Section 4, Ambulatory Surgical Centers Annual Rate Update for Calendar Year 2024 (CY24) CR 123437
MaineCare has updated Section 4, Ambulatory Surgical Center Services, to reflect 100% of the most current year Medicare rates.
Section 90, Physician Services: REVISED 2023 Rates
MaineCare revised Section 90, Physician Services rates in alignment with Medicare reimbursements effective January 1, 2023. New rates were implemented on April 13, 2023. You may view all codes and rates on the Usual, Customary and Reasonable (UCR) fee schedule.
Adjustment of affected claims:
Attention Section 14, Advanced Practice Registered Nursing (APRN) and Section 90, Physician Services: 2024 Anesthesiology Rate Updates, CR 122923
Effective January 1, 2024, MaineCare has updated the Anesthesiology conversion factors for Section 14, APRN Services and Section 90, Physician Services codes. New rates were implemented on February 14, 2024.
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers
The Office of Aging and Disability Services is excited to announce a virtual de-escalation training opportunity scheduled for April 16, 2024. This training is being provided under collaboration with the National Alliance on Mental Illness (NAMI) Maine and is available for caregivers providing care to Section 19 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.
Attention Section 25, Dental Service Providers: Benchmarking Results and Draft Rates, Public Review and Comment
On October 13, 2023, MaineCare provided notice that it had initiated a Rate Determination Process* for Dental Services. Existing benchmarks are being rebased pursuant to MRS Title 22, §3173-J.
Results Show Constituent Services and FOAA Improvements Strengthen DHHS Transparency
Mar 3, 2024
The Maine Department of Health and Human Services (DHHS) is committed to keeping the public informed about its provision of health and social services to approximately a third of Maine residents. The volume of information requests made directly to the Department is significant and has continued to grow in recent years. And our public communication about our responses continues, including through this update.
SNAP E&T 7P -Mileage Reimbursement and Gift Card Policy Update
10-144 C.M.R. Chapter 609; Supplemental Nutrition Assistance Program – Employment and Training (SNAP E&T) Rules; Section 8
SNAP E&T Rule #7 – Mileage Reimbursement and Gift Card Policy Update
Provider Enrollment Application (PEA) Supporting Document Process Update, CR 122384
MIHMS is now only accepting supporting documents uploaded in PEA. We removed the E-mail, Fax, and Mail options. This enhancement will streamline the enrollment process and reduce the number of cases sent back to the provider due to lack of necessary documentation.
If you have any questions, please contact Gainwell Provider Services by:
Email: mainecareprovider@gainwelltechnologies.com
OR
Phone: 1-866-690-5585.
Attention Providers: Submit Documentation Electronically to Avoid Delays
As communicated on February 23, 2024, Change Healthcare is experiencing a network interruption related to a cyber security issue. This is a national issue affecting health care systems and Medicaid programs in many states, including Maine.
Section 67, Nursing Facilities (NFs) Draft Rate Methodology (Part 1 & 2): Presented Materials and Comment Deadline
On March 7 and 8, 2024, MaineCare held a two-part, online public meeting with its vendor, Guidehouse, to present the recommended draft rate methodology and rationale for NFs. Interested parties asked questions and made public comments during these forums.