New public awareness campaign supports parents and caregivers in Maine
The Maine Child Welfare Action Network and the Maine Department of Health and Human Services partner with parents to launch the Be There for ME website and campaign
Section 45, Hospital Services Rate Reform: Updates Following June 11, 2024, Forum
As previously noticed, the Department is conducting a rate determination for Section 45, Hospital Services.
Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums
Registration is now open for MaineCare's DSR Annual Forums for:
- Accountable Communities (AC),
- Behavioral Health Homes (BHH),
- Community Care Teams (CCT) including Housing Outreach and Member Engagement (HOME) providers,
- MaineMOM,
- Opioid Health Homes (OHH), and
- Primary Care Plus (PCPlus) providers.
MaineCare is offering two venue/date options this year. Both sessions will run from 9:00 AM to 4:00 PM.
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Auburn |
Virtual Forum for Dental Service Providers Next Week
MaineCare is hosting a dental forum on July 30, 2024, 12:00PM – 1:00PM.
The first 30 minutes will include updates and clarification from MaineCare about the following topics:
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Services covered and underutilized
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Claims and billing updates
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Who to contact and when
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Early and Periodic Screening, Diagnosis, and Treatment services (EPSDT) resources now available
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Addressing challenges and barriers to accessing dental services
MaineCare as a Secondary Payer
Many MaineCare members are dually eligible for both Medicare and full MaineCare. These members may have Medicare Advantage plans that have different coverage from traditional Medicare. Many Medicare Advantage plans cover some dental services, so it is important to verify the members’ coverage with their primary insurance before providing services.
Updated Guidance for Power Mobility Devices (PMD
On June 4, 2024, the Office of MaineCare Services (OMS) sent an e-message with updated documentation guidance for PMD.
Please note the following clarifications to this guidance:
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POW was used to abbreviate Power Operated Wheelchair. For clarification, this equipment may also be referred to as Power Wheelchair or PWC.
Update: Some Claims Payments Delayed Due to Earlier MIHMS Outage
This morning, Friday, July 19th, Gainwell became aware that Crowdstrike, a leading security product vendor and supplier for Gainwell, reported a problem with an update to one of their products. The Crowdstrike problem has affected technology systems worldwide. As a result, MIHMS applications were temporarily unavailable, and some claims were not able to process through the financial cycle for payment next week. These claims will process to pay the following week.
Update: Health PAS Online Portal, Provider Services, Member Services Restored
This morning, Friday, July 19, 2024, Gainwell became aware that Crowdstrike, a leading security product vendor and supplier for Gainwell, had reported a problem with an update to one of their products. The Crowdstrike problem has affected technology systems worldwide. As a result, the Health PAS Online Portal and the Provider and Member Services call centers had been unavailable.
All systems are now restored, although you may experience some slowness when using the portal.
Section 25, Dental Services: Benchmark Assessment Results Comment Summary with Department Response
In October of 2023, the Office of MaineCare Services provided notice that we had initiated the process of assessing
Attention MaineCare Providers: HealthPAS Online Portal, Provider Services, Member Services Unavailable
This morning, Friday, July 19, 2024, Gainwell became aware that Crowdstrike, a leading security product vendor and supplier for Gainwell, has reported a problem with an update to one of their products. The Crowdstrike problem has affected technology systems worldwide. As a result, the Health PAS Online Portal and the Provider and Member Services call centers are unavailable.