February 23, 2015

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POLITICAL PULSE: Physicians and Patients Impacted by Proposed Biennial Budget; Key Hearings Next Week

Maine physicians and their patients, as well as hospitals and virtually all other health care institutions and practitioners are impacted by the Governor's proposed biennial budget which will continue to be the subject of important public hearings for the next few weeks.  While some of the impact is positive, such as continuation of the MaineCare primary care "bump," several are negative including virtual elimination of the Fund for a Healthy Maine and elimination of MaineCare coverage for methadone.

Other significant issues that will be the subject of hearings in the coming two weeks:

  • Extending the sales tax to cosmetic surgery.  (Hearing today, February 23rd);
  • Taxing the real estate of non-profit organizations, with the first $500,000 value exempted. (Hearing was last week);
  • Cuts to the low cost elderly drug program;
  • Several cuts to hospitals including reductions in MaineCare reimbursement to Critical Access Hospitals, cuts to provider reimbursement and outpatient reimbursement.

The HHS portions of the budget will be the subject of public hearings before the Appropriations Committee the week of March 2nd.  MMA will be testifying on many of these issues but if you or someone from your practice would like to testify on any of these items, please let Andy MacLean at MMA know by calling 622-3374, ext. 214 or via e-mail to amaclean@mainemed.com.

See more on the biennial budget schedule and "Medical Care - Payments to Providers" account details below.

Monday, 2/23, 10 am:  Budget Part H, extension of sales tax to certain “personal services,” including “elective cosmetic medical procedures and electrolysis except medically necessary services ordered by a person authorized to prescribe medical treatment under Title 32.”  MMA Deputy EVP & General Counsel Andrew MacLean testified in opposition to this provision at the hearing earlier this afternoon on behalf of MMA and the state's plastic surgeons.

Monday, 3/2, 1 pm:  Public Health, including the Fund for a Healthy Maine. 

Wednesday, 3/4, 10 am:  This is the "Medical Care - Payments to Providers" account and the primary opportunity to talk about reimbursement issues.  See more detail on the items before the Appropriations and HHS Committees on this day below.

Thursday, 3/5, 1 pm:  This is adult mental health and substance abuse, so is of particular interest to MAPP and the addiction treatment community, if the organizations want to comment on the MaineCare Benefits Manual, Section 65 cut and elimination of methadone treatment.

Friday, 3/6, 1 pm:  This is children’s services, including children’s mental health.

On Friday, January 9th, Governor LePage released his proposed biennial budget for SFY 2016-2017, the $6.3 billion budget for the two state fiscal years beginning July 1, 2015.  You can find the documents on the Governor's proposed biennial budget on the Bureau of the Budget web site.

The following are high points from the “Medical Care - Payments to Providers” or “MAP” account, the primary account dealing with physician & hospital reimbursement:

