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Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 45, Hospital Services
NATURE OF PROPOSED CHANGES: Effective November 2024 the Department plans to amend existing hospital supplemental pool payment amounts to the following:
On September 16, 2024, MaineCare sent a message advising pharmacies that copays for pharmacy services would resume effective October 1, 2024, in conjunction with the end of the American Rescue Plan Act (ARPA).
The Department is re-opening the survey that was originally launched on October 18, 2024, to increase provider survey participation. Data collected through this process will be a key element in the development of recommendations related to payment rates for certain services covered under Sections 12, 18, 19, 20, 21, 29, 40, 96, and 102. The Department strongly encourages providers and interested parties to complete the survey by the new deadline of November 22, 2024.
Providers who submit PA requests for hearing aids must complete your submission in one of two ways:
Nov 11, 2024
Maine Launches TIME Project to Enhance ASL Interpreting Services Across the State
View the new TIME website which includes an announcement about the TIME Project needs assessment.
The Maine Department of Health and Human Services (DHHS) has launched the Transforming Interpreting Maine (TIME) Project, an initiative aimed at improving ASL interpreting services across the state, with the goal of enhancing outcomes for Deaf, DeafBlind, and Hard of Hearing residents in Maine.
Section 65 Behavioral Health Copays turned off on October 1, 2024, meaning copayments are no longer deducted from claims payments. However, MaineCare did not deduct copayments from claims payments and adjustments processed beginning in September 2024, in error. We will reprocess affected claims. No action is required by providers.
For questions, please email Pamela Grotten, Provider Relations Specialist.
Public reminded to monitor for signs of mosquito-borne illness
AUGUSTA -- The Maine Center for Disease Control and Prevention (Maine CDC) announced today the detection of a locally acquired Eastern Equine Encephalitis virus (EEE) in a Maine resident. This is the first Maine resident to become infected with EEE this year, and the first since 2015.
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