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Registration is now open for MaineCare's annual forums for Accountable Communities (AC), Behavioral Health Homes (BHH), Community Care Teams (CCT) including HOME providers, MaineMOM, Opioid Health Homes (OHH), and Primary Care Plus (PCPlus) providers.
As of May 10, 2023, new rates resulting from the Department’s rate determination for Section 31, FQHCs are now available for billing in MIHMS. The new rates are retroactive to March 1, 2023.
The proposed rule would update the program name and references to the Supplemental Nutrition Assistance Program Employment and Training Program (SNAP E&T) from FSET to reflect recent updates for the SNAP program. These changes are consistent with the terminology used in federal law, state laws, and regulation. Further, P.L. 2021 c. 398 Part OO made this change throughout Maine's revised statutes.
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual
NATURE OF PROPOSED CHANGES: The Department plans to indefinitely continue the following provisions after the end of the Federal Public Health Emergency:
This page is no longer available. The COVID-19 Public Health Emergency ended as of May 11, 2023. For current information and guidance about COVID-19 testing, treatment, and vaccination visit maine.gov/covid19.
May 5, 2023
Among other provisions, the Governor’s budget change package proposes to eliminate a disputed tax that funds Medicaid (i.e., MaineCare) services, to limit the State’s liability going forward and clear the path for payment rate reform. This reflects Governor Mills’ commitment to responsible State budgeting and support for MaineCare which provides vital services to residents with health and long-term service and supports needs.
Governor Mills proposes $1 million in her forthcoming change package to launch the plan to keep children safe by keeping families strong
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.
The Office of Aging and Disability Services is excited to announce a virtual training opportunity on Mental Health First Aid scheduled for June 5, 2023. This training is provided in collaboration with National Alliance on Mental Illness (NAMI) Maine and is available for caregivers who provide care to MaineCare members under MaineCare Benefits Manual, Chapter II, Section 19. Caregivers may include personal support staff, attendants, home health aides, nurses or other natural and family
When submitting drug claims, please bill your usual and customary charge for the drug and populate it in the charge field of the claim.