I am looking for….
- MaineCare Cost Reporting Templates
- MaineCare Final Informal Review Decisions
- Social Services Appeal Decisions
Notices and Division Updates
Electronic submissions of cost reports are preferred. The Division of Audit is transitioning to a new secure file transfer solution called MOVEit for electronic submissions. Inquiries on how to be setup with an account in MOVEit can be directed to Lucas Allen, Manager of Data Analytics at firstname.lastname@example.org. Original wet signatures are still needed to be sent via mail (signature pages only).
A Notice to Providers of Cost-Settled Programs was issued on 04/18/19 about changes to the cost report templates.
All MaineCare Providers with a September 30, 2020 fiscal year end will need to submit their cost reports by March 1, 2021. Providers with a December 31, 2020 fiscal year end will need to submit their cost reports by May 31, 2021. Hospitals will have an additional 60 days to file for these fiscal year ends based on the need to have the Medicare hospital cost report completed before filing the Medicaid cost report.
Audit Overview and Responsibilities
The Division of Audit at DHHS performs compliance and cost settlement audits on approximately 600 different provider organizations and/or community agencies which receive over $1.5 billion of State and Federal funds through either the MaineCare program or from contracted services.
The MaineCare audit section conducts compliance audits and issues final cost settlements on all MaineCare cost reimbursed programs.
These programs include Nursing Facilities, Intermediate Care Facilities for Individuals with Intellectual Disabilities, Residential Care Facilities, Private Non-Medical Institutions, and Hospitals.
The audits are conducted to ensure that MaineCare funds are expended in accordance with the MaineCare Benefits Manual, the Provider Reimbursement Manual, and the Code of Federal Regulations. We process over 600 cost reports annually representing approximately $1 billion in MaineCare funding.
Social Service Audit
The Social Service Audit team conducts desk reviews on audits submitted by community agencies that have been performed in accordance with 2 CFR Part 200 as well as close-out reviews on all Department contracts to sub-recipients.
The Internal Audit Unit oversees all auditing of DHHS conducted by external agencies, assures corrective action plans are implemented and meeting their objective, and conducts specialized audits as needed.