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Effective July 13, 2022 and October 1, 2022, the Department has updated certain drug codes retroactively due to a rate update from the Centers for Medicare & Medicaid Services’ (CMS).
See the table below for the effective dates and new rates.
Previously, we announced a Provider Communications Toolkit is available on our Unwinding Communications Resources webpage. This toolkit includes materials you can download and print or include in your digital and social media channels.
April 12, 2023, 7:30-8:30 AM, via Zoom Webinar
Please Register Here
The Office of Aging and Disability Services in collaboration with the National Alliance on Mental Illness (NAMI) Maine, is excited to announce a virtual training opportunity on Mental Health First Aid scheduled for May 1, 2023. This training is for caregivers providing care to members receiving services under Section 19 of the MaineCare Benefits Manual. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.
Apr 4, 2023
At the direction of Governor Janet Mills, the Department of Health and Human Services (DHHS) has developed and executed a variety of programs to address the shortage of qualified health care workers in Maine. These initiatives were developed in collaboration with health system leaders to grow the talent pipeline and develop new workforce models to advance health equity and health care access in rural and other under-served populations. This work is centered around three key areas of focus: Recruitment, training and career ladders, and growing the provider pipeline.
Earlier this year, the Department made changes to Section 28 rates and modifier combinations as a result of recent rate studies conducted in relation to P.L. 2021 Ch. 398, Pt. AAAA; Ch. 635, Pt JJJ; and Ch. 639.
PCPlus providers will receive their first quality performance reports in April 2023. These reports aggregate performance at the practice level for available measures. Providers will receive these initial reports via email through the contact listed in their PCPlus application. If you need to update your practice contact information, please email PCP-Network-Services.DHHS@maine.gov.
The Office of MaineCare Services increased the reimbursement rate for the Section 50, Day Habilitation Services (T2021 w/ Rev Code 0907) rate to $8.71 (per 15-minute unit) retroactively to January 1, 2023, in accordance with Chapter III, Section 50 of the MaineCare Benefits Manual which states that the Department shall reimburse Community Support services affiliated with ICF-IDD services in accordance with reimbursement for Community Supports under Section 21, Chapters II & III, Home and Community Benefits for Memb
On January 30, 2023, the Biden-Harris Administration announced that the federal COVID-19 PHE will end on May 11, 2023. The Department is diligently reviewing all PHE-related flexibilities and is developing guidance to clearly articulate what flexibilities will end, along with associated timeframes. We plan to update our website resources and send out additional e-messages over the coming weeks and months.
This proposed rule updates the average nursing care private rate, listed in Chart 4.3 of the MaineCare Eligibility Manual, to the most current figure available from the Department's internal audit team. Effective June 1, 2023, the average nursing care private rate is determined from rates reported by nursing facilities on the MaineCare Cost Report. The rule also adds a description of how the rate is used to calculate penalty periods for disposing of assets for less than fair market value on or after the look-back period.