Monkeypox Diagnostic Testing and Vaccines: Hold Claims
In a July 26, 2022, press release, the American Medical Association (AMA) announced new CPT codes related to Monkeypox diagnostic testing and vaccination.
Attention Section 97, Appendix D Children’s Residential Care Facility Services Providers
This message provides an update to the previous message about Kepro Prior Authorization (PA) process for Children’s Residential Care Facility (CRCF) transfer requests.
CORRECTION: Attention Provider Type 92 Early Childhood Providers, CR 71822
Please see we have corrected the first sentence below. In the message earlier today, we said this change impacts Section 92 providers, but it impacts Provider Type 92 providers.
In the coming months, MaineCare will require accurate certification information for Provider Type 92 providers prior to approval of their enrollment case. Certification dates in the provider’s enrollment case should match the certification end-date to ensure claims are paid appropriately.
Attention Provider Type 92 Early Childhood Providers, CR 71822
In the coming months, MaineCare will require accurate certification information for Section 92 providers prior to approval of their enrollment case. Certification dates in the provider’s enrollment case should match the certification end-date to ensure claims are paid appropriately.
2022 Indian Health Services Rate Update, CR 109733
Effective May 18, 2022, the rate for Indian Health Services (IHS) providers has increased to $640.00 and has been updated retroactively in MIHMS to January 1, 2022. Claims billed between January 1, 2022, and May 18, 2022, will be adjusted and no provider action is needed.
Home and Community Based Services (HCBS) Settings Remediation Grants: Registration Opens Monday, August 1, 2022
The Maine Department of Health and Human Services is announcing the availability of funds to support provider agencies subject to Maine’s Global Home and Community Based Services (HCBS) Waiver Settings rule, referred to as the HCBS Settings rule.
The goal of this initiative is to assist HCBS providers to implement the requirements of the HCBS Settings Rule.
MaineCare Support Leads to Jump in Housing Access for Adults with Intellectual and Developmental Disabilities
Jul 7, 2022
As part of Governor Mills’ commitment to improving services for Maine people with disabilities, the Maine Department of Health and Human Services (DHHS) has significantly increased investments in programs that support improved access to housing. New preliminary data shows that as a result, the number of adults with intellectual and developmental disabilities (IDD) receiving support for residential services through MaineCare jumped 46 percent between State Fiscal Year 2017 and July 1, 2022.
April 2022 Microdyn Updates for Ambulatory Payment Classifications (APC), and Diagnostic Related Group (DRG) CRs 108929, 109194, 109193, & 109516
Effective July 16, 2022, we have updated MIHMS with the Centers for Medicare & Medicaid Services (CMS) quarterly updates. The following CMS documents provide the details of the updates:
Section 75 Vision Services Rate Update, CR 109436
Effective May 3, 2022, we have updated the rates in MIHMS for MaineCare Benefits Manual, Section 75: Vision Services retroactively to January 1, 2022.
See the table below for the new rates or the fee schedule for more detail.