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On September 15, 2023, the Office of MaineCare Services (OMS) sent a bulletin regarding the coverage of RSV vaccines.
OMS has completed the update to our systems, and you may begin to submit claims for these services.
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed rules
Notice of Agency Major Substantive Rulemaking Provisional Adoption
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
PROPOSED RULE NUMBER: 2023-P173
In October of 2022, the Office of MaineCare Services initiated a rate determination for Foster Care Comprehensive Health Assessments, a new service under Section 23 of the MaineCare Benefits Manual.
Jan 1, 2024
MaineCare continues progress toward ensuring equitable, accessible, and sustainable health coverage for low-income people, through its nationally recognized transformation of Maine’s rate-setting system.
Jan 1, 2024
As open enrollment for Health Insurance Marketplace plans for 2024 approaches its conclusion next Tuesday, January 16, 2024, thousands of new consumers are selecting plans through Maine’s state-based marketplace, CoverME.gov.
As of December 15, 2023, 7,321 new consumers had selected plans, the largest number of new consumers selecting plans by that date in all three years Maine has operated a state-based marketplace. December 15 was the deadline for coverage that started January 1, 2024.
10-144 C.M.R Chapter 331; Public Assistance Manual Temporary Assistance for Needy Families (TANF) – Table of Contents, Chapter I, Eligibility Process, Chapter II, Eligibility Requirements (non-financial), Chapter III, Asset Limits, IV, Budgeting Process, Chapter V, Transitional Benefits, Appendices – Maximum Benefit and Standard of Need and Worksheet for Calculating TCC Parent Fe
The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.
We continue to offer weekly 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
This notification is to advise Section 67 Nursing Facilities (NFs) that several members have had their MaineCare coverage for nursing facility services inadvertently end-dated on December 31, 2023. We are aware of the issue and a resolution is forthcoming.
Section 67 providers can continue to bill for nursing facility services up to December 31, 2023 but should refrain from billing for dates of service on or after January 1, 2024.
Healthcare providers are critical to cancer care throughout Maine.