  • Provider-base reimbursement, p. A-336.  Total cut in each year is $7.3 M state & federal.  Description says, “Reduces funding by eliminating the separate facility fee payments that are billed on a UB-04 claim form and paid to hospitals for the services of hospital-compensated physicians, and provides funding to equalize reimbursement rates of hospital-compensated physicians and non-hospital-compensated physicians and eliminates the cost settlement component of hospital-compensated physician reimbursement.  This would eliminate the two separate fee schedules of reimbursement and ensure all physicians billing under Section 90 of the MaineCare Benefits Manual would be reimbursed on the non-facility fee schedule.” There is no separate language in Part C, the language section of the budget.
  • Health Homes, p. A-336. Replaces lost federal funding, so GF amount is $5.6 M/$7.8 M in the first & second years of biennium respectively.  Description says, “Provides funding for Health Homes for adults with serious and persistent mental illness and children with serious emotional disturbance (Stage B) and Health Homes for individuals with one or more chronic conditions (Stage A) due to the elimination of the enhanced federal match of 90/10 under the ACA.”
  • Primary care fee increase, p. A-336.  The amount is $7.4 M GF, $12.5 state & federal funds in each year of biennium.  Description says, “Provides funding for the reimbursement of primary care physicians at an enhanced rate which replaces expiring funds provided through the ACA.”
  • Community-based behavioral health services provided by hospital-affiliated entities, p. A-337.  Reduces funding by $1.3 M in each year of biennium.  Description says, “Reduces funding by requiring all community-based behavioral health services, including those that are operating as part of a hospital or in an administrative unit of a hospitality to bill and receive rates of reimbursement under Section 65 of the MaineCare Benefits Manual.”
  • Critical Access Hospital (CAH) reimbursement, p. A-337.  Saves $4.2 M in each year of biennium by reducing reimbursement from 109% to 101% of costs.
  • Methadone treatment coverage eliminated, p. A-339. Savings is $1.2 M/$1.5 M state & federal.
  • ER rates, p. A-339. Savings is $1.9 M/$2.6 M state & federal.  Description says, “Reduces by changing reimbursement on non-emergent use of emergency services to be paid at an office visit rate.”
  • Medicare Shared Savings Program cuts, p. A-339.  Savings is $29 M/$34 M state & federal.  Description says, “Reduces funding by reducing the Federal Poverty Level (FPL) in the Medicare Savings Program (MSP) to the federal minimum.”
  • Section 65 BH services 10% reimbursement cut, p. A-337. Savings in this line is $10.4 M in each year of biennium state & federal.  There's also at least one line on this cut in the BDS part of the DHHS budget.  FYI, despite the merger in the Baldacci years, the BOB still breaks the DHHS budget down into 2 parts, “DHHS, formerly BDS” (behavioral & developmental services) & “DHHS, formerly DHS” (human services).


On Thursday afternoon, February 19th, the Committee on Health and Human Services took up LD 213, which will require timely, comprehensive screening for all children entering foster care.  Sponsored by Sen. Geoffrey Gratwick, M.D., the bill calls for full medical dental, behavioral and educational assessment, meeting the standards of a national academy of pediatrics, within a very short time after the child is referred to state custody.  Among the witnesses testifying in favor of the bill were Dr. Stephen Meister of Maine General Medical Center and Dr. Adrienne Carmack of Penobscot Pediatrics.  Dr. Meister provided data to the Committee derived from his experience with the Pediatric Rapid Evaluation Program (PREP) demonstrating that early, comprehensive screening is both desirable and cost effective.  This is true in both the short and the long term.  Dr. Carmack has been performing AAP-prescribed screenings in Bangor since 2007.  She stressed that the earlier and more complete the assessment, the better the results.

In person testimony was also offered by Margaret Carr of the National Alliance for the Mentally Ill and Robin Russell of the National Association of Social Workers.  Jessica Henderson, a University of Maine student who was in foster care through most of her childhood, also presented compelling testimony in favor of the bill.  She told the Committee that she needed, but did not receive, comprehensive screening when she entered the foster care system.  Several other persons offered written testimony in favor, and all of the written testimony can be found here.

There was no testimony in opposition, although the Department of Health and Human Services did present written testimony “neither for nor against.”  Questions from Committee members centered on whether the 3-day time limit for referral to assessment was long enough and whether there are sufficient pediatric and psychological resources in Maine to allow compliance with the bill’s time limits.  As always, the question of cost was also the subject of some concern.


Board of Licensure in Medicine Names Dennis Smith, Esq. as Executive Director

The Maine Board of Licensure in Medicine announced last week that it had selected Dennis Smith, Esq. as its new Executive Director.  He will begin his duties on March 3, 2015.  Attorney Smith is well known to the Board and to MMA as he has served as the Assistant Attorney General advising the Board for more than a decade.  It is not yet known who will be succeeding him in that role.

MMA staff has worked very closely with Attorney Smith for the past several years and looks forward to working with him in his new role.  

