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As previously shared in our January 12, 2023, bulletin, the Department has initiated a rate determination process for Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C).
Personal care agencies currently conducting personal support specialist (PSS) supervision visits remotely must resume in-person visits beginning January 23, 2023.
For questions, please contact your Provider Relations Specialist.
In the Spring of 2022, prior to P.L. 2021 Ch. 639 becoming effective, the Department began work to establish National Diabetes Prevention Program (NDPP) services as a new benefit for which a section under the MaineCare Benefits Manual has yet to be determined. This message outlines the next steps in the process to establish this new service model.
PUBLIC REVIEW AND COMMENT
Jan 1, 2023
Governor Janet Mills’ biennial budget proposes $84 million to support access and innovation in services for individuals with intellectual and developmental disabilities (IDD) and brain injury.This message is to confirm and clarify that all providers of services under Sections 2, 13, 17, 26, 28, and 65 do not need to hold their claims and are able to currently bill for services in order to maintain cash flow as the Department works to implement rate updates. See additional detail below, which varies by section of policy.
In August 2022 the Office of MaineCare Services initiated a rate determination for Section 2, Adult Family Care Homes.
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 goal of the Early and Periodic Screening, Diagnostic, and Treatment Program (EPSDT) is to ensure that individual children get the right care to the right child at the right time in the right setting.
There are two ways the EPSDT program can be utilized:
Providing Routine Primary Care and Preventative Services
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 65, Behavioral Health Services
The Maine Department of Health and Human Services is pleased to announce that Paul Saucier has been appointed as Director of the Office of Aging and Disability Services. Saucier comes to the Department with extensive aging and disability experience nationally and locally. He has done oversight work in Maine's developmental disabilities system, worked for the Legislature's Office of Policy and Legal Analysis, and directed the Cutler Institute for Health and Social Policy at the University of Southern Maine's Muskie School of Public Service.