• Read more about MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 89, MaineMOM Services and Reimbursement

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes.  The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. 

• Read more about MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 89, MaineMOM Services and Reimbursement

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes.  The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. 

• Read more about Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials

As previously noticed, MaineCare and its vendor are hosting several work groups with interested stakeholders to obtain important feedback as part of the rate determination process. 

• Read more about Assistive Technology Professional (ATP) Certification Grants

The American Rescue plan is funding a grant opportunity through Rehabilitation Engineering and Assistive Technology Society of North America (RESNA). The applications will be accepted between July 1, 2023 - July 31, 2023.    

• Read more about ​Section 75, Vision Services Rate Updates​, CR 116892

Effective January 1, 2023, the Department updated codes, V2520, V2523, V2531, and V2599, retroactively due to a rate update from the Centers for Medicare & Medicaid Services (CMS).    

See the table below for the effective dates and new rates.     

• Read more about CORRECTION to July 27, 2023 Training Time - Training for Licensed Substance Use Disorder (SUD) Providers

Acentra Health, formerly known as Kepro, in collaboration with the Office of Behavioral Health will be hosting two provider training sessions to review the Treatment Episode Data Sets (TEDS) submission requirements in the Atrezzo portal. The TEDS data submission is a requirement of all licensed SUD providers in Maine for the State to receive federal funding support for SUD treatment services and programs.

• Read more about Training for Licensed Substance Use Disorder (SUD) Providers

Acentra Health, formerly known as Kepro, in collaboration with the Office of Behavioral Health will be hosting two provider training sessions to review the Treatment Episode Data Sets (TEDS) submission requirements in the Atrezzo portal. The TEDS data submission is a requirement of all licensed SUD providers in Maine for the State to receive federal funding support for SUD treatment services and programs.  

• Read more about ​CORRECTION to Reporting Link: Attention Behavioral Health and Targeted Case Management Providers - Behavioral Health and Targeted Case Management Supplemental Payment Reporting​

As a follow-up to our June 21, 2022, e-message regarding Behavioral Health and Targeted Case Management supplemental payments for providers of: 

• Read more about MaineCare Benefits Manual, Sections Subject to Annual July Cost-Of-Living Adjustments

Notice of MaineCare Reimbursement Methodology Change

AGENCY:  Department of Health and Human Services, Office of MaineCare Services

SERVICES INCLUDED:  Chapter 101, MaineCare Benefits Manual, Sections Subject to Annual July Cost-Of-Living Adjustments

• Read more about MaineCare Benefits Manual, Section 45, Hospital Services