The previous Executive Director Randal Manning resigned in the Fall.

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MMA Legislative Committee Weekly Conference Call, Tuesday, February 24th at 8 p.m.

The next MMA Legislative Committee weekly conference call for the First Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, February 24th at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate.  Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate.  It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode.  These will remain the same for every weekly call during the session.

Conference call number:  1-619-326-2772

Passcode:  729-7185

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week.  The calls rarely last longer than an hour.  The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 622-3374, ext. 214.

The following are bills of interest to the physician community printed last week.  We will discuss the priority bills marked with an asterisk (*) first.  This will be important when the list grows in the next few weeks.

LD 433, An Act To Clarify the Liability of Funeral Practitioners (monitor)

LD 434,  An Act To Promote Equity in the Joint and Several Liability Law in Maine (monitor)*

LD 440,  An Act To Create a Secure, Therapeutic Mental Health Unit (support; psychiatrists)*

LD 456, An Act To Include Nonalcoholic Malt Beverages in the List of Exempt Products in the Law Regarding the Labeling of Genetically Engineered Products (monitor; Public Health Committee)

LD 459,  An Act To Protect the Environment from Fireworks Debris (monitor; pediatricians, ophthalmologists)

LD 460,  An Act To Restore Liability Insurance Requirements for Amusement Rides and Other Public Exhibitions (monitor; pediatricians, Public Health Committee)

LD 468,  An Act To Prohibit the Use of Certain Disposable or Polystyrene Food Service Containers (monitor; Public Health Committee)

LD 469, An Act To Promote the Disposal of Unused Medications (monitor; psychiatrists, Public Health Committee)*

LD 470, An Act To Allow Children's Residential Care Facilities To Ensure the Safety of Their Residents (monitor; pediatricians)

LD 471,  An Act To Improve Childhood Vaccination Rates in Maine (support; MMA/Maine Chapter, AAP bill, Public Health Committee)*

LD 472,  An Act To Establish Meals on Wheels as a Service Covered under the MaineCare Program (monitor; geriatricians)

LD 473,  Resolve, Directing the Department of Education and the Department of Health and Human Services To Jointly Adopt Rules To Protect Children's Health (support; pediatricians, Public Health Committee)*

LD 474, An Act To Improve Access to Dental Care in Maine (monitor or support; Public Health Committee)

LD 475,  Resolve, To Increase MaineCare Services for Certain Recipients To Allow Them To Remain at Home (monitor; psychiatrists)

LD 476, An Act To Require Pharmacies To Provide Disposal Receptacles for Used Hypodermic Apparatuses (monitor; Public Health Committee)

LD 477,  Resolve, To Increase Funding To Support Peer Centers (monitor; psychiatrists)

LD 478,  An Act To Require That Death Certificates Be Signed Using an Electronic Signature System (monitor)*

LD 481,  An Act To Amend the Eligibility Requirements for the Rural Medical Access Program (monitor or support)*

LD 483,  An Act Regarding the Reporting Standards for Child Abuse (support; MMA bill, OB/GYNs)*

LD 502,  An Act To Repeal the Service Provider Tax on Private Nonmedical Institutions and To Offset That Revenue Loss (monitor)












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Prescription Monitoring Program Advisory Committee Meets Wednesday; L.D. 327 Troubling

As the State's Advisory Committee to the Prescription Monitoring Program prepares for its first meeting of the year on Wednesday morning (9:00 to 11:00 am at the offices of the Office of Substance Abuse and Mental Health Services in Augusta), a very troubling bill has been printed and distributed at the State House that could quickly eliminate much of the good will that been achieved between prescribers and the PMP during the past decade.

L.D. 327, An Act to Require Prescribers of Controlled Substances to Use the Controlled Substances Prescription Monitoring Program Software is, no doubt, well intended but represents a vast over-reach by the State into the practice of medicine.  As written, the bill would require each prescriber to check the PMP prior to EACH PRESCRIPTION AND REFILL FOR ANY CONTROLLED SUBSTANCE.  No exceptions are provided for cancer treatment or any other condition or disease.  Nor is the bill limited to Schedule II medications.

