DHHS → node
As previously noticed on December 1, 2023, MaineCare is increasing reimbursement for Section 92 BHH services through a 2.54% COLA. The implementation of this COLA had been “pending approval of appropriations.”
On December 1, 2023, MaineCare provided notice that it would increase reimbursement for certain eligible services through a 2.54% COLA, to be effective January 1, 2024. The notice indicated a status of “pending approval of appropriations” for several eligible services (under Sections 2, 13, 17, 26, 28, and 65).
The Office of MaineCare Services continues a phased recovery following the outage that occurred from February 21, 2024, through March 26, 2024, due to the national cyber security issue affecting Change Healthcare.
We are entering the next phase of the recovery and are continuing to restore waived edits. On May 1, 2024, Reject – 79 Refill Too Soon and Reject-79 Refill Too Soon Carryover were returned to normal functioning. On July 17, 2024, Reject-76 Plan Limitations Exceeded, returned to normal functioning.
The Office of MaineCare Services continues a phased recovery following the outage that occurred from February 21, 2024, through March 26, 2024, due to the national cyber security issue affecting Change Healthcare.
During the outage, limitations were waived regarding medications that were refilled too soon. On May 1, 2024, Reject–79 Refill Too Soon and Reject-79 Refill Too Soon Carryover were returned to normal functioning.
Effective August 1, 2024, skin substitute products no longer require a PA. Providers are expected to select the most appropriate product for treatment and to use the products for the purposes for which they have FDA approval.
For questions, please contact your Provider Relations Specialist.
In July 2024, MaineCare updated the Health PAS Online Portal to include the member’s renewal date, when available, so that providers can more accurately assess the status of a member’s eligibility. Please note the following updates about the eligibility renewal date field: The new field shows the renewal date of members whose date has been finalized.
Annual bait distribution aims to reduce spread of disease among raccoons
Registration is now open for MaineCare's DSR Annual Forums for:
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 |
Maine people and visitors urged to take precautions against bites during active mosquito season
AUGUSTA--The Maine Center for Disease Control and Prevention (Maine CDC) announced today that six wild birds from multiple counties tested positive for West Nile virus (WNV). This is the earliest in the year that Maine CDC has found the mosquito-borne virus in birds.
CHAPTER NUMBER AND RULE TITLE: 10-144 C.M.R. Chapter 331; Public Assistance Manual Temporary Assistance for Needy Families (TANF) – Chapter IV
TANF Rule #120 – Step Disregard
The proposed rule changes would update the Public Assistance Manual Temporary Assistance for Needy Families (TANF) consistent with a legislative change to 22 M.R.S. § 3762 made by P.L. 2023, Ch. 29, An Act to Improve Family Economic Security Under the Temporary Assistance for Needy Families Program.