Reminder: Home and Community Based Services (HCBS) Compliance Form Instructions for Waiver Services Provider

The State requires all providers who deliver services under Sections 18, 20, 21, and 29 fill out a HCBS Compliance Form. Providers delivering HCBS services under the above sections of policy who are submitting new, revalidating, reactivating, and maintenance cases must fill out the form and upload it before the case can be finalized. This will ensure that providers of HCBS waiver services are in compliance with applicable requirements for HCBS waiver settings.

Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers

The Office of Aging and Disability Services is excited to announce a virtual training opportunity scheduled for Monday, February 26, 2024 - Mental Health First Aid. This training is being provided under collaboration with the National Alliance on Mental Illness (NAMI) Maine and is available for caregivers providing services to Section 19 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.

Issue Corrected: Attention Section 67 Providers – Members Coverage Inadvertently End-Dated in MIHMS

On January 8, 2024, we announced to Section 67 Nursing Facilities (NFs) providers that several members had their MaineCare coverage for NF Services inadvertently end-dated on December 31, 2023. This issue is now corrected, and providers can submit their claims for dates of service from January 1, 2024, to present. 

Updated January 1, 2023, Behavioral Health Rate Adjustments FAQs Regarding Assertive Community Treatment (ACT)

Upon reassessment, the Office of MaineCare Services determined it has sufficient flexibility in policy language to require ACT providers to maintain a panel-wide average of three contacts per member, in alignment with fidelity to the model, rather than delivering a minimum monthly average for each member of three contacts per week. In accordance with MBM Section 17.04-3, in the event a member does not receive three contacts in a week, providers must continue to document why.

SNAP Rule #229A - Electronic Benefit Theft

Pursuant to the Consolidated Appropriations Act 2023 (CAA 2023), Public Law 117-328, Division HH, Title IV § 501, EBT Benefit Fraud Prevention requirements, the Department adopts changes to the SNAP Manual, Section 777-4 to align with the requirements of the CAA 2023. The adopted rule changes provide clarity on the Department’s procedure and timeframes for replacement of SNAP benefits determined to have been stolen through card skimming, card cloning, or similar fraudulent methods. The U.S.D.A.

Electronic Visit Verification (EVV) Phase 2 Trainings

The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.

We continue to offer weekly EVV provider and aggregator trainings. All trainings are online via Microsoft Teams.

NOTE: The Absorb training system has been updated to allow providers to register for trainings more than once.

EVV Training Schedule

EVV Phase 2 Training Content – State and Providers

Attention Providers: New Ways to Connect Your Patients to Mental Health Care

The MaineCare HIV Program and the Delivery System Reform Units will host a 30-minute tour of Treatment Connection, an online platform that helps you locate and contact mental health and substance use disorder (SUD) providers. This session is specifically for providers who seek mental health and SUD services for their patients. The live event will start at 11:30 AM, Thursday, January 25, 2024. Register Here. (Recording will be posted).

Maine DHHS provides update on MaineCare “unwinding”

Jan 1, 2024

Today, the Maine Department of Health and Human Services (DHHS) released an update on the resumption of MaineCare (Medicaid) eligibility reviews after the COVID-19 Public Health Emergency, known as “unwinding.”  During the first eight months of the unwinding period (from May to December, 2023), the Department’s efforts have resulted in over 204,000 MaineCare members successfully renewing or retaining coverage.

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