In addition to overwhelming the PMP, such an over-reach would likely have the unintended consequence of prescribers receiving so much information that the relatively few important cases would be lost in the data. Physicians and other prescribers might also start to shy away from the most effective medications in favor of non-scheduled drugs.  Recent data continues to show that the PMP is being utilized more each and every month on a voluntary basis.  There is no need for the Legislature to step between you and your patient in every single instance where the patient may require a medication that is scheduled.

At a time when primary care, particularly, is being overwhelmed by administrative demands, L.D. 327 represents a "pile-on" that is unwarranted.  Please ask your legislators to oppose this bill.  The bill has been referred to the Health & Human Services Committee but has not yet been scheduled for a hearing.

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HHS Announces Extended Open Enrollment for Individuals Impacted by Tax Penalty

In an announcement that had been widely anticipated, CMS announced on Friday that there will be a special enrollment period from March 15th to April 30th for those individuals who learn during the tax preparation period that they will be paying a penalty for not purchasing insurance in 2014.  While they will still be penalized, they will be given the opportunity to purchase a plan in the exchange during this period so that they won't be subject to the higher penalty in 2016 (up to 2% of income or $325, whichever if higher).

When the previous open enrollment period closed on February 15th, Maine, once again, had higher than expected enrollment with nearly 75,000 individuals enrolling in the marketplace exchange.  Eighty-nine percent of these individuals are entitled to a subsidy lowering there monthly premium by an average of more than $300 a month. Last year, ninety percent of individuals received a subsidy.  MMA offers its congratulations and appreciation to the many navigators and certified assistors who worked incredibly hard during the enrollment period to get individuals insured.  We also want to acknowledge the continuing efforts of the Maine Health Access Foundation (MeHAF) in providing financial support for Enroll 207 and other initiatives aimed at outreach and education.

In another rule announced on Friday, CMS established the next open enrollment period.  It will run from November 1, 2015 through January 31, 2016.  This is a change from what was previously announced. [return to top]

Harvard Pilgrim Health Care Names Jeffrey Sedlack, M.D. Associate Medical Director for Maine

Harvard Pilgrim Health Care announced this past week that Jeffrey Sedlack, M.D. assumed the position of Associate Medical Director for Maine, effective February 23, 2015.  In this role, he will be working as an integral member of the Health Services team and the Maine Market team and will be responsible for leading strategic Medical Management activities to support growth and the quality of care in the Maine market.

Dr. Sedlack has most recently been working at both Waldo County Hospital in Belfast and at Providence Alaska Medical Center.  He grew up in Rochester, Minnesota and attended Northwestern University, the Washington University School of Medicine, and is currently working toward an MBA at the University of Massachusetts.  After completing his surgical residency at Georgetown University, he entered the U.S. Navy.

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Doctors’ Lounge Networking Forum, Wednesday, February 25, 5:30-7:00 pm, Ri Ra’s, Portland

Join Specialty Solutions at the Doctors’ Lounge, a monthly networking forum for physicians and advanced practice providers.

Historically, physicians have had more face-to-face interaction, but with time constraints, the loss of funding for hospital-based doctors’ lounges, and the regionalization of provider practices, it has become extremely challenging for physicians and advanced practice providers to have informal interactions with their colleagues. Through the Doctors’ Lounge, providers can connect and develop bonds that will be helpful as care delivery continues to change.

The next Doctors’ Lounge is Wednesday, February 25, 2015 from 5:30 to 7:00 p.m. at Ri Ra’s on Commercial Street in Portland. For more information, please email betha@crescendocg.com.

