10-149 CMR Chapter 5 § 2 Developmental Disability Services for Adults with an Intellectual Disability or Autism Spectrum Disorder

SUBJECT: Repeal of 14-197 C.M.R. Chapter 3 Definition of Mental Retardation and Autism; Appeal Procedure and replace with 10-149 C.M.R. Chapter 5 § 2 Developmental Disability Services for Adults with an Intellectual Disability or Autism Spectrum Disorder.

This memo gives notice of proposed rulemaking re: Developmental Disability Services for Adults with an Intellectual Disability or Autism Spectrum Disorder.

Taxonomy Code Requested on Claim Submissions – Portal Claims

The Office of MaineCare Services (OMS) is requesting that providers include the taxonomy code on all claims. The taxonomy code is necessary for the Centers for Medicaid and Medicare Services (CMS) to collect data for Transformed Medicaid Statistical Information System (T-MSIS) reporting. This data helps to inform states of their current standing in data quality as compared to other states and is crucial for research and policy on Medicaid and CHIP. The taxonomy is also used by  CMS to conduct program oversight, administration, and integrity.  

Rescheduled: Section 107, Psychiatric Residential Treatment Facilities (PRTFs) Revised Draft Rates Public Review and Comment Forum

The public review and comment forum has been rescheduled to January 9, 2025. We appreciate your patience and apologize for any inconvenience.  

Meeting Date/Time: 

Thursday, Jan 9, 2025, 9:00AM – 10:30AM  

Zoom Link: 

https://mainestate.zoom.us/j/86429930799  

Meeting ID: 864 2993 0799 

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Rate Determination Initiation Notice for Interpreter Services

The Department has initiated a Rate Determination Process for Interpreter Services, Chapter I, Section 1, of the MaineCare Benefits Manual.* The Department is determining rates to ensure quality of care and access to this critical service. The Department will assess, and determine as appropriate, rate amounts or reimbursement models in accordance with Maine statute. 

0-148 C.M.R. Chapter 22: Safe Haven Baby Boxes

This rulemaking proposes to establish guidelines for the safe installation and use of safe haven baby boxes at qualifying safe haven provider locations before they are put into service. Public Law 2021, c. 466 amended Maine’s Safe Haven law to direct the Department of Health and Human Services to adopt rules to ensure the safe design, installation, and use of each safe haven baby box before it may be put into service by a hospital, law enforcement agency, or fire department.

A Final Update to MaineCare Unwinding

December 12, 2024

Maine's Medicaid program (MaineCare) successfully concluded a process known as the "unwinding" of the continuous Medicaid eligibility requirement. Following the end of the COVID-19 Public Health Emergency in 2023, updates to federal rules meant that every MaineCare member needed to have their coverage reviewed to ensure they could remain eligible. This process began in May 2023, and eligibility redeterminations were completed by October 31, 2024, with nearly 80% of Maine people successfully renewing their MaineCare coverage.

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