• Read more about MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 20, Home and Community Based Services for Adults with Other Related Conditions

Notice of Agency Waiver Amendment

AGENCY:  Department of Health and Human Services, MaineCare Services

RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 20, Home and Community Based Services for Adults with Other Related Conditions

WAIVER:  ME.0995: Home and Community Based Services for Adults with Other Related Conditions

• Read more about Attention HCBS Providers of Care Coordination Services for Sections 12, 19, and 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 New Dental Tools and Upcoming Dental Forum for Providers

Dental Tools

• Read more about Attention Section 90, Physician Service Providers: Seasonal Flu Codes and Rates Updated, CR 126775

Effective August 1, 2024, or August 6, 2024, MaineCare updated the seasonal flu codes in alignment with the Centers for Medicaid Services (CMS). Please see the table below for the new codes and rates, as well as previous codes that are now end dated. The MaineCare Usual Customary Rates (UCR) Fee Schedule will be updated to reflect this information in the coming weeks.

• Read more about Maine CDC Announces Results of Lisbon Water Department Sludge Sampling

Customers served by the Lisbon Water Department are reminded the public drinking water is now considered safe to consume

• Read more about Provider Forms and Links

Kepro:

Kepro Forms and Instructions can be found at www.qualitycareforme.com

Kepro Provider Relations can answer questions at 1-866-521-0027, Option 1 or via email at providerrelationsme@kepro.com

Adolescent Residential Rehabilitation Performance Measures Report:

• Read more about Enterprise Information System

Enterprise Information System (EIS) is DHHS’ secure, HIPAA-compliant online system for electronic submission of data and forms by Children’s Behavioral Health Services (CBHS) providers. DHHS also uses the EIS to collect data on CBHS programs and service delivery to improve operations and inform future planning.

CBHS Service Providers can access EIS here   (Note: EIS only works in Chrome; and the autofill function must be turned off.)

• Read more about Reportable Events

The Office of Child and Family Services utilizes an electronic system of collection of Reportable Events from all OCFS children's providers.  The electronic system identified is web-based through the Enterprise Information System (EIS), which is familiar for many providers. This system is also used by the Office of Aging and Disability Services, allowing continuity of information across offices.

Categories that are required to be reported are as follows:

• Read more about Other Qualified Mental Health Professional

Other Qualified Mental Health Professional (OQMHP) professionals are individuals employed by Children's PNMI providers who have a contract with the Department to provide Children's Residential Treatment services in Maine. These staff may be considered qualified for delivering these services if they meet the requirements set forth by the Office of Child & Family Services (OCFS):

• Read more about Development & Training

The Office of Child and Family Services’ Children's Behavioral Health Services (CBHS) division collaborates with community providers to provide Behavioral Health Services to Maine youth aged 0-21. CBHS supports providers by providing training to enhance the skills of staff in accessing the most appropriate services for the youth of Maine.