Attention Providers of Section 65, Crisis Residential and Resolution Services: Draft Rate Model Public Review and Comment 

Earlier this fall MaineCare conducted a survey of Section 65 Crisis Residential and Resolution Services providers. We used the provider responses, in addition to other information, to create draft rate models for the services as part of the rate determination process. We outlined this process during our kick-off meeting with providers on May 12, 2022. This message outlines the next steps in the process related to draft rate models for the current Crisis Residential and Resolution services.

Temporary Occupancy Penalty Waiver for Nursing Facility Providers

The Office of MaineCare Services is temporarily waiving the minimum occupancy penalty for nursing facilities, found in Chapter III, Section 67, principle 18.9, through the end of the federal Public Health Emergency (PHE). The waiver applies to facilities with at least one month of service delivery under the PHE, starting with fiscal year ending June 30, 2020. 

Electronic Visit Verification (EVV): Weekly Billers of Home Health and Hospice services and EVV Training and Forms

In preparation for EVV editing, providers must ensure billing software is configured to have individual dates of service on separate claim lines so they match up with a verified EVV record when claims are submitted as a batch file into the Health PAS Online Portal. 

Electronic Visit Verification (EVV) Trainings and Forums

The federal deadline to implement the EVV requirements for Home Health providers delivering services under Section 40 and Hospice providers delivering services under Section 43 is January 1, 2023.  

With these EVV deadlines quickly approaching, we continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams. 

MaineCare Recognized as National Leader in Medicaid Innovation for Rate System Reform

Nov 11, 2022

The Maine Department of Health and Human Services is pleased to share that the Office of MaineCare Services (OMS) was recognized today by the National Association of Medicaid Directors (NAMD) for its work to transform Maine’s rate-setting system to better support the health of members and sustainability of providers.

Maine DHHS Builds on Key Accomplishments

Nov 11, 2022

As Maine and the nation sort through the results and implications of the election for 2023, the Maine Department of Health and Human Services (DHHS) is looking back at accomplishments over the past four years that will set the stage for further gains during a second term for Governor Janet Mills.

DHHS’ work from 2019 to 2022 has been driven by our mission to advance health, safety, resilience, and opportunity for Maine people. As the largest state agency, DHHS serves one in three Maine residents.

Rate Update for Seasonal Flu Codes, CR 113145

The Seasonal Flu codes have been updated effective August 1, 2022. See the table below for the new rates.  

Start Date 

End Date 

Procedure Code 

Rate  

8/1/2022 

 

90662 

$69.94 

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