• Read more about Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour 

The Delivery System Reform Unit (DSRU) will hold a PCPlus Open Office Hour on Tuesday, August 15, 2023, at 12:00 PM. The purpose of the Open Office Hour is to provide an accessible online venue for PCPlus providers to ask MaineCare's DSRU questions you have regarding the PCPlus program.     

• Read more about ​New: MaineCare New Coverage Groups Communications Toolkit

Please help us reach groups in your community who are newly eligible for MaineCare coverage as of July 1, 2022, with or without proof of citizenship: 

• Read more about *CORRECTED* State Fiscal Year (SFY) 2024 Rate Letters for Residential Care Facilities (RCFs, PNMI Appendix C), CR 119444

The SFY2024 rates for Residential Care Facilities that we calculated for the July 1, 2023 rate letters and implemented on August 9, 2023, by error did not include the direct care and routine cost adjustments.     

• Read more about 10-144 C.M.R. 332; MaineCare Eligibility Manual, Parts 2, 3, 4, 5 and Chart 7; Rule #301 - Certain MAGI and CHIP Coverage Group Changes

This adopted rule provides continuing MaineCare coverage for parents, of children in the custody of the Office of Child and Family Services (OCFS), who are actively participating in family reunification. It also removes exclusions, lock-out periods, and premiums for Cub Care and increased the Federal Poverty Level (FPL) to 208% for all children. The adopted rule changes increase access to health insurance coverage.

• Read more about 10-144 C.M.R. Ch. 609 SNAP Employment and Training, Rule #6 - Name Change and Other Clarifications

The adopted rule updates the program name and references to the Supplemental Nutrition Assistance Program Employment and Training Program (SNAP E&T) from FSET to reflect recent updates for the SNAP program. The adopted rule is consistent with Maine revised statutes pursuant to P.L. 2021 c. 398 Part OO.

The adopted rule clarifies federal requirements for case management and job retention services and other minor updates made to clarify wording. Each of these updates more closely aligns the rule with 7 C.F.R. Section 273.3.

• Read more about RESCHEDULED: Draft Rate Model Public Review and Comment for Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services

In June of 2023, MaineCare provided notice that it had initiated a rate determination for Section 97, PNMI Appendix D, TFC Services. The Office of Child and Family Services in collaboration with the Office of MaineCare Services has revised the service model to inform the development of the draft rates.

• Read more about Electronic Visit Verification (EVV) Phase 2 Trainings

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

• Read more about ​New Chat Feature Available on Kepro Website​

The Acentra Health team is excited to announce a new way to access resources and communicate with the Provider Relations Team. Beginning on August 7, 2023, a new chat feature will be added to our QualityCareforMe.com website.  

• Read more about Critical Access Hospitals and Nursing Facilities Rate Updates, CR 119227 and 119226

Effective July 1, 2023, the Critical Access Hospital (CAH) swing bed rate and Nursing Facility (NF) days awaiting placement rates have been recalculated for SFY 2024.

• Read more about Attention Section 31, Federally Qualified Health Centers (FQHCs): Update on Rate Rebasing Efforts, CR 117105

As noticed in our previous e-message, new rates resulting from the Department’s rate determination for Section 31, FQHCs are available for billing in MIHMS. The new rates are retroactive to March 1, 2023.