Attention Providers of Section 18, 19, 20, 21, and 29 Services: Appendix K to Maine’s Home and Community Based Waivers Continues to Provide Temporary Flexibilities on Service Caps, Staffing

Appendix K to Maine’s Home and Community-Based Services 1915(c) waivers provides the state certain flexibilities in waiver program operations during an emergency. Maine’s Appendix K and amendments may be found here. 

Electronic Visit Verification (EVV) Events

The EVV requirement deadline for Personal Care Services (PCS) was January 1, 2021, and will be January 1, 2023, for Home Health providers delivering services under Section 40 and for Hospice Services providers delivering services under Section 43.

We are offering provider and aggregator trainings, forums, and town hall events online via Microsoft Teams. The trainings are designed to help providers and aggregators to comply with federal EVV requirements.

Training Topics

Training topics include, but are not limited to:

Attention Providers of Sections 93, 92, 13, and 17 Services: Passthrough process now required if organizations jointly serve an Opioid Health Home Member

This is a follow-up to the e-message sent on September 2, 2022, and a correction sent on September 8, 2022, regarding the new requirement for Passthrough Payments for Opioid Health Home (OHH) services delivered by an expanded care team.

Maine DHHS Announces $13.6 Million in New Grants to Support Maine’s Child Care Providers

Sep 9, 2022

Federal grants complement state-funded payments for child care workers

The Maine Department of Health and Human Services (DHHS) announced today that it will distribute $13.6 million in American Rescue Plan Act funds to improve Maine families’ access to safe, affordable, and high-quality child care.

Attention MaineCare Members and Families, Healthcare Providers, Clinicians, Consumer Advocates, and Healthcare Professional Associations: CMS’ Make Your Voice Heard RFI 

The Centers for Medicare & Medicaid Services (CMS) released a Request For Information (RFI) seeking public input on accessing healthcare and related challenges, understanding provider experiences, advancing health equity, and assessing the impact of waivers and flexibilities provided in response to the COVID-19 Public Health Emergency. Through this RFI, CMS also seeks to better understand the factors impacting provider wellness and learn more about the distribution of the healthcare workforce.

Maine Department of Health and Human Services Certified Community Behavioral Health Clinic Stakeholder Meeting 

The Department of Health and Human Services (DHHS) is initiating a bi-monthly virtual stakeholder meeting series to gather input and inform efforts on the development of a Certified Community Behavioral Health Clinic (CCBHC) model in Maine. The first meeting will Monday, September 26th, 10:30am-12pm, held virtually through Zoom. 

Attention Section 43 Hospice Providers Using the State Sandata Solution for Electronic Visit Verification (EVV) 

Hospice Functionality available in the State Sandata Solution 

Starting September 7, 2022, a new functionality has been made available for Hospice providers using the Sandata Solution. This new functionality will allow providers to create Prior Authorizations (PA) within the Sandata system. This will also allow providers to create an electronic visit record for MaineCare members who have a PA.   

Attention Section 97, Private Non-Medical Institutions Appendix D, Children’s Residential Care Facilities Providers 

Effective July 1, 2022, Children’s Residential Care Facilities (CRCFs) delivering Aftercare Services may now submit claims utilizing quarter-hour units. This change has been made to allow providers to bill more accurately for this service. The adjusted rate of reimbursement is as follows:    

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