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Last Fall, MaineCare provided notice that it had initiated a rate determination process for Psychiatric Residential Treatment Facilities (PRTFs) pursuant to P.L. 2021, Ch. 635, an Act to Improve the Child Welfare System. The Department began this rate determination prior to the adoption of P.L. 2021, Ch. 639.
The FY 2024 PNMI Section 97, Appendix F rate letters will be accessible on the secure Health PAS Online Portal by July 1, 2023. You can view them by logging into your Trading Partner Account and following this pathway: File Exchange > Reports > Rate Setting Letters. We will provide additional notice once the letters have been posted.
On April 18, 2023, the Food and Drug Administration (FDA) announced changes to simplify the use of Bivalent mRNA COVID-19 vaccines. As a result, additional CPT codes have been created by the American Medical Association (AMA) for use in billing for the administration of COVID-19 vaccines.
On May 10, 2023, CMS updated the Laboratories: CMS Flexibilities to Fight COVID-19 document found on the CMS Coronavirus waivers and flexibilities web page.
There is a delay with posting this week’s posting of the paper and PDF Remittance Advices (RAs) on the HealthPAS Online Portal. We are working to correct the issue and will notify you when the RAs are available. We apologize for the inconvenience.
During the COVID-19 PHE, the Department issued guidance to providers allowing verbal consent in place of wet signatures, except where a signature is specifically required through federal regulation.
Earlier this year, the Department made changes to Section 28 rates and modifier combinations as a result of recent rate studies conducted in relation to P.L. 2021 Ch. 398, Pt. AAAA; Ch. 635, Pt JJJ; and Ch. 639.
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On Monday, June 5, 2023, from 12:00 to 1:00 PM, MaineCare will host a public forum for Section 25, Dental Services providers to learn how to bill for interpreter services and comply with relevant requirements.
Zoom Meeting link: https://mainestate.zoom.us/j/88509241238
Meeting ID: 885 0924 1238
Please contact Jane Brann, Provider Relations Specialist, with any questions.
AUGUSTA - The Maine Center for Disease Control and Prevention (Maine CDC) recognizes May as Hepatitis Awareness Month and urges Maine residents to take precautions, get vaccinated, get tested and, if necessary, seek care.