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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.
Free information sessions are available in-person at your location, customized to your needs, and with flexible schedules!
Subjects include:
Effective January 1, 2024, MaineCare is increasing reimbursement rates for NFs and RCFs in accordance with Part AAAA of P.L. 2021 Ch. 398, to continue to enable providers to cover labor costs for essential support workers to at least 125% of the minimum wage.
Rate letters are posted at the secure Health PAS Online Portal and rates have been implemented for billing.
For questions on rates please contact the individual listed on the rate letter.
Earlier this year, the Department’s vendor, Burns and Associates, a division of Health Management Associates (HMA-Burns), conducted a survey for Section 65 Crisis Resolution and Response Services.
As you may know, changes are coming to MaineCare, and the Maine Department of Health and Human Services is hoping that pharmacies can help to spread the word!
We are working to raise awareness about the need for people with MaineCare to renew their coverage or, if they’re no longer eligible, to enroll in coverage through their employer or through CoverME.gov, Maine’s Health Insurance Marketplace.
More information about this process can be found at MaineCare.gov/unwinding.