• Read more about Section 67, Nursing Facility Reform: Revised Draft Rates and Methodologies Public Forum

In January of 2023, as part of its reimbursement reform and rate determination priorities, the Department initiated a Rate Determination Process* for Section 67, Nursing Facility Services.

• Read more about Attention HCBS Providers of Personal Support Services for Section 12, 19, & 96: Interested Parties Engagement Session Presented Materials

As previously noticed, MaineCare and its vendor are hosting several engagement sessions with interested parties to obtain important feedback as part of the rate determination process that was initiated in June of 2024, for certain HCBS services.   

• Read more about 10-146 CMR Ch. 4 Disclosure of Vital Statistics Data, Reports and Records Rule

The Department adopted the amended rule, 10-146 CMR Chapter 4, Disclosure of Vital Statistics Data, Reports and Records Rule.

• Read more about Provider Communications and Training

• Read more about Maine Department of Health and Human Services Receives Nearly $600,000 Federal Grant to Raise Awareness of Reproductive Health Services Available Through CoverME.gov

Funds to help expand outreach and provide education to consumers about coverage options

AUGUSTA-- The Maine Department of Health and Human Services' (DHHS) today announced that it has received a nearly $600,000 grant to expand outreach about reproductive, childbirth, and post-pregnancy coverage options available through state health coverage. The grant will be implemented in partnership with Maine's Medicaid program, MaineCare.

• Read more about Sections 14, 30, 31, 45, 90 & 103, Certain Medicare Covered Family Planning Services and Long-Acting Reversible Contraception (LARCs): Draft Rates Public Review & Comment Deadline

Public Review & Comment 

On September 30, 2024, MaineCare held an online public meeting to present draft rates along with the rationale for certain Medicare covered Family Planning Services and LARCs. Interested parties had the opportunity to provide public comments.  

The Department will accept written comments until October 14, 2024, and respond in writing to those comments with an explanation of whether and how the feedback was incorporated into the final rate determination. 

• Read more about Attention HCBS Providers of Therapeutic Intervention Services for Sections 19, 20, 21, & 40: Interested Parties Engagement Session Presented Materials

As previously noticed, MaineCare and its vendor are hosting several engagement sessions with interested parties to obtain important feedback as part of the rate determination process that was initiated in June of 2024, for certain HCBS services.   

• Read more about Electronic Visit Verification (EVV) Online Training Available

There are no additional live trainings for EVV scheduled after April 25, 2024. Providers can request Ad Hoc EVV Training by emailing MihmsTraining@gainwelltechnologies.com to schedule a training.

Register for online trainings through Absorb: 

• Read more about Pharmacy Copayments Return with the End of the American Rescue Plan (ARP) Act on September 30, 2024

In accordance with federal requirements set forth in ARP, MaineCare covers COVID-19 testing, treatment, vaccine, and vaccine administration without cost sharing, for all MaineCare members through September 30, 2024. To comply with this requirement, MaineCare waived copayments for Section 80: Pharmacy Services. 

Effective October 1, 2024: 

• Read more about Attention HCBS Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology Services, & Personal Support Services: Engagement Session Questions and Answers (Q&A)

As previously noticed, MaineCare and its vendor are hosting several engagement sessions with interested parties to obtain important feedback as part of the rate determination process for certain HCBS services that was initiated in June of 2024.