MaineCare Updates

MaineCare Expansion

See the MaineCare Expansion webpage for updated information. The Department will continue to update this page often, so be sure to sign up for our expansion updates if you haven’t already done so.

 

Request for Information (RFI): Managed Care Service Delivery for Dually Eligible Members

The Office of Aging and Disability Services (OADS) and the Office for MaineCare Services (OMS) announce an RFI for managed care service delivery for dually eligible members.

 

Waiver for Individuals Living with HIV/AIDS

The Department is improving health care for Maine people with HIV/AIDS. Since 2002, individuals living with HIV/AIDS in Maine who are not eligible for MaineCare but meet certain income requirements have received MaineCare services under a federal waiver. Medicaid waivers allow the federal Centers for Medicare and Medicaid Services (CMS) to waive typical program rules so states can pursue specific health care goals. CMS has granted Maine a continuation of this waiver for another 10 years. It is designed to provide more effective, early treatment of HIV disease by making available a limited but comprehensive package of services, including antiretroviral therapies. For more detail, see the May 15, 2019 HIV Waiver Renewal Update.

 

Electronic Visit Verification (EVV)

Section 12006 of the 21st Century Cures Act mandates that states implement an EVV system for all Personal Care Services (PCS) and Home Health Care Services (HHCS) that require an in-home visit by a provider. States must require EVV for PCS providers by January 1, 2020 and for HHCS by January 1, 2023. An EVV system is used to verify the date, time, and site of a provider visit, as well as services provided to the MaineCare member in the member's home or in a community-based services setting. For more details about services impacted, system requirements, and other information, go to the EVV webpage.

 

MaineCare E-Message Service

Stay up-to-date with current news by subscribing to our various e-message topics. You can subscribe to MaineCare's list of topics or update your topic list by going to the Subscriber Preferences Page.

 

Links to More Information

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For historical information, please see the Provider Updates Archives page.