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On January 1, 2023, MaineCare will add coverage for donor breast milk (CPT code T2101 - Human breast milk processing, storage, and distribution) under Section 90, Physician Services, and Section 45, Hospital Services, in accordance with Maine P.L. 2021, Ch. 708 (L.D. 85), An Act Concerning MaineCare Coverage for Donor Breast Milk.
MaineCare is increasing reimbursement rates for certain services through a cost-of-living adjustment (COLA) as directed by Maine P.L. 2021 ch. 639 and 22 MRSA Section 7402, as enacted by Maine P.L. 2021, ch. 398, Part AAAA. The COLA will be effective January 1, 2023, and is equal to an increase of 8.24% above the currently established rate(s).
The Department of Health and Human Services recently released an alert on a service disruption in Southern Maine that may have impact to several hundred Mainers. Please coordinate with your member regarding service delivery and or referral needs.
Please refer to the following notice from October 27, 2022.
Effective November 20, 2022, the Centers for Medicare & Medicaid Services (CMS) quarterly updates have been updated in MIHMS. The following CMS documents provide the details of the October 2022 APC updates:
The Department of Health and Human Services (DHHS) is excited to announce the creation of a Service Locator Tool through vendor Bamboo Health that will improve how Maine residents access substance use and mental health treatment. The tool is available through the following link: TreatmentConnection.com.
Federal Deadlines
The federal deadline to implement the EVV requirement for providers delivering Home Health services under Section 40 and Hospice Services under Section 43 is January 1, 2023.
EVV Pend Process Implementation Date Change
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 is January 1, 2023.
With these EVV deadlines quickly approaching, we continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams.
Attention Providers of Section 60, Medical Supplies and Durable Medical Equipment
This is a follow up to our earlier notice, regarding the online public meeting on 12/1/2022, to present and collect comments on the draft reimbursement methodology for Section 60, Medical Supplies and Durable Medical Equipment.
In October of 2022, the Department began the process of establishing a Rate Determination Schedule for calendar year 2023, pursuant to P.L. 2021, Chapter 639. We outlined this process in an October 20, 2022, notice.