data submitted will support the ongoing development of this new service for which a rate determination process was initiated earlier this year.
Under Section 65.05-15.B(4), provider staff of mental health psychosocial clubhouse services must have completed an Association of Community Rehabilitation Educators (ACRE) approved certified employment specialist training, or equivalent.
The Office of MaineCare Services (OMS) is currently accepting Prior Authorization (PA) requests for coverage of palivizumab due to the increasing trend of positive RSV tests. The clinical benefit of palivizumab therapy is best realized by timing the administration to coincide with the peak of RSV activity.
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.