ICD-10 MaineCare Project – September 2013 Status Update

October 3, 2013

The ICD-10 project is progressing in the Development Phase, which includes making the necessary updates and changes to MaineCare’s systems and processes to be ready for ICD-10. The Integrated Test Plan, including Pilot Testing, is in the final stages of review, and pilot testers are currently being identified. Internal testing of ICD-10 will begin in the first quarter of 2014, while external testing (Pilot) will begin in the third quarter of 2014.

The September ICD-10 Provider Readiness Survey has been distributed. To participate in the survey, click here now. We are distributing this survey on an ongoing basis to understand the provider community’s readiness for ICD-10. We would like providers to respond to the survey each time it is distributed so that we can monitor progress. However, providers who did not respond to the April survey are still encouraged to respond to this, and subsequent, surveys.

General Equivalence Mappings (GEMs) is a tool that defines reasonable matches for mappings between ICD-9 and ICD-10. MaineCare utilized this tool to map codes that are covered under MaineCare Policy. CMS provides this tool for free to crosswalk codes between ICD-9 to ICD-10 on their website.

For more information, please visit MaineCare’s ICD-10 webpage.