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Effective July 1, 2022, we have updated the Prior Authorization (PA) process for dental services. We have updated some dental PA forms. Please see below for more information about the changes that are in effect on July 1, 2022.
Please discontinue use of these forms:
Please use the following new forms:
Effective August 31, 2022, UB-04 and 837I claims submitted without an attending provider will be denied.
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website
June 30, 2022
Good afternoon,
Just a quick reminder that tomorrow is the last day for workers to fill out the DHHS Telework Approval Forms which can be found at the Office Re-entry Planning for DHHS site. We encourage you all to fill it out, even if you prefer not to telework. After tomorrow, this Form will be used for updated and adjusted schedules, new workers, and workers whose supervisors subsequently determine that they are eligible for telework.
June 27, 2022
Good morning,
This is the last week for workers to fill out the DHHS Telework Approval Form. The deadline is Friday, July 1.
All the information you need to know can be found at the Office Re-entry Planning for DHHS page (you can also navigate to it by visiting the DHHS homepage, hovering on “About Us” then clicking on “Staff” and scrolling down to the bottom of the page – it is the last bullet).
Earlier today, we sent a message that included incorrect detail about using TM and TL modifiers. See the bolded bullet list below for corrected language.
This message is another reminder about the Electronic Visit Verification (EVV) “soft launch” period for providers of section 40 Home Health and section 43 Hospice services ahead of the January 1, 2023 federal implementation deadline that was originally announced August 13, 2021.
Rate letters for providers in Section 67 and Section 97, Appendix C will be delayed. Rate letters will be sent out no later than September 1, 2022. Rates listed on those letters will be retroactive to July 1, 2022.
As a reminder for all providers of PDN services for members under the age of 21, the determination of medical necessity for PDN services in the home should not be contingent on whether the member receives PDN services at school.
There are two ways you can update your claims to get reimbursed for a retro rate increase.
You can do a straight reversal, which takes back the original payment and allows you to bill a new clean claim. You have one year from the date of service to submit a correct claim.