Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs

The Office of Aging and Disability Services (OADS), in collaboration with the National Alliance on Mental Illness (NAMI) Maine, is excited to announce a virtual De-Escalation training opportunity scheduled for Tuesday, December 10, 2024, from 3:00 PM – 5:00 PM.

This training is available for caregivers providing care to Section 12, 19, and 96 members and the cost is free! Caregivers can include personal support staff, attendants, home health aides, nurses, or other natural and family supports.

Rescheduling the Dental Services Forum

We are rescheduling the Provider Dental Services Forum to January 22, 2025, 12:00 – 1:00 PM.  

MaineCare staff are actively coordinating with Gainwell and Optum/Change Healthcare to better understand providers’ issues with dental billing clearinghouses, to understand who has responsibility for resolving these issues, to push for resolution where possible, and to understand alternatives for providers. Please know that not all issues are within our or Gainwell’s control. 

MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 45, Principles of Reimbursement for Hospital Services

Notice of Agency Rule-making Adoption

AGENCY: Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, Chapter III, Section 45, Principles of Reimbursement for Hospital Services

ADOPTED RULE NUMBER:

CONCISE SUMMARY:  

Section 67, Nursing Facility Reimbursement Reform: March 2024 Comment Summary with Department Response

In March of 2024, the Department with its vendor Guidehouse Inc., hosted two public forums to present the recommended draft rate methodology and rationale resulting from the rate determination process* that was initiated in 2023. Revisions were then made based on public and written comments received.  

MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 43, Hospice Services

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.

Survey Deadline Reminder and Updated Questions & Answers for HCBS: Specific to Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Support Services

As previously noticed, MaineCare and our vendor, Public Consulting Group LLC (PCG) are conducting a survey to collect information from providers and interested parties about certain services under Sections 12, 18, 19, 20, 21, 29, 40, 96, and 102. The survey will further inform this rate determination process. This notice serves as a reminder of the upcoming survey deadline on November 1, 2024.

MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 43, Hospice Services

Notice of Agency Rule-making Adoption

AGENCY: Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 43, Hospice Services

ADOPTED RULE NUMBER:

CONCISE SUMMARY:  

The Department of Health and Human Services (the “Department”) adopts this rule to amend MaineCare Benefits Manual Chapter II, Section 43: Hospice Services.

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