DHHS → node
On August 18, 2023, the Office of MaineCare (OMS) notified providers of IOP services regarding the upcoming requirement to submit a PA through the Atrezzo system operated by Acentra Health (formally Kepro) and adhere to the substantive standards set forth in MBM, Chapter II, Section 65, Behavioral Health Services. &
As a follow up to the August 4, 2023, notice, the Acentra Health (formerly Kepro) team is excited to announce a new way to access resources and communicate with the Acentra Health Provider Relations Team.
The Office of MaineCare Services is 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.
How pharmacies can help:
Effective July 1, 2023, Acentra Health (formerly Kepro) began reviewing residential SUD admissions for MaineCare members to assess appropriate American Society of Addiction Medicine (ASAM) level of care as one of the tasks associated with MaineCare’s 1115 SUD waiver.
Aug 8, 2023
Today, the Maine Department of Health and Human Services (DHHS) is releasing an update including July 2023 data on the resumption of MaineCare (Medicaid) eligibility reviews after the COVID-19 public health emergency, known as “unwinding.” To view Maine’s unwinding data report, please visit the MaineCare Renewals Data Dashboard.
This is a reminder that the attending provider is required on all UB-04 and 837I claims. MaineCare denies UB-04 and 837I claims submitted without an enrolled attending provider.
The attending provider is the individual who has overall responsibility for the patient’s medical care and treatment reported in the claim/encounter. The attending provider requirement includes all claim submission methods (paper, HealthPAS Online Portal, or 837I).
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Services
PROPOSED RULE NUMBER:
CONCISE SUMMARY: This proposed rulemaking seeks to make the following changes:
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
PROPOSED RULE NUMBER:
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
PROPOSED RULE NUMBER: