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This notice is an update to the e-message sent on January 20, 2023. MaineCare is extending its delay of the enforcement of the rounding rule by one month, from May 1, 2023, to June 1, 2023, to allow further time for necessary system changes.
AUGUSTA - The Maine Center for Disease Control and Prevention (Maine CDC) today issued updated and additional freshwater fish consumption advisories, recommending limiting consumption of all fish or certain fish from six waterbodies in Maine. Two of the advisories are expansions of those issued last year for seven waterbodies, while four bodies of water are new additions to the list, which now totals 11.
On September 15, 2022, the World Professional Association for Transgender Health (WPATH), updated the Standards of Care for the Health of Transsexual, Transgender, and Gender Diverse People to Version 8.
At the beginning of the COVID-19 pandemic, the federal government declared a PHE and relaxed certain requirements to ensure Medicaid members could continue to access healthcare services. The federal government has declared that the PHE will end on May 11, 2023.
At the beginning of the COVID-19 pandemic, the federal government declared a PHE and relaxed certain requirements to ensure Medicaid members could continue to access healthcare services. The federal government has declared that the PHE will end on May 11, 2023.
The federal deadline to implement the EVV requirements for Home Health providers delivering services under Section 40 and Hospice providers delivering services under Section 43 happened January 1, 2023.
We continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams.
NOTE: The Absorb training system has been updated to allow providers to register for trainings and/or forums more than once.
The Office of MaineCare Services has updated the Frequently Asked Questions document issued in conjunction with the e-message sent on March 6, 2023, “Notice to MaineCare Providers Regarding MaineCare Reimbursement when Restraint is Utilized in Outpatient Behavioral Heal
MaineCare previously provided notice that we had initiated a rate determination process for Section 67, Nursing Facilities and Section 97, Residential Care Facilities. As part of the rate determination process, MaineCare and our vendor Guidehouse Inc.
Kepro reviews clinical documentation submitted with Prior Authorization (PA) and Continued Stay Review (CSR) requests for members under 21 years of age, including requests for behavioral health services. Kepro reviews the documentation for medical necessity of the requested services not only under the service-specific limits of the MaineCare Benefits Manual (MBM), but also under EPSDT guidelines.