Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Section 97, Private Non-Medical Institution (PNMI), Appendix C, Residential Care Facilities
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 97, Private Non-Medical Institution (PNMI), Appendix C, Residential Care Facilities (RCFs)
Maine CDC launches immunization record mobile app
New app allows Maine people secure, instant digital access to their vaccine records
AUGUSTA-- The Maine Center for Disease Control and Prevention (Maine CDC) has partnered with a new, free, mobile application, Docket, to allow Maine people to opt in to easily, quickly, and securely access their vaccine records through their smartphones and other mobile devices.
Code & Service Category List: HCBS Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Care Services
As part of the rate determination process the Department initiated earlier this summer for sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, our vendor Public Consulting Group performed a code analysis to identify all services that will be included in this determination.
Dental Services
Provider Dental Forums
July 30, 2024 Dental Provider Forum
Topics covered:
- Services covered and underutilized
- Claims and billing updates
- Who to contact and when
- Early and Periodic Screening, Diagnosis, and Treatment services (EPSDT) resources now available
- Addressing challenges and barriers to accessing dental services
Forum materials:
Notice of Rule Adoption: 10-144 CMR Chapter 269, Self-Contained Breath Alcohol Testing Equipment Rule
The Department adopted amendments to Maine’s Rules Governing Self-Contained Breath Alcohol Testing Equipment to coincide with the expiration of the current rule adopted on an emergency basis and effective on May 28, 2024. (5 MRS 8054(3)). Consistent with the proposed rule, this routine technical rule qualifies the use of a dry gas standard, ensuring that testing equipment for calibrating units under 10-144 CMR Chapter 269 remains current with industry practice for performing accuracy checks and calibration adjustments on most evidential breath alcohol testing instruments.
Section 45, Hospital Diagnostic Related Group (DRG) and Ambulatory Payment Classification (APC) Reimbursement Changes Effective July 1, 2024
The Department notified Hospitals on July 25, 2024, of changes to DRG and APC reimbursements, effective July 1, 2024.
MaineCare updated its claims system on August 20, 2024, to reflect these changes.
Maine CDC Issues Advisories on Eating Freshwater Fish Due to PFAS Contamination at the Former Naval Air Station in Brunswick
AUGUSTA -- The Maine Center for Disease Control and Prevention (Maine CDC) today issued new freshwater fish consumption advisories recommending either no consumption or limited consumption of fish from four waterbodies located on and around the former naval air station in Brunswick, Maine.
Post Incarceration Incentive Payment Pilot Update
In December of last year, MaineCare announced the Post Incarceration Incentive Payment Pilot. Please refer to our previous notice for additional information on this Incentive Payment Pilot and how to be eligible for the incentive payment. To date, over 46 organizations have qualified, and the Department has paid more than $50,000 in incentive payments for eligible claims.
SNAP Rule #233A - Lottery and Gambling Winnings
The adopted rule updates Section 444-12 based on a legislative change to 22 M.R.S. § 3104(16) made by P.L. 2024, ch. 501. The adopted rule change aligns Maine law with the Code of Federal Regulations as it relates to disqualifications based on gambling or lottery winnings. Applying one standard instead of two clarifies requirements for recipients and the Department without having an adverse impact on program integrity.
In addition, the Department determined it necessary to make non-substantial changes in FS 444-12 for consistency within the rule. These changes include: