10-144 C.M.R. Ch. 301; Supplemental Nutrition Assistance Program (SNAP) Rules; Section 999-3; SNAP Rule 231P - FFY24 Budgeting Changes
Maine exercises an option for Broad Based Categorical Eligibility under 7 C.F.R.
10-144 C.M.R. Chapter 301; Supplemental Nutrition Assistance Program (SNAP) Rules; Section 999-3; Emergency Rule 231 - FFY24 Budgeting Changes
Federal rule 7 C.F.R. § 273.9 (d)(6)(iii)(B) requires that standard utility allowances are updated each year, effective October 1. USDA Food and Nutrition Services (FNS) annually approves utility allowances calculated by states. The calculations are based on the change in the Consumer Price Index for fuel and utilities, between June 2022 and June 2023.
Maine CDC Announces Possible Hepatitis A Exposure at Lewiston Restaurant
Potentially exposed patrons encouraged to contact a health care provider
AUGUSTA — The Maine Center for Disease Control and Prevention (Maine CDC) has identified a case of hepatitis A in a Lewiston food service worker. Hepatitis A is a contagious liver disease caused by the hepatitis A virus. It can spread through person-to-person contact or by consuming contaminated food or water.
Pilot Program for Transitional Services
This rule change is proposed to repeal a pilot program that was established in 1988 to provide transitional services for adults aged 20-26 that were clients of the Office of Aging and Disability Services, formerly the Office of Adults with Cognitive and Physical Disabilities. The program offered a method of funding that was otherwise unavailable or not reimbursable under existing funding systems and has not been operational for several years as redundant and similar services have since been adopted and implemented federally and statewide to support the target population.
Electronic Visit Verification (EVV) Phase 2 Trainings
The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.
We continue to offer weekly provider and aggregator trainings. All trainings are online via Microsoft Teams.
NOTE: The Absorb training system has been updated to allow providers to register for trainings more than once.
EVV Training Schedule
Revalidate with MaineCare to Avoid Claim Denials
The Affordable Care Act (ACA), Section 6401, states that almost all provider types must revalidate their information with MaineCare every five years. Durable Medical Equipment (DME) providers are required to revalidate their information with MaineCare every three years. The current round of revalidations began in January 2022.
COVID-19 Vaccine Updates for Fall 2023
MaineCare will continue to provide full coverage, without cost sharing through September 30, 2024, for the COVID-19 vaccine and its administration as required by the American Rescue Plan Act (ARPA) of 2021. The ARPA requirement applies only to those persons with current MaineCare coverage.
Non-Emergent, Emergency Department (ED) Pricing Failure, TR 113880
MaineCare identified an overpayment of some emergency room hospital claims. These claims received the Ambulatory Payment Classifications (APC) rate vs. the non-emergent rate. The affected date range is July 01, 2021, through March 31, 2023. MaineCare will reprocess all affected claims and no provider action is needed.
UPDATED Billing Guidance and Claims Reimbursement for Distinct Psychiatric and Substance Use Disorder (SUD) Units
On September 19, 2023, the Office of MaineCare Services (OMS) sent a notice advising hospitals with distinct psychiatric and SUD units that our systems will update to reimburse claims to such units on October 1, 2023, as described in the
New Hyaluronic Acid Derivatives Criteria Sheet, CR 119147
MaineCare replaced the Prior Authorization (PA) Synvisc Hyalgan Euflexxa Orthovisc form.