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This notice is an update on the first phase of restoration of MEPOPS. You can find more information about the restoration in the March 27, 2024, e-message. The Department confirms that claims payments have successfully resumed as of Wednesday, April 10, 2024.
AUGUSTA– The Maine Center for Disease Control and Prevention (Maine CDC) is encouraging Maine residents to stay safe while enjoying spring traveling. Travel and vacations can promote physical and mental health. That said, with school and other spring vacations occurring amid recent outbreaks of dengue, measles, and hepatitis A in the U.S. and abroad, travelers should plan and take precautions to stay healthy.
The Maine CDC offers the following tips for safe and healthy travel this spring:
EVV Providers who are currently using the SMC app through their phone, tablet, or other mobile device should update to the latest version of the app using the Apple Store, or Google Play. The current version of the app is being phased out as of July 1, 2024. To avoid any interruption of visit record keeping, you should now download the latest version of the app.
Please contact Provider Services with questions:
The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.
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 and Aggregator Content – State and Provider Trainings |
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MaineCare is extending the deadline for comments on the Nursing Facility draft rate methodologies, from April 8, 2024, to April 15, 2024. The Department has provided additional clarifying information about the rate model and wishes to give interested parties time to consider the information.
The Centers for Medicare & Medicaid Services (CMS) has revised its rates effective March 9, 2024. To align with these changes, MaineCare has been working to update reimbursement rates for Medicare covered codes and services. The new rates will reflect 72.4% of the most recent, 2024 Medicare rates.
Rates were implemented on April 3, 2024, for all sections noted below.
Please express interest by April 19, 2024
Introduction:
Person-reported outcomes (PROs) are an important way for organizations, providers, and facilities to assess their success in meeting the person-centered needs of patients and residents under their care. While some nursing home facilities are collecting CoreQ data as one of their quality measures, most residential care facilities are not.
On March 18, the Division of Licensing and Certification (DLC) sent notice that Section 28 providers are required to obtain a mental health license in order to provide Section 28 services due to the recently adopted CMR 10-144 Chapter 123, Behavioral Health Organizations Licensing Rule. The notice included an application filing deadline of May 11, 2024, for providers who are not currently licensed as mental health agencies.
The Centers for Medicare & Medicaid Services (CMS) has revised its rates effective March 9, 2024. To align with these changes, the Department is in the process of updating reimbursement rates for Medicare covered codes and services for the sections noted below. The new rates will reflect 72.4% of the most recent, 2024 Medicare rates.
With the new Evergreen system rollout, previous authorizations with a prefix of “EIS” have been replaced by new authorizations with a prefix of “LTS.”
Our current Electronic Data Interchange (EDI) 837 file was developed with a max of 15 characters for authorization IDs. Some LTS authorization IDs were generated with a max of 17 characters. When submitting 837 claims, providers are reporting that the last two characters of the 17-character authorization ID are getting cut off, resulting in denied claims with the “UM not found” edit.