Attention Section 18, 21, and 29 Providers: Evergreen Users Billing 837 Claims

With the new Evergreen system rollout, previous authorizations with a prefix of “EIS” have been replaced by new authorizations with a prefix of “LTS.”   

Our current Electronic Data Interchange (EDI) 837 file was developed with a max of 15 characters for authorization IDs. The new LTS authorization IDs have a max of 17 characters. When submitting 837 claims, providers are reporting that the last two characters of the authorization ID are getting cut off, resulting in denied claims with the “UM not found” edit.   

Maine DHHS Awarded $2M Federal Grant to Catalyze Behavioral Health Response and Community Resilience Following Lewiston Tragedy

AUGUSTA– The Maine Department of Health and Human Services (DHHS) announced today that it has received a $2,048,452 federal grant to support behavioral health, community wellness, and resiliency in the wake of the Lewiston tragedy on October 25, 2023.

Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers

The Office of Aging and Disability Services (OADS) is excited to announce a virtual De-escalation training opportunity scheduled for March 26, 2024. This training is provided in 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.

Public Input Shapes Maine DHHS Response to Lewiston Tragedy

Mar 3, 2024

Since the evening of October 25, 2023, Maine has continued to assess and respond to the needs of those impacted directly and indirectly by the shootings in Lewiston. Conversations convened by Maine’s Department of Health and Human Services (DHHS) with experts across state government and among federal partners made clear that behavioral health needs, in the wake of an incident of mass violence, persist for months and even years.

Provider Survey- Attitudes Towards Contingency Management (CM) for Treatment of Substance Use Disorder (SUD)

The Department of Health and Human Services is partnering with the Substance Use Research & Evaluation (SURE) unit at the Catherine E. Cutler Institute, University of Southern Maine to evaluate the system of care for SUD. We have identified that more information is needed to understand attitudes of providers towards CM within the SUD continuum of care. To assist the Department, the SURE unit developed an electronic survey of provider beliefs about CM as a treatment option for SUD.

MaineCare Rule #304P - CHIP Coverage Group Change and Medicare Savings Program Change

10-144 C.M.R. Chapter 332; MaineCare Eligibility Manual - Parts 2, 3 and 8

MaineCare Rule #304P - CHIP Coverage Group Change and Medicare Savings Program Change

The purpose of the proposed rule would remove the asset test for the Medicare Savings Program (MSP) based on a legislative change to 22 M.R.S. § 3174-LLL made by P.L. 2023, ch. 412.

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