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Effective August 19, 2023, we have made the Centers for Medicare & Medicaid Services’ (CMS) quarterly updates in MIHMS.
The following CMS document provides the details of the APC updates:
July 2023 Integrated Outpatient Code Editor Specs:
Sessions are ongoing, in-person at your location, customized to your needs, and with flexible schedules.
Subjects include:
The adopted rule incorporates the Able-Bodied Adult Without Dependents (ABAWD) work requirements in Section 111-7 pursuant to the Fiscal Responsibility Act of 2023 (FRA) and consistent with 7 U.S.C.
The Maine Department of Health and Human Services (DHHS) and the Department of Labor (DOL) are partnering with the Federal Reserve Bank of Atlanta to offer five groundbreaking tools that help individuals, employers, and policymakers understand how various career pathways can lead to economic mobility and stability, while also understanding the potential loss of public assistance based on income, career goals, and family dynamics.
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:
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:
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
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.
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. &