​MaineCare Residential Substance Use Disorder (SUD) Treatment Providers – Utilization Management (UM) Process Update

Jul 01, 2024

One of the tasks associated with MaineCare’s 1115 SUD waiver is the “establishment of a Utilization Management (UM) approach for appropriate access and level of care for SUD services, including an independent process for reviewing placement in SUD residential treatment”. This UM is a component of Maine’s Implementation Plan and Special Terms & Conditions approved by the Centers for Medicare & Medicaid Services (CMS) for this waiver and was implemented in July 2023. 

The Office of MaineCare Services in collaboration with the Office of Behavioral Health and Acentra Health will be hosting a provider meeting on Friday August 2, 10:00-11:00AM to update providers on the project to date. Topics will include: 

• An overview of 1115 waiver residential SUD UM 

• Lessons learned from the UM process to date 

• Submission process of cases for Acentra Health review  

• Training opportunities regarding the 4th Edition of The American Society of Addiction Medicine Criteria for residential providers.  

Register here: August 2, 2024 10:00-11:00AM  

For questions, please email Acentra Health or email the Office of MaineCare SUD Program Manager, Allison Weeks.