Attention Section 14, Advanced Practice Registered Nursing (APRN) and Section 90, Physician Services: 2024 Anesthesiology Rate Updates, CR 122923

Effective January 1, 2024, MaineCare has updated the Anesthesiology conversion factors for Section 14, APRN Services and Section 90, Physician Services codes. New rates were implemented on February 14, 2024.

Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers

The Office of Aging and Disability Services is excited to announce a virtual de-escalation training opportunity scheduled for April 16, 2024. This training is being provided under collaboration with the National Alliance on Mental Illness (NAMI) Maine and is available for caregivers providing care to Section 19 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.

Results Show Constituent Services and FOAA Improvements Strengthen DHHS Transparency

Mar 3, 2024

The Maine Department of Health and Human Services (DHHS) is committed to keeping the public informed about its provision of health and social services to approximately a third of Maine residents. The volume of information requests made directly to the Department is significant and has continued to grow in recent years. And our public communication about our responses continues, including through this update.

Provider Enrollment Application (PEA) Supporting Document Process Update, CR 122384

MIHMS is now only accepting supporting documents uploaded in PEA. We removed the E-mail, Fax, and Mail options. This enhancement will streamline the enrollment process and reduce the number of cases sent back to the provider due to lack of necessary documentation. 

If you have any questions, please contact Gainwell Provider Services by:

Email: mainecareprovider@gainwelltechnologies.com

OR

Phone: 1-866-690-5585.

 

Section 67, Nursing Facilities (NFs) Draft Rate Methodology (Part 1 & 2): Presented Materials and Comment Deadline

On March 7 and 8, 2024, MaineCare held a two-part, online public meeting with its vendor, Guidehouse, to present the recommended draft rate methodology and rationale for NFs. Interested parties asked questions and made public comments during these forums.    

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 EVV 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

EVV Phase 2 Training and Aggregator Content – State and Provider Trainings

 

Attention Section 45 Hospital Service  Providers: February 26, 2024, Forum Presented Materials

On February 26, 2024, MaineCare with its vendor HMA - Burns, held a second virtual public forum to present draft reimbursement methodologies and rationales for outpatient core facility services in acute care and rehabilitative hospitals. At this forum, HMA – Burns also presented a draft methodology for inpatient and outpatient core facility services in critical access hospitals (CAHs).

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