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On December 11, 2023, MaineCare in coordination with its vendor Burns and Associates, a Division of Health Management Associates (HMA-Burns), hosted a virtual public forum via Zoom for interested providers and stakeholders. We presented an initial recommended draft reimbursement methodology and rationale for inpatient services in acute care and rehabilitative hospitals.
MaineCare covers Food and Drug Administration (FDA) approved and FDA Emergency Use Authorized (EUA) over the counter (OTC) COVID-19 home tests through a Standing Order for MaineCare beneficiaries. COVID-19 tests will be covered with no member cost sharing.
MaineCare, in collaboration with Maine Center for Disease Control, is hosting a webinar focusing on the collaboration between PCPlus practices and Community Health Workers (CHWs) or Community-Based Organizations (CBOs) employing CHWs. The goal of this webinar is to:
Provide a brief overview of the CHW workforce in Maine
Provide an overview of incentives within PCPlus to increase access to CHW services
In response to provider inquiries regarding ACT, the Department updated the January 1, 2023 Behavioral Health Rate Adjustments Frequently Asked Questions.
For questions, please contact provider relations specialist, Bruce Cosgrove.
On May 1, 2023, the Office of MaineCare Services (OMS) released guidance related to billing and implementation of the updated APM for FQHCs.
In follow up to our January 19, 2024 notice, service codes and rates for Section 101, of the MaineCare Benefits Manual are now implemented, effective January 1, 2024, to reflect 72.4% of the most recent 2024 Medicare rates.
Adjustment of Claims
Department also unveils more details about plan from Governor’s State of the State to improve child safety, announcing that the forthcoming supplemental budget will include nearly $7 million in initiatives to strengthen child welfare system
It has been brought to the Department’s attention that the Section 50, Day Habilitation rate effective January 1, 2024, was not implemented on January 1, 2024, as was previously noticed.
The updated rate for Day Habilitation (0907) has now been implemented as of February 7, 2024.
Adjustment of Claims
$90 Million Investment in Evidence-Based MaineCare Payment System Would Maintain or Increase Payments to Every Medical Center in Maine & Improve Care for Maine People
AUGUSTA— Today, the Maine Department of Health and Human Services (DHHS) and the Maine Hospital Association announced an agreement to reform hospital reimbursement rates to improve the health of Maine people.
Potentially exposed patrons and staff are encouraged to contact a health care provider
AUGUSTA — The Maine Center for Disease Control and Prevention (Maine CDC) has identified a case of hepatitis A in a Westbrook food service worker. Hepatitis A is a contagious liver disease caused by the hepatitis A virus. It can spread through person-to-person contact or by consuming contaminated food or water.