Attention Section 30, Family Planning Agency Services, Alternate Payment Model (APM): Draft Rate and Service Model Public Review and Comment

In November of 2022, MaineCare provided notice that we had initiated a rate determination process for Section 30, Family Planning Agency Services, Chapter II & III of the MaineCare Benefits Manual (MBM). We are developing a family planning agency APM to reflect a team-based, patient-centered, integrated care model.

​Durable Medical Equipment (DME) Prior Authorization (PA) Criteria Sheets Updated​, CR 119839

Aligning with the adoption of the MBM, Chapter II, Section 60, Medical Supplies and DME rule, the Office of MaineCare Services (OMS) will be updating the criteria sheets used when submitting a request for PA. The criteria sheets will be located on the HealthPAS portal as of October 31, 2023, using the path MaineCare Information>Manual, Forms, and Criteria Sheets and are as follows:  

Respiratory Syncytial Virus (RSV) Educational Infographics Available

The Office of MaineCare Services academic detailing partner, Maine Independent Clinical Information Service (MICIS), offers one-page non-commercial infographics that share key points for pharmacologic RSV prophylaxis in first, second, and third generations: adults over 60, pregnant people, and infants, respectively. The infographics can be accessed following the links below: 

Maine People Can Now Preview 2024 Health Plans on CoverME.gov

Oct 10, 2023

As Open Enrollment approaches on November 1, 2023, Maine residents can get an early look at 2024 health insurance options that meet their needs and budgets

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) announced today that Maine people can now visit CoverME.gov to preview quality health plans for 2024 in advance of Open Enrollment, which begins on November 1, 2023.

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