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On November 2, 2023, the Centers for Medicare and Medicaid Services (CMS) announced finalization of the physician payment rule to include coverage for LMFTs and MHCs for behavioral health treatment.
Notice of Agency Waiver Renewal
AGENCY: Department of Health and Human Services, MaineCare Services
RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury
WAIVER: ME.1082, Home and Community Based Services for Members with Brain Injury Waiver
At Riverview Psychiatric Center the privacy of your health information is a top priority. We follow strict guidelines that secure your medical records in accordance with your rights, and with federal and state regulations. You, or your legal representative, have the right to obtain a copy of your medical records. Upon request, we will also send a copy of your Riverview Psychiatric Center medical records to another health care provider.
Announcing Expansion of Interim Payments to include Maine-based Health Systems Pharmacies:
Per the Affordable Care Act (ACA), Section 6401, all providers need to revalidate with all states they are enrolled with.
Durable Medical Equipment (DME) providers are required to revalidate their information with MaineCare every three years. The current round of revalidation began in January 2022.
The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.
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
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EVV Phase 2 Training and Aggregator Content – State and Provider Trainings |
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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.
As part of the Department’s regularly scheduled annual updates, MaineCare has increased the Section 2, AFCH room and board rate, effective January 1, 2024. The new rate of $1,352.00 was implemented on February 7, 2024.
Adjustments for affected claims:
In follow up to our January 19, 2024, Medicare Standardization notice, MaineCare has updated Section 90, Physician and Primary Care Provider rates effective January 1, 2024.
MaineCare revised rates for Section 68, Occupational Therapy Services and Section 85, Physical Therapy Services, effective January 1, 2023. Rates were implemented on February 8, 2023, and may be viewed on the Health PAS online portal.
Adjustment of affected claims: