• Read more about Final Rate Determination Schedule for CY24 and Comment Summary

In October of 2023, the Department began the annual process of establishing a Rate Determination Schedule for the coming calendar year (CY) 2024, pursuant to M.R.S. Title 22, §3173-J. In alignment with statute, the process consisted of public presentation and consultation with the Technical Advisory Panel (the TAP), which allowed for public comment. This was followed by a meeting with the Rate System Sub-Committee for discussion and advisement on the proposed schedule, and a written comment period for interested stakeholders. We thank all who contributed.

• Read more about Rate Determination Initiation Notice for Section 93, Opioid Health Homes (OHH) and new Health Home Model for Other Substance Use Disorders (SUDs)

This bulletin provides notice that the Department has initiated a Rate Determination Process* for Section 93, OHH and a new Health Home Model for other SUDs. The Office of MaineCare Services will be conducting this rate determination. New rates are being determined pursuant to Public Law 2021, Ch.

• Read more about Rate Determination Initiation Notice for Community Paramedicine Services to be Incorporated Into MaineCare Benefits Manual, Section 5, Ambulance Services

This bulletin provides notice that the Department has initiated a Rate Determination Process* for Community Paramedicine, a new service tentatively planned to be incorporated into Section 5 of the MaineCare Benefits Manual: Ambulance Services. The Office of MaineCare Services will be conducting this rate determination.

• Read more about Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) – Presented Materials and Comment Period

Public Review and Comment 

• Read more about Maine CDC Encourages Continued Precautions Against Tick Bites This Winter

As Lyme cases reach record levels, ticks remain active

AUGUSTA – The Maine Center for Disease Control and Prevention (Maine CDC) encourages Maine residents and visitors to remain vigilant against tick bites this winter, as the number of Lyme disease cases continues to rise and ticks remain active above freezing temperatures.

The Maine CDC has reported a record number of Lyme disease cases so far in 2023, with 2,706 cases as of December 7, 2023. The Maine CDC has also reported a record five cases of Powassan in 2023.

• Read more about ​​Microdyn Update for Ambulatory Payment Classifications (APCs), and Diagnostic Related Groups (DRG’s), CRs 120481, 120482, 120475, 120743​

Effective October 28, 2023, the Centers for Medicare & Medicaid Services’ (CMS) quarterly updates are complete in MIHMS.      

The following CMS documents provide the details of the APC updates:   
  

• Read more about MaineCare Provider Enrollment Presentation and Listening Session

You are invited to a provider enrollment presentation and listening session where the Office of MaineCare Services (OMS) and Gainwell Technologies will deliver presentations on enrollment and listen to any comments from providers, including ideas for potential solutions to challenges. The objectives of this session include:

• Read more about Notice of MaineCare Reimbursement Methodology Change: MaineCare Benefits Manual, Section 67, Nursing Facility Services

• Read more about Attention Providers: MaineCare Logo Survey Now Available

The MaineCare team is working to develop a MaineCare logo that will be used to strengthen our identity when we engage with stakeholders and assist in outreach in our communities.

We want your help! Please take a couple of minutes to complete this survey: https://www.surveymonkey.com/r/SHXNW2F

• Read more about Commissioner Lambrew Appears Before Government Oversight Committee

Joined by Acting Child and Family Services Director Bobbi Johnson

Health and Human Services Commissioner Jeanne Lambrew appeared before the Government Oversight Committee today to provide testimony on the child welfare system. She was joined by Bobbi Johnson, Acting Director of the Office of Child and Family Services.

The remarks of Commissioner Lambrew and Acting Director Johnson, as prepared for delivery, are below.

Commissioner Lambrew: