• Read more about Town Hall Sessions to Support Alternate Electronic Visit Verification (Alt EVV) Systems

Town Hall Sessions to Support Alternate Electronic Visit Verification (Alt EVV) Systems

To support providers who intend to utilize an alternate/third-party vendor to meet EVV requirements, we are offering a series of Town Hall Sessions facilitated by Sandata’s Technical Support Team. These Town Hall Sessions are geared toward third-party vendors, but any provider delivering services subject to EVV requirements is welcome to attend.

Below is a brief description of each session and a registration link.

Town Hall Session 1

• Read more about Attention All Electronic Visit Verification (EVV) Providers: New Foreign Language Quick Reference Guides

Attention All Electronic Visit Verification (EVV) Providers: New Foreign Language Quick Reference Guides

July 7, 2022

We are pleased to announce that Sandata is offering foreign language Quick Reference Guides for the Sandata Mobile Connect (SMC) application on the Sandata On Demand learning platform. These Quick Reference Guides are available in the following languages:

• Read more about Attention Section 18, 20, 21, and 29 Providers – Appendix K Retainer Payments for newly eligible service providers

Attention Section 18, 20, 21, and 29 Providers – Appendix K Retainer Payments for newly eligible service providers

The Department is issuing payments this week to providers of select eligible services under Sections 18, 20, 21, and 29 newly eligible for Home and Community-Based Services (HCBS) Appendix K Retainer Payments.

• Read more about CORRECTION: Attention Section 60 – Medical Supplies and Durable Medical Equipment Providers: Upcoming Changes - Billing of Infliximab

CORRECTION: Attention Section 60 – Medical Supplies and Durable Medical Equipment Providers: Upcoming Changes - Billing of Infliximab

The e-message sent on July 12, 2022, included an incorrect link for the J1745 PA criteria sheet. The correct pathway is below.

• Read more about Attention Section 60 – Medical Supplies and Durable Medical Equipment (DME) Providers: Billing of Infliximab

Attention Section 60 – Medical Supplies and Durable Medical Equipment (DME) Providers: Billing of Infliximab

• Read more about Attention Children’s Residential Care Facility (CRCF) Providers

CRCFs, also referred to as Private Non Medical Institution (PNMI) Appendix D facilities, serve children with mental health disorders, substance use disorders, intellectual disabilities, autism spectrum disorders, and children with co morbid diagnoses and treatment needs. MaineCare Benefits Manual Chapter II, Section 97, Appendix D identifies CRCFs as either having an Intellectual Disability/Developmental Disability (ID/DD) or Mental Health (MH) model of service.

• Read more about 2022 Podiatry Code Rate Update, CR 109908

Effective June 1, 2022, the revised rates for Chapter III Section 95: Podiatric Services codes have been updated in MIHMS retroactively to January 1, 2022.  

Please see the list of affected codes below: 

• Read more about 2022 Rate Update for Section 2 Adult Family Care Home and Remote Island Facility, CR 110467

Effective July 1, 2022, Section 2, Chapter III, Adult Family Care Services for Adult Family Care Home (AFCH) and Remote Island Facility daily rates increased by 3.38 percent. Please see the tables below for more detail.   

• Read more about 2022 Rate Update for Section 26 Day Health Services, CR 110465

Effective July 1, 2022, the rate for Section 26, Chapter III, Day Health Services (S5100 HC – Day Care Services)  increased from $3.86 to $3.99 per unit. The increase is based on 3.38 percent inflation   

• Read more about Section 60 DME Cures Act Codes, CR 109579 

Effective May 13, 2022, MaineCare Benefits Manual (MBM), Section 60, Durable Medical Equipment (DME) codes have been updated in MIHMS retroactively to January 1, 2022.