Notice of MaineCare Reimbursement Methodology Change: MaineCare Benefits Manual, Section 67, Nursing Facility Services
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 67, Nursing Facility Services
NATURE OF PROPOSED CHANGES: The Department plans to submit a State Plan Amendment in the near future identifying the following:
Attention Providers: MaineCare Logo Survey Now Available
The MaineCare team is working to develop a MaineCare logo that will be used to strengthen our identity when we engage with stakeholders and assist in outreach in our communities.
We want your help! Please take a couple of minutes to complete this survey: https://www.surveymonkey.com/r/SHXNW2F
Commissioner Lambrew Appears Before Government Oversight Committee
Joined by Acting Child and Family Services Director Bobbi Johnson
Health and Human Services Commissioner Jeanne Lambrew appeared before the Government Oversight Committee today to provide testimony on the child welfare system. She was joined by Bobbi Johnson, Acting Director of the Office of Child and Family Services.
The remarks of Commissioner Lambrew and Acting Director Johnson, as prepared for delivery, are below.
Commissioner Lambrew:
10-144 C.M.R. Ch. 333; Low Cost Drugs for the Elderly and Disabled (DEL) Manual; MC Rule #305P - DEL Asset Test Removal
The proposed rule change would remove the asset test, Section 2.1, effective retroactive to January 1, 2024. The proposed rule change is based on a legislative change to 22 M.R.S. § 254-D(4)(B) made by P.L. 2023, ch. 412, Part EEEEE. This rule change is consistent with a recent MaineCare Eligibility Manual proposed rule change which would remove the asset test for all Medicare Savings Plan coverage types. Retroactive rulemaking is permissible under 22 M.R.S.
10-144 C.M.R. Ch. 301; Supplemental Nutrition Assistance Program (SNAP) Rules; Section 999-3; Rule #231A - FFY24 Budgeting Changes
Maine exercises an option for Broad Based Categorical Eligibility under 7 C.F.R. § 273.2(j)(2) which includes a 200% Federal Poverty Level (FPL) test.
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 89
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed rules
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 89
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
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 89
COVID-19 Therapeutics Transition to Commercial Market, and UPDATE on COVID-19 Vaccine Coverage
In a letter released October 27, 2023, the U.S. Department of Health and Human Services (HHS) announced the plan to transition two COVID-19 oral therapeutics from government supplied to the commercial market. The transition process started on November 1, 2023, for Paxlovid manufactured by Pfizer and Lagevrio, manufactured by Merck.