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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.
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.
Attention Section 60 – Medical Supplies and Durable Medical Equipment (DME) Providers: Billing of Infliximab
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.
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:
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.
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
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.
Jul 7, 2022
In the wake of the Supreme Court striking down Roe v. Wade, Governor Janet Mills has signed an Executive Order to further safeguard access to abortion in Maine and to protect Maine health care providers who provide reproductive health care and their patients.
Effective June 17, 2022, the Food and Drug Administration authorized emergency use of the Moderna and Pfizer-BioNTech vaccines for the prevention of COVID-19 to include children as young as 6 months. &n