Microdyn Update for Ambulatory Payment Classifications (APCs), and Diagnostic Related Groups (DRGs), CRs 116565, 117447, & 117448

Effective June 3, 2023, the Centers for Medicare & Medicaid Services’ (CMS) quarterly updates in MIHMS were completed.        

The following CMS documents provides the details of the APC updates:    
   

April 2023 Integrated Outpatient Code Editor Specs:     

Attention Section 97, Appendix D, Private Non-Medical Institutions (PNMI): Rate Determination Initiation Notice for Therapeutic Foster Care Services

This bulletin provides notice that the Department has initiated a Rate Determination Process* for Therapeutic Foster Care services under Section 97, Appendix D, PNMI of the MaineCare Benefits Manual. MaineCare’s Rate Reform Unit will conduct this rate determination.

Maine CDC Warns of Increase in Rabid Animal Cases

Urges precautions to avoid rabies

AUGUSTA — Following a rise in animals testing positive for rabies in the state since the start of this year, the Maine Center for Disease Control and Prevention (Maine CDC) urges Maine people and visitors to take steps to prevent rabies.

Between January and May of 2023, the Maine CDC confirmed 30 cases of rabies in raccoons, skunks, bats, a fox, and a woodchuck. Cumberland County recorded 12 of the 30 cases. Rabies activity was significantly lower in 2022, with a total of 35 cases for the year.

Maine DHHS Reopens Lewiston District Office

Office at 200 Main Street resumed normal operations on June 1 following February cold weather damage

The Maine Department of Health and Human Services (DHHS) announced today that its district office located at 200 Main St. in Lewiston reopened and resumed normal operations on June 1, 2023. DHHS closed the office in February to allow for repair of significant water and electrical damage resulting from extreme cold weather.

​​MaineCare Issuing First Hospital Value-Based Purchasing (VBP) Supplemental Payments​

MaineCare recently implemented its new VBP supplemental sub-pool payments, totaling $600,000, which the Department will distribute each year to eligible hospitals based on performance on one or more quality measures. This sub-pool helps align incentives across the health care system to drive desired outcomes. The 2022 and 2023 distribution of these funds will focus on primary care access among MaineCare members within designated Hospital Service Areas (HSAs).  

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