• Read more about MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Services

Notice of Agency Rule-making Proposal

AGENCY:  Department of Health and Human Services, MaineCare Services, Division of Policy

CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Services

PROPOSED RULE NUMBER:

CONCISE SUMMARY: This proposed rulemaking seeks to make the following changes:

• Read more about Correction to Zoom Link - Attention: Listening Session for MaineCare Residential Substance Use Disorder (SUD) Providers

Effective July 1, 2023, Acentra Health (formerly Kepro) began reviewing residential SUD admissions for MaineCare members to assess appropriate American Society of Addiction Medicine (ASAM) level of care as one of the tasks associated with MaineCare’s 1115 SUD waiver.

The Department will hold a listening session to hear from impacted providers about the process to date. Please join us on September 22, 2023, from 10AM-11AM through Zoom.

Registration link:  

• Read more about Electronic Visit Verification (EVV) Phase 2 Trainings

The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.

We continue to offer weekly provider and aggregator trainings. All trainings are online via Microsoft Teams.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings more than once.

EVV Training Schedule

• Read more about Durable Medical Equipment (DME) Codes Removed from the Usual, Customary and Reasonable (UCR) Fee Schedule, CR 116322

Effective August 23, 2023, all DME codes have been removed from the UCR Fee Schedule on the Health PAS Online Portal. To access the DME code fees, go to the Section 60 folder on the portal.  

If you have questions, please email Provider Services or call 1-866-690-5585. TTY users dial 711. 

• Read more about Correction: Guidance for Psychiatric Hospitals Seeking Prior Authorization (PA) for Mental Health Intensive Outpatient (IOP) Services

On August 18, 2023, the Office of MaineCare (OMS) notified providers of IOP services regarding the upcoming requirement to submit a PA through the Atrezzo system operated by Acentra Health (formally Kepro) and adhere to the substantive standards set forth in MBM, Chapter II, Section 65, Behavioral Health Services.    &

• Read more about Bright Futures Health Assessment Visits for Individuals Under 21 Years  

Bright Futures Forms   

• Read more about New Chat Feature Available on Kepro Website QualityCareforMe.com​

As a follow up to the August 4, 2023, notice, the Acentra Health (formerly Kepro) team is excited to announce a new way to access resources and communicate with the Acentra Health Provider Relations Team.  

• Read more about Pharmacies, ​Help Your Patients Act Now to Avoid a Gap in Their Health Coverage​ 

The Office of MaineCare Services is working to raise awareness about the need for people with MaineCare to renew their coverage or, if they’re no longer eligible, to enroll in coverage through their employer or through CoverME.gov, Maine’s Health Insurance Marketplace.    

How pharmacies can help:  

• Read more about Attention: Listening Session for MaineCare Residential Substance Use Disorder (SUD) Providers 

Effective July 1, 2023, Acentra Health (formerly Kepro) began reviewing residential SUD admissions for MaineCare members to assess appropriate American Society of Addiction Medicine (ASAM) level of care as one of the tasks associated with MaineCare’s 1115 SUD waiver.  

Aug 8, 2023

Today, the Maine Department of Health and Human Services (DHHS) is releasing an update including July 2023 data on the resumption of MaineCare (Medicaid) eligibility reviews after the COVID-19 public health emergency, known as “unwinding.” To view Maine’s unwinding data report, please visit the MaineCare Renewals Data Dashboard.

• Read more about Maine DHHS releases updated data on MaineCare eligibility reviews