MaineCare Announces Post-Incarcerated Incentive Payment Pilot
MaineCare is piloting an incentive payment that encourages providers to connect with individuals being released from incarceration within two calendar days of their release.
Maine CDC releases student health survey results
Data from biennial survey show progress on vaping prevention among Maine students
AUGUSTA – The Maine Center for Disease Control and Prevention (Maine CDC) announced today the release of 2023 Maine Integrated Youth Health Survey (MIYHS) data showing promising progress on changing youth attitudes towards use of vaping products.
Attention MaineCare Behavioral Health and Substance Use Disorder Providers, Backdating Policy Update
Effective January 1, 2024, Acentra Health and the Office of MaineCare Services will reinstate the original submission window for all requests in the Atrezzo portal.
Due to the end of the Public Health Emergency (PHE), the Atrezzo portal submission window will be updated to accept service requests for ten (10) calendar days before entry into service or a maximum backdate of five (5) calendar days after entry into service, consistent with the original requirements prior to the PHE.
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 45
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed rules
Attention Providers of Section 18, 20, 21, 29, Home & Community Based Supports and Proposed Lifespan Waiver: Cost Survey Tool
In September 2023, the Department initiated a rate determination process for Sections 18, 20, 21 and 29, and a newly proposed Lifespan program for individuals with intellectual and developmental disabilities (I/DD).
Maine CDC Urges Vaccination Against Flu, COVID-19, RSV Entering Holiday Season
AUGUSTA – The Maine Center for Disease Control and Prevention (Maine CDC) encourages Maine residents to get vaccinated against COVID-19, influenza (flu), and respiratory syncytial virus (RSV) ahead of this season's holiday gatherings. Vaccination remains the best way for Maine people to protect themselves, their friends, and relatives this holiday season and will help limit the spread of respiratory viruses at gatherings this winter.
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840
This is a reminder that the attending provider is required on all UB-04 and 837I claims. MaineCare denies UB-04 and 837I claims submitted without an enrolled attending provider.
The attending provider is the individual who has overall responsibility for the patient’s medical care and treatment reported in the claim/encounter. The attending provider requirement includes all claim submission methods (paper, HealthPAS Online Portal, or 837I).
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
Attention EVV Providers: Inactive Client (Member) Status
Periodically, Sandata may change a client’s status from active to inactive for reasons such as losing MaineCare coverage or no longer receiving personal care, home health, or hospice services.
The default view in the Sandata portal is to show active clients. To see inactive clients, go to Data Entry, then to the status field within the Clients>Search Clients>Status panel. Select “Inactive,” as shown below.
Update to the Biosimilar Preferred Drug List-Correction
On December 1, 2023, the Office of MaineCare Services (OMS) notified providers of the changes to the Biosimilar Preferred Drug List effective January 4, 2024. The notice sent on December 1, 2023, inadvertently omitted the drug class Rituximab.