Attention Providers of Sections 17, 65, and 92 Adult Behavioral Health Services: Service Termination Approval Requirements

This notice provides clarification to providers of Sections 17, 65, and 92 Adult Behavioral Health Services regarding service termination approval requirements for adults receiving behavioral health services. *There are no changes for Section 97 service termination requests. Section 97 providers should follow the existing process.*   

​Pfizer and Moderna Monovalent COVID-19 Vaccines No Longer Authorized for Use, CR 116981

On April 18, 2023, the Food and Drug Administration (FDA) announced changes to simplify the use of Bivalent mRNA COVID-19 vaccines. As a result, the Monovalent COVID-19 vaccines produced by Pfizer BioN-Tech and Moderna are no longer authorized for use in individuals aged six months and older. See the codes below that are no longer authorized for use:  

​Implementation of January 1, 2023, Rate Study Increases for Section 2, Adult Family Care Homes (AFCH), CR 116777​

As of today, April 19, 2023, updated rates for Section 2, AFCH are now available for billing in MIHMS. These changes will be effective retroactively to January 1, 2023, and are a result of our recent rate study conducted in relation to P.L. 2021 Ch.398, Part AAAA.

Section 2, Adult Family Care Homes (AFCH) – Public Comment Summary with Department Response and Final Draft Rates, CR 116777

In August 2022, the Office of MaineCare Services initiated a rate determination for Section 2, AFCH, with our vendor Burns and Associates and interested stakeholders. We presented our goals for this study and provided an overview of the cost survey. In October 2022, we met with stakeholders to go over the findings of the cost survey and obtain additional feedback.

Electronic Visit Verification (EVV) Trainings and Forums

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.

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