Maine CDC Offers Tips for Staying Safe While Traveling

AUGUSTA– The Maine Center for Disease Control and Prevention (Maine CDC) is encouraging Maine residents to stay safe while enjoying spring traveling. Travel and vacations can promote physical and mental health. That said, with school and other spring vacations occurring amid recent outbreaks of dengue, measles, and hepatitis A in the U.S. and abroad, travelers should plan and take precautions to stay healthy.

The Maine CDC offers the following tips for safe and healthy travel this spring:

EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) App

EVV Providers who are currently using the SMC app through their phone, tablet, or other mobile device should update to the latest version of the app using the Apple Store, or Google Play. The current version of the app is being phased out as of July 1, 2024. To avoid any interruption of visit record keeping, you should now download the latest version of the app. 

Please contact Provider Services with questions:  

  • 1-866-690-5585, option 3.

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.

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 and Aggregator Content – State and Provider Trainings

 

Date

REVISED Medicare Standardization Rates Effective March 9, 2024: Sections 15, 68, 75, 85, and 109

The Centers for Medicare & Medicaid Services (CMS) has revised its rates effective March 9, 2024. To align with these changes, MaineCare has been working to update reimbursement rates for Medicare covered codes and services. The new rates will reflect 72.4% of the most recent, 2024 Medicare rates.  

Rates were implemented on April 3, 2024, for all sections noted below.  

Attention Residential Care (PNMI-C) Facilities: CoreQ Resident and Family Satisfaction Survey Pilot

Please express interest by April 19, 2024 

Introduction: 

Person-reported outcomes (PROs) are an important way for organizations, providers, and facilities to assess their success in meeting the person-centered needs of patients and residents under their care.  While some nursing home facilities are collecting CoreQ data as one of their quality measures, most residential care facilities are not.   

Attention Providers of Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations

On March 18, the Division of Licensing and Certification (DLC) sent notice that Section 28 providers are required to obtain a mental health license in order to provide Section 28 services due to the recently adopted CMR 10-144 Chapter 123, Behavioral Health Organizations Licensing Rule. The notice included an application filing deadline of May 11, 2024, for providers who are not currently licensed as mental health agencies.  

REVISED - Medicare Standardization Rates for Calendar Year 2024 (CY24)

The Centers for Medicare & Medicaid Services (CMS) has revised its rates effective March 9, 2024. To align with these changes, the Department is in the process of updating reimbursement rates for Medicare covered codes and services for the sections noted below. The new rates will reflect 72.4% of the most recent, 2024 Medicare rates.   

Evergreen Users Billing 837 Claims

With the new Evergreen system rollout, previous authorizations with a prefix of “EIS” have been replaced by new authorizations with a prefix of “LTS.”    

Our current Electronic Data Interchange (EDI) 837 file was developed with a max of 15 characters for authorization IDs. Some LTS authorization IDs were generated with a max of 17 characters. When submitting 837 claims, providers are reporting that the last two characters of the 17-character authorization ID are getting cut off, resulting in denied claims with the “UM not found” edit.    

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