• Read more about Rounding Rule Enforcement Discretion

On May 29, 2022, MaineCare adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023. In response to provider feedback, MaineCare will exercise discretion in its enforcement of the new rounding rule until April 1, 2023, to give providers additional time to implement necessary system changes. Any providers holding claims because their systems are not compliant with the rounding rule may release those claims.

• Read more about Rounding Rule Enforcement Discretion

On May 29, 2022, MaineCare adopted changes to the rounding rule in Chapter I, Section 1.03-8(J), effective January 1, 2023. In response to provider feedback, MaineCare will exercise discretion in its enforcement of the new rounding rule until April 1, 2023, to give providers additional time to implement necessary system changes. Any providers holding claims because their systems are not compliant with the rounding rule may release those claims.

• Read more about Attention Providers of Section 45, Hospital Inpatient Psychiatric and Substance Use Disorder Services - Presented Materials and Comment Period

PUBLIC REVIEW AND COMMENT  

Jan 1, 2023

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) announced today that during the Open Enrollment Period for 2023 coverage, which ran from November 1, 2022, through January 15, 2023, 63,388 Maine people selected affordable health insurance plans at CoverME.gov, Maine’s Health Insurance Marketplace. Among Maine consumers who selected plans, 10,168 were new consumers who were not enrolled in Marketplace insurance prior to open enrollment.

• Read more about CoverME.gov Concludes Second Open Enrollment Period as Maine’s State-Based Health Insurance Marketplace Maintaining Gains in Coverage

• Read more about Attention Providers: What’s Happening with Housing Webinar

The Office of MaineCare Services and Maine State Housing Authority will host a webinar, What’s Happening with Housing, on February 2, 2023.

In 30 minutes you will learn about:  

• Read more about Attention Providers: What’s Happening with Housing Webinar

The Office of MaineCare Services and Maine State Housing Authority will host a webinar, What’s Happening with Housing, on February 2, 2023.

In 30 minutes you will learn about:  

• Read more about Attention Providers: What’s Happening with Housing Webinar

The Office of MaineCare Services and Maine State Housing Authority will host a webinar, What’s Happening with Housing, on February 2, 2023.

In 30 minutes you will learn about:  

• Read more about Attention Providers: What’s Happening with Housing Webinar

The Office of MaineCare Services and Maine State Housing Authority will host a webinar, What’s Happening with Housing, on February 2, 2023. 

In 30 minutes, you will learn about:   

• Read more about Revalidate with MaineCare to Avoid Claim Denials

Per the Affordable Care Act (ACA), Section 6401, Durable Medical Equipment (DME) providers are required to revalidate your information with MaineCare every three years. The current round of revalidation began in January 2022.   

• Read more about Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C) – Rate Study Kickoff Meeting

As previously shared in our January 12, 2023, bulletin, the Department has initiated a rate determination process for Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C).