DHHS → node
Earlier this year MaineCare conducted a survey of Day Health service providers. We used the provider responses to create draft rate models for the services as part of the rate determination process. We outlined this process during our kick-off meeting with providers on August 31, 2022. This message outlines the next steps in the process.
PUBLIC REVIEW AND COMMENT
Earlier this year MaineCare conducted a survey of Adult Family Care Home service providers. We used the provider responses to create draft rate models for the services as part of the rate determination process. We outlined this process during our kick-off meeting with providers on September 1, 2022. This message outlines the next steps in the process.
PUBLIC REVIEW AND COMMENT
This is a correction to the bulletin sent on October 28, 2022, regarding rate updates for Hospice Services. The previous message incorrectly stated that the rates affected Section 90 instead of Section 43.
On September 28, 2022, some rates for Chapter 1, Section 43 have been updated in MIHMS effective October 1, 2022, and are now available for viewing on the Health PAS Online Portal.
The Division of Licensing & Certification (DLC) provides regulatory oversight of medical and long-term care facilities in Maine. This includes oversight of the CNA registry, criminal background checks for employers to ensure staff are safe to care for our vulnerable citizens, and investigations into allegations of unsafe practices/events in facilities as diverse as hospitals, nursing homes, assisted living facilities, and group homes.
On September 28, 2022, some rates for Chapter 1, Section 90 have been updated in MIHMS effective October 1, 2022, and are now available for viewing on the Health PAS Online Portal.
See the spreadsheet below for a list of codes with new rates which is available on the Codes & Rates webpage.
November 9, 2022, 7:30-8:30 AM
Via Zoom Webinar!
In a July 22, 2022, e-message the Department indicated Current Procedural Terminology (CPT) code 99188 (application of topical fluoride varnish by a physician or other qualified health professional) would be reimbursed the same rate as Current Dental Terminology (CDT) code D1206, Topical Application of Fluoride Var
Some providers have reported errors when attempting to export claims to Excel from the Health PAS Online Portal. This was due to an issue where wide date parameters in the claims search were timing out during the export to Excel process. This issue has been resolved.
Oct 10, 2022
The Higher Opportunities for Pathways to Employment (HOPE) program, offered through the Maine Department of Health and Human Services (DHHS) Office for Family Independence (OFI), supports Maine parents in pursuing meaningful careers while helping to address Maine’s workforce needs.
The Office of MaineCare Services (OMS), in coordination with their Pharmacy Benefits Manager Change Healthcare (CHC), review data from the National Respiratory and Enteric Virus Surveillance System (NREVSS) to track the epidemic season for Respiratory Syncytial Virus (RSV). Palivizumab is indicated for the prevention of serious lower respiratory tract disease caused by RSV in infants. Peak RSV activity typically occurs between November and March.