DHHS → node
Apr 4, 2024
The supplemental budget passed by the Legislature and signed by Governor Mills on Monday invests in a range of Maine Department of Health and Human Services programs and initiatives. This includes mental health and substance use disorder prevention and response, violence prevention and recovery, child health and welfare, MaineCare payment reform, and maintaining core services.
EVV Sandata Trainings
All trainings are available online via Microsoft Teams. These events can be found in the Event Calendar on the Health PAS Online Portal.
Register through Absorb:
MaineCare is inviting you to join the next Office Hours call with the MaineCare Pharmacy team on Thursday, April 25, 2024, from 09:00 AM – 9:45 AM related to the initial restoration of Maine Point of Purchase System (MEPOPS). We will use this time as an opportunity for sharing questions and concerns and providing technical support from the State.
Please register in advance for this meeting:
When billing MaineCare secondary claims, you must attach an EOBA to all claims regardless of the submission type listed below:
When submitting electronically, upload the EOB once the claim is in MIHMS. The charges billed on the claim lines must match the charges billed on the EOB, or the claim will be denied.
Maine was in the news recently for leading the nation in diagnosing HIV at late stage. To help primary care providers learn about HIV and AIDS, MaineCare is hosting a webinar, What Primary Care Providers Need to Know About HIV, on May 9, 2024, at 11:30 AM. This 30-minute free webinar will be led by Dr.
As of March 15, 2023, MaineCare temporarily excluded hospice services from EVV requirements as a delayed enforcement of our approved State Plan requirements.
Providers whose facility license is under a Title 5 review may use their Title 5 notice to extend their enrollment with MaineCare in MIHMS by six months, and for every six months thereafter, until the Title 5 review is resolved. Providers must complete this update by submitting a maintenance case via the Health PAS Online Portal. Providers can utilize the Provider Maintenance User Guide for a step-by-step guide for submitting a Title 5 Maintenance Case.
On April 19, 2024, the Department updated the previously posted NF rate model Q&A document to provide additional clarifying information. Interested stakeholders are encouraged to review.
On December 22, 2020, Maine DHHS announced the Center’s for Medicare & Medicaid Services (CMSs) approval of MaineCare’s waiver request, which lifts the federal restriction for residential or inpatient SUD treatment programs beyond 16 beds. The Implementation Plan was approved on July 26, 2021, which allows MaineCare to begin collecting federal funds for residential treatment facilities that expand their capacity.
Gainwell continues to reduce the time it takes to complete their steps within the MaineCare enrollment process. Gainwell completed 559 enrollment cases in March and the average turnaround time for case completion was approximately 20 days. Case inventory was 578 at the end of March and the average system age of a case in inventory dropped to approximately 16.4 days old.
Additionally, to improve MaineCare enrollment, the Office of MaineCare Services (OMS) and Gainwell: