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The Department is in the process of updating reimbursement rates for Medicare covered codes and services for the sections noted below, to be effective January 1, 2024. The new rates will reflect 72.4% of the most recent, 2024 Medicare rates.
Effective January 1, 2024, the Department has updated DME rates benchmarked to Medicare, to reflect 100% of current year Medicare rates. New rates have been posted to the MIHMS portal and rates will be implemented for billing on January 24, 2024.
Adjustment of Claims
Effective January 1, 2024, the Department has retroactively updated the Physician Drug Rates in alignment with the Centers for Medicare & Medicaid Services’ (CMS) quarterly rate update. These new rates will be implemented for billing on January 24, 2024.
Jan 1, 2024
The Maine Department of Health and Human Services announced today that it is bringing closure to a long-standing financing issue dating back to 2018 in Maine’s Medicaid program by eliminating a CMS-contested tax on health care providers (MaineCare). This reflects Governor Mills’ commitment to responsible State budgeting and sustainable long-term financing for MaineCare, a program that provides health and long-term service and supports to over 400,000 Maine residents.
In 2021, the Maine Department of Health and Human Services (DHHS) received approval from the Centers for Medicare and Medicaid Services (CMS) to implement a Section 1115(a) Demonstration titled, Maine Substance Use Disorder Care Initiative. The goal of the Demonstration is to improve access to, and quality of treatment to MaineCare members with SUD. This included allowing MaineCare to pay for short-term stays in residential SUD treatment programs that are larger than 16 beds.
MaineCare continues to experience a high volume of provider enrollment cases, and we need your help to make progress. Gainwell regularly identifies missing information that delays their ability to complete cases and requires your immediate attention.
Names Bobbi Johnson as Permanent Director, Launches Child Welfare Management Review, and Realigns Behavioral Health Services
AUGUSTA— The Maine Department of Health and Human Services (DHHS) announced today structural changes to improve services for children and families in Maine.
Jan 1, 2024
The Maine Department of Health and Human Services (DHHS) announced today that it will move Children’s Behavioral Health Services (CBHS) from the Office of Child and Family Services (OCFS) to the Office of Behavioral Health (OBH) to ensure a whole-family approach to the continuum of mental health and substance use prevention, treatment, crisis response, and recovery. Additionally, this transition of services improves the balance of staff across the Department’s Offices, allowing increased attention and support from leadership to child welfare, child care and CBHS.
As explained in the March 22, 2022 e-message, MaineCare’s COVID-19 Uninsured Benefit was available for uninsured individuals through the end of the federal PHE, which ended May 11, 2023. MaineCare will not pay for services for this population for dates of service after May 11, 2023.
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the proposed rules