Date posted:
Attachment(s):
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual
NATURE OF PROPOSED CHANGES: The Department plans to submit future Medicaid and Children’s Health Insurance Program (CHIP) state plan amendments, effective October 1, 2023, to indicate that the Department covers, without cost sharing, all approved adult vaccines that are administrated in accordance with ACIP recommendations. The Department already covers all ACIP-recommended adult vaccines without cost sharing for Medicaid and CHIP beneficiaries.
REASON FOR PROPOSED CHANGES: Statutory amendments made by section 11405 of the Inflation Reduction Act mandate these state plan amendments. Coverage of all approved ACIP-recommended adult vaccinations, without cost sharing, improves access to vaccinations and has the potential to prevent hospitalizations and deaths and reduce costs associated with preventable infections.
ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will be cost neutral.
ACCESS TO PROPOSED CHANGES AND COMMENTS TO PROPOSED CHANGES: The public may review the proposed methodology changes and written comments at any Maine DHHS office in every Maine county. To find out where the Maine DHHS offices are located, call 1-800-452-1926. The Department will hold a hearing for the proposed rulemaking and will be publishing a notice which includes information on the hearing date and location.
CONTACT INFORMATION FOR RECEIPT OF COMMENTS:
Henry Eckerson, henry.eckerson@maine.gov
AGENCY NAME: Office of MaineCare Services
ADDRESS: 109 Capitol Street, 11 State House Station
Augusta, Maine 04333-0011
TELEPHONE: (207) 624-4045 FAX: (207) 287-6106
TTY: 711 Maine Relay
(Deaf or Hard of Hearing)
See http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.
State Plan Amendment
Office: MaineCare Services
Email: henry.eckerson@maine.gov
Comment deadline:
On