Attention Section 43 Hospice Providers: Electronic Visit Verification (EVV): Implementation January 1, 2024
MaineCare temporarily excluded Hospice services from EVV requirements as of March 15, 2023.
Durable Medical Equipment (DME) Prior Authorization (PA) Criteria Sheets Updated, CR 119839
Aligning with the adoption of the MBM, Chapter II, Section 60, Medical Supplies and DME rule, the Office of MaineCare Services (OMS) will be updating the criteria sheets used when submitting a request for PA. The criteria sheets will be located on the HealthPAS portal as of October 31, 2023, using the path MaineCare Information>Manual, Forms, and Criteria Sheets and are as follows:
Respiratory Syncytial Virus (RSV) Educational Infographics Available
The Office of MaineCare Services academic detailing partner, Maine Independent Clinical Information Service (MICIS), offers one-page non-commercial infographics that share key points for pharmacologic RSV prophylaxis in first, second, and third generations: adults over 60, pregnant people, and infants, respectively. The infographics can be accessed following the links below:
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
Certified Community Behavioral Health Clinics (CCBHC)
The CCBHC Model
Overview
Certified Community Behavioral Health Clinics (CCBHCs) are behavioral health organizations that provide a broad range of community behavioral health services. CCBHCs focus on coordinated care and use of evidence-based practices for individuals across their lifespan, regardless of their ability to pay.
Maine People Can Now Preview 2024 Health Plans on CoverME.gov
Oct 10, 2023
As Open Enrollment approaches on November 1, 2023, Maine residents can get an early look at 2024 health insurance options that meet their needs and budgets
The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) announced today that Maine people can now visit CoverME.gov to preview quality health plans for 2024 in advance of Open Enrollment, which begins on November 1, 2023.
Section 1915(c) Waiver Appendix K Updates
At the beginning of the COVID-19 pandemic, the U.S. Department of Health and Human Services (DHHS) declared a national public health emergency (PHE) and relaxed certain requirements ensuring the health and safety and continued access to healthcare services for Medicaid members.
Maine CDC Announces Possible Hepatitis A Exposure at Portland Restaurant
AUGUSTA — The Maine Center for Disease Control and Prevention (Maine CDC) has identified a case of hepatitis A in a Portland food service worker. Hepatitis A is a contagious liver disease caused by the hepatitis A virus. It can spread through person-to-person contact or by consuming contaminated food or water.
The individual worked during their infectious period at Green Elephant Bistro, 608 Congress St., Portland on the following dates:
Rate Determination Initiation Notice for Section 25, Dental Service Providers: Rebasing of Dental Benchmarks
This bulletin provides notice that the Department has initiated a Rate Determination Process* for Section 25, Dental Services. MaineCare’s Rate Setting Unit will be conducting this rate determination. Rates are being rebased, pursuant to P.L. 2021, Ch. 639 which requires that services that are benchmarked to a non-Medicare source be updated to the most current year of data for the payer source at least once every two years.
Attention MaineCare Section 67, Nursing Facilities (NFs): Extraordinary Circumstance Allowance (ECA) Application Guidance and Submission Deadline October 27, 2023
As authorized by P.L. 2023, Ch. 412, Part NNNNN, the Department will reimburse NFs who qualify for an ECA. These payments will be dispersed in State Fiscal Year 2024.