HIV Prevention Drugs, PrEP
The Federal Centers for Disease Control (CDC) Guidelines for HIV Prevention state:
Attention Substance Use Providers: Help MaineCare Design a New Substance Use Health Home Model
As a valued partner in the Continuum of Care for Substance Use Treatment, we would like to offer you the opportunity to assist in the expansion of Opioid Health Homes to be more inclusive of other substance use disorder (SUD) diagnoses. The Office of MaineCare Service is asking for your input on key components of services that must be included in this model and welcomes provider engagement with the process of developing this new policy.
Current PERM Audit
The State of Maine is currently in the process of a federally mandated Payment Error Rate Measurement (PERM) audit for Reporting Year (RY) 2024. This audit covers randomly selected paid claims with a payment date from July 1, 2022, through June 30, 2023. PERM measures improper payments in Medicaid and the State Children’s Health Insurance Program (CHIP) and produces state and national level error rates for each program.
Required Medical Records
Attention Providers of Section 19 and 96 Services: Supervisory Visit Requirements for Personal Care Agencies
Personal care agencies currently conducting personal support specialist (PSS) supervision visits remotely must resume in-person visits beginning January 23, 2023. The Department will send out additional e-message reminders closer to the effective date for the change.
For questions, please contact Tammy Usher.
Reminder: Primary Care Plus (PCPlus) Application is Open
MaineCare Services is pleased to announce that we are now accepting applications for participation in MaineCare’s PCPlus program. PCPlus is a MaineCare primary care model that gives Primary Care Providers (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes.
Reminder: Primary Care Plus (PCPlus) Application is Open
MaineCare Services is pleased to announce that we are now accepting applications for participation in MaineCare’s PCPlus program. PCPlus is a MaineCare primary care model that gives Primary Care Providers (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes.
Reminder: Primary Care Plus (PCPlus) Application is Open
MaineCare Services is pleased to announce that we are now accepting applications for participation in MaineCare’s PCPlus program. PCPlus is a MaineCare primary care model that gives Primary Care Providers (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes.
Pfizer and Moderna Bivalent COVID-19 Vaccines Authorized to Use as Booster Doses in Children Ages 5 Years and Older
On October 17, 2022, the Office of MaineCare Services (OMS) sent an announcement that we will cover the Pfizer and Moderna bivalent COVID-19 vaccine booster doses as outlined in Emergency Use Authorizations (EUA) from the Food and Drug Administration (FDA).
Atrezzo Upgrade
On Monday, November 7, 2022, Kepro will upgrade their web-based platform to Atrezzo Next Generation (ANG).
Providers are encouraged to log into the updated platform to establish their Multifactor Authentication (MFA) for the launch on Monday, November 7, 2022.