• Read more about Attention Section 43 Hospice Providers: Electronic Visit Verification (EVV) Implementation Temporarily Suspended 

As of March 15, 2023, MaineCare temporarily excluded Hospice services from EVV requirements retroactive to January 1, 2023, as a delayed enforcement of our approved State Plan requirements. This temporary exclusion will continue until the Department can adopt final rules for Section 43, Hospice Services, which we currently anticipate will happen in the second half of 2023. This change affects hospice providers who bill codes T2042, G0299, G0155, and T2043. 

• Read more about Service Locator Tool – Invitation to Behavioral Health Providers

The Department of Health and Human Services (DHHS) is excited to announce the creation of a Service Locator Tool hosted on Bamboo Health’s TreatmentConnection.com. The Tool will improve access to substance use and mental health treatment. The goal is to publicly launch this tool in spring 2023. 

There is NO COST to your agency to participate in this initiative. To learn more about this and how to onboard to the platform, we encourage you to attend an orientation event listed below.  

• Read more about DAFS DHHS Service Center

The DHHS Financial Service Center is a Division of DAFS (Department of Administrative and Financial Services). This Service Center consists of a consolidation of functions which include Grant Accounting, Budgeting, Forecasting, Accounts Payable, Accounts Receivable, Cost Allocation, Collections, Hospital Billing, and Business Intelligence. Our sole client is the Department of Health and Human Services.

Sarah Gove | Director
Sarah.Gove@maine.gov
(207) 458-6626

• Read more about Maine Comprehensive And Limited Environmental Laboratory Accreditation Rule - Adopted, effective 3-15-2023

The Department of Health and Human Services - Maine Center for Disease Control and Prevention (DHHS) adopted routine technical rule changes jointly with the Department of Environmental Protection (DEP) to amend the Maine Comprehensive and Limited Environmental Laboratory Accreditation Rule by establishing a revised fee schedule based on the cost of certifying or accrediting laboratories, pursuant to 22 MRS §567(4).

• Read more about 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.

• Read more about MaineCare Provider Directory API

Consistent with Federal requirements, the MaineCare Provider Directory API conforms to the technical standards for data exchange via a secure API and meets the specifications outlined in the PDEX Payer Network Implementation Guide.

• Read more about Attention Providers of Section 17 Community Integration Services (CIS), Assertive Community Treatment (ACT) and Section 92 Adult Behavioral Health Homes (BHH) Hold for Service Requirements

We are notifying providers of CIS, ACT and Adult BHH services that they must enter their existing, internal waitlists into Kepro’s Atrezzo system no later than April 28, 2023. They must also remove any individuals on their waitlist who are no longer seeking services.

• Read more about CORRECTION: End of the 2022-2023 Seasonal Coverage for Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection

We sent this message previously, omitting some text below. This is the corrected message.  

• Read more about Update to the ​Biosimilar Preferred Drug List

Effective April 3, 2023, the Department will add preferred and non-preferred drugs to the Biosimilar Preferred Drug List (PDL).    

The Department will add the following preferred drugs:   

• Read more about Fiscal Year 2023, Swing Bed and Days Awaiting Placement Rate Updates

Effective July 1, 2022, we have recalculated the per diem swing bed rate and nursing facility days awaiting placement rate for State Fiscal Year 2023.     

Critical access hospitals can bill the new swing bed rate of $317.44 per day for dates of services July 1, 2022, through June 30, 2023.