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The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed rules on
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
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EVV Phase 2 Training and Aggregator Content – State and Provider Trainings |
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Effective December 15, 2023, providers enrolled under Section 9 of the MaineCare Benefits Manual (MBM) may provide TCM Services to eligible MaineCare members. IHS providers must comply with all requirements set forth in MBM, Section 13 TCM including those regarding member eligibility, record keeping, and covered services. IHS providers are not required to hold a mental health license to provide TCM Services.
MaineCare does not allow contract or retail pharmacies to enroll in the 340B Medicaid drug program, either directly or under subcontract with a 340B entity. MaineCare is Fee For Service (FFS).
All 340B providers who submit claims to MaineCare must determine whether they will use 340B drugs for their MaineCare patients (carve-in to the program) or whether they will purchase drugs for these patients through other mechanisms (carve-out of the program).
The ASAM Criteria, nationally recognized as the gold standard in treatment assessment, was first developed in 1990. A new edition, The ASAM Criteria 4th edition, was released in December 2023, with subsequent volumes including:
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.
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.
More than 62,500 Maine consumers enrolled in affordable coverage for 2024
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.