Novavax COVID-19 Vaccine Update
On August 17, 2022, the Office of MaineCare Services (OMS) released a bulletin regarding the Emergency Use Authorization (EUA) for Novavax COVID-19 vaccine in individuals age 18 and older.
July 2022 Microdyn Update for Ambulatory Payment Classifications (APC), CRs 111465 & 111466
Effective August 20, 2022, we have updated MIHMS with the Centers for Medicare & Medicaid Services (CMS) quarterly updates. The following CMS documents provide the details of the updates:
July 2022 Integrated Outpatient Code Editor Specs: r11434cp.pdf (cms.gov)
Electronic Visit Verification (EVV) Timesheet FAQ Reminder
Please review the reminder below pertaining to record retention requirements.
Are timesheets still required after implementation of the federal Electronic Visit Verification (EVV) requirement?
DHHS Launches New Dashboard Highlighting Services By the Numbers
Aug 8, 2022
Today, the Maine Department of Health and Human Services (DHHS) posted a new “DHHS By the Numbers” Dashboard. It displays current data on services provided by the Department’s 3,400 workers in its eight Offices and two psychiatric hospitals. Examples include:
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162,932 people were receiving help to purchase food through the Supplemental Nutrition Assistance Program as of May 1, 2022;
Letrozole Use for Treatment of Infertility
The Department is aware, through pharmacy dispensing data, that short-term claims for Letrozole have been prescribed for treatment of infertility. Letrozole is a preferred agent for the treatment of breast cancer.
Pursuant to Social Security Act, Section 1927 [42 U.S.C. 1396r–8] and MaineCare Benefits Manual Chapter II, Section 90, Physician Services, the off-label use of the preferred medication Letrozole, when it is used to promote fertility, is excluded from MaineCare coverage.
UPDATE for Providers Billing on UB-04 and 837I Claims, CR 110840
Effective October 31, 2022, UB-04 and 837I claims submitted without an attending provider will be denied.
Attention Hospice Providers: Electronic Visit Verification (EVV) Soft Launch Implementation Delayed to October 4, 2022
Federal Deadlines
The federal deadline to implement the EVV requirement for providers delivering Home Health services under Section 40 and Hospice Services under Section 43 is January 1, 2023.
November 1, 2022 Suggested Integration Deadline for Alternate or 3rd Party EVV Systems for Home Health and Hospice Providers
The EVV requirement deadline for Section 40 Home Health providers and Section 43 Hospice Services providers is January 1, 2023.
Claims Export Issue on the Health PAS Portal, CR 108606
Some providers have reported errors when attempting to export claims to Excel from the Health PAS Online Portal. This is due to an issue where wide date parameters in the claims search are timing out during the export to Excel process. This is being resolved and providers will be notified once a fix is in the system.
Seven Topics Related to COVID-19 Vaccines and Vaccine Counseling
The following message contains information on 7 topics related to COVID-19 vaccines and vaccine counseling. They have been combined into one message to limit the number of messages arriving in provider inboxes. Not all information pertains to all providers. The following messages are included: