Section TBD, Certified Community Behavioral Health Clinics (CCBHC) – Rate Study Kickoff Meeting
As previously shared in our June 20, 2023, bulletin, the Department initiated a rate determination process* for CCBHC (Section TBD). As a result of that process, we are now conducting a rate study.
RESCHEDULED: Draft Rate Model Public Review and Comment for Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services
Earlier today, MaineCare provided notice that we postponed today’s Draft Rate Model Public Review and Comment forum. We have now identified a new date and time.
PUBLIC REVIEW AND COMMENT
HOPE Program Supporting Maine Parent-Scholars Pursuing Higher Education
Sep 9, 2023
As students of all ages return to school this fall, the Higher Opportunities for Pathways to Employment (HOPE) program offered through the Maine Department of Health and Human Services (DHHS) Office for Family Independence (OFI) continues to support Maine parents as they pursue higher education on the path to meaningful careers.
Rate Determination Initiation and Rate Study Kickoff Meeting Notice for Home and Community Based Supports for Individuals with Intellectual and Developmental Disabilities or Autism, Sections 21 and 29, and Proposed Lifespan Waiver
This bulletin provides notice that the Department has initiated a Rate Determination Process* for Home and Community Based Supports for Individuals with Intellectual and Developmental Disabilities or Autism, Sections 21 and 29, and a new proposed Lifespan waiver service.
New Place of Service (POS) Code 27: Outreach Site/Street
On June 29, 2023, the Centers for Medicare and Medicaid Services (CMS) announced the new POS code 27, that will be effective October 1, 2023. This POS code is for services that are provided on the street to people who are unhoused or experiencing homelessness.
Public Forum Postponed: Attention Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services: Draft Rate Model Public Review and Comment
We regret to inform you that the public review and comment forum that was scheduled for September 8, 2023, to present the draft rates and service model for TFC services, has been postponed for a second time.
Rule Adoption: 10-144 CMR chapter 264, Immunization Requirements for Healthcare Workers
The Department has adopted routine technical rule changes that amend Chapter 264, Immunization Requirements for Healthcare Workers, by removing COVID-19 from the list of vaccine preventable diseases for which Designated Healthcare Facility employees must show proof of immunization or provide appropriate exemption documentation. Public comments were considered prior to adopting the final rule. The adopted rule is consistent with the proposed rule published for public comment on July 19, 2023.
10-144 CMR Ch. 123, Behavioral Health Organizations Licensing Rule
The Department is proposing the repeal of three existing licensing rules and replacing those rules with one single rule, Behavioral Health Organizations Licensing Rule, to provide a comprehensive, one-stop licensing rule. This proposed rule governs the licensing requirements for mental health and substance use disorder treatment programs. The rules proposed for repeal and replacement include community and residential licensing standards for mental health and substance use disorder treatment services.
Add Codes to the TPL Vision Services Group, CR 119556
MaineCare has identified a claim processing error. MaineCare is the payor of last resort. Providers are required to bill the primary vision insurance before billing MaineCare. Vision service codes have been paying as MaineCare primary when the Member has an active primary vision insurance carrier that has not been billed. MaineCare will reprocess claims with overpaid services and recoup the overpayment. No provider action is needed.