DHHS → node
On November 6, 2024, MaineCare held an online public meeting to present the recommended draft rate methodology along with rationale for the CCBHC Medicaid Demonstration. Interested parties had the opportunity to provide public comments.
Nov 11, 2024
The Maine Center for Disease Control and Prevention (Maine CDC) recently published important new data in the scientific Journal of Agricultural and Food Chemistry. The research comes from a study on the movement of per- and polyfluoroalkyl substances (PFAS) from soil into grass-based forages grown for livestock feed on contaminated land from the land application of wastewater sludge.
10-144 C.M.R. Chapter 331; Public Assistance Manual Temporary Assistance for Needy Families (TANF) Manual, Chapter V
TANF Rule #122P – Mileage Reimbursement Update
10-144 C.M.R. Chapter 323; Maine General Assistance (GA) Manual, Sections II, III, V, VI, VII, X, XI, XII and XIII
GA Rule #26P – P.L. 2024, Chapters 575 and 643
The proposed rule changes would update the Maine General Assistance (GA) Manual consistent with legislative changes to 22 M.R.S. §§ 4302, 4304 and 4305 made by P.L. 2024, Chapters 575 and 643.
EMERGENCY RULE - GENERAL ASSISTANCE (GA) Program
10-144 C.M.R. Ch. 323; MAINE GENERAL ASSISTANCE Manual; Section V
GA Rule #26E – P.L. 2024 Ch. 642
The Department adopts this emergency rule, which amends10-144 C.M.R. Ch. 323, Maine General Assistance (GA) Manual, Section V, MAXIMUMS, CATEGORIES AND LEVELS OF ASSISTANCE, to align with a legislative change to 22 M.R.S. § 4308(2) made by P.L. 2024 Ch. 643.
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.
The public forum to present revisions to the previously proposed draft rates and model for PRTF services that was scheduled for November 6, 2024, has been postponed. The Department will reschedule this forum and send notice of the new date and time. Please watch for a future notice. We appreciate your ongoing patience and apologize for any inconvenience.
For questions, please contact Dwayne Parsons, MaineCare’s Manager of Rate Setting and Reform.
All vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) are covered by MaineCare pharmacy benefit without a member copayment, this includes influenza vaccines.
In preparation for the 2024-2025 Influenza (Flu) season, please review the MaineCare preferred vaccines listed below. These vaccines do not require Prior Authorization (PA).
Influenza vaccines:
Effective November 1, 2024, MaineCare will only accept Health Resources and Services Administration (HRSA) Notice of Award (NOA) to update the license term date.
FQHC providers are required to update their license term date annually and provide their latest NOA. Previously, MaineCare also allowed the Federal Tort Claims Act (FTCA) document to count as the NOA but we will no longer accept them to update the license term date. Providers must update the license term date with the end date listed on the Budget Period within the NOA to avoid delays.
If you see a member has SPLB MaineCare coverage when verifying eligibility on the Health PAS Online Portal, do not assume the coverage is hospital inpatient services only. There are several different SPLB coverage types and the services MaineCare reimburses for depends on which limited benefit coverage the member receives.
Contact Gainwell Provider Services at 1-866-690-5585 to verify if the procedure code you intend to bill is covered.