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AMA to FDA: New Proposal Would Stifle Innovation

A new proposal from the Food and Drug Administration (FDA) to impose a regulatory framework for laboratory-developed testing services and procedures would hinder medical innovation and result in reduced patient access to essential testing services and procedures, the AMA told the agency.

The FDA last year proposed a risk-based, phased-in approach to regulating laboratory-developed tests, which are services and procedures that represent the majority of advanced laboratory tests used in patient care. This is a critical part of the practice of medicine supporting physician diagnosis and prognosis and guiding treatment options for patients, the AMA said in comments to the FDA.  Laboratory-developed testing services and procedures are already performed under conditions regulated by an interlocking framework of federal laws, state laws and peer-review deemed authorities, which has allowed for accurate and reliable test design, development and performance to meet patient needs.

If the proposed FDA framework is finalized, physicians will not be able to offer or discuss alternative testing services, also known as off-label use, that often reflect more recent advancements in medical knowledge than commercial, pre-packaged test kits.  This could reduce physicians' ability to provide high-quality, personalized care. Further, the framework would increase administrative costs for physicians and clinical laboratories, potentially forcing them to limit the number of testing services and procedures they are able to offer.

Read more about the changes the AMA proposed to the FDA's framework. [return to top]

Prescription Drug Misuse Focus Turning Toward Treatment

 At least three-quarters of states are expected to introduce legislation this year related to prescription drug misuse, diversion, overdose and death – with an increased focus on treatment and prevention, signaling an issue that is at the forefront for both lawmakers and patients across the country.  Here are four facets of the issue that are being addressed in 2015.

The U.S. Centers for Disease Control and Prevention (CDC) reports that deaths involving prescription opioids remain unacceptably high, at more than 16,000 lives lost each year.  At the same time, there has been a substantial increase in deaths from heroin.  The CDC recently reported that 8,257 people died of heroin-related deaths in 2013—a 39 percent increase from 5,925 deaths in 2012.

These numbers point to the need for informed and focused state and federal efforts to save lives, including:

Increased access to naloxone.  Making the opioid overdose-reversal drug naloxone available to first responders and others is a 2015 legislative priority for at least 20 states. Naloxone helps save lives from overdose of opioids, whether a prescription opioid or heroin.

As an early adopter of efforts to expand access to naloxone, Colorado is now seeking to enhance its overdose prevention efforts with "Good Samaritan" provisions that allow others to aid an overdose victim without the fear of being arrested.  Colorado's bill would make naloxone available to a family member, friend or other person in a position to assist an individual at risk of experiencing an opioid-related overdose. Other states, including Nevada, North Dakota, South Carolina and Tennessee, also are working to enact legislation focused on saving lives from overdose.

In 2015, the AMA is working to get meaningful naloxone access and Good Samaritan legislation in all 50 states.

Expanding efforts across organizations.  As a founding member of the Alliance to Prevent the Abuse of Medicines, the AMA is working with other key industries across the supply chain to address critical issues related to the diversion of prescription drugs, from manufacturing and distribution to coverage and dispensing.  This alliance results in a unique and comprehensive perspective to address this epidemic.

Federal efforts to expand treatment. Taking on the prescription drug epidemic isn't just a problem for states. Federal legislation, such as the Recovery Enhancement for Addition Treatment Act (TREAT Act) could expand treatment for opioid addiction.  The TREAT Act would increase the number of patients that doctors can prescribe treatment for and would allow certain nurse practitioners and physician assistants to treat patients with substance use disorders by providing access to medication-assisted treatments such as buprenorphine.

Progress was made last year on the state and federal levels.  Michael Botticelli, director of the Office of National Drug Control Policy, addressed physicians at the AMA State Legislative Strategy Conference in January, stating that "science and data must guide our work to support all our efforts."  The White House also hosted a national summit last June to discuss federal, state and community responses to prescription drug misuse and deaths from overdose, underscoring the enormity and importance of the problem.

Prescription drug monitoring programs (PDMP). Legislation in Missouri would establish a PDMP, making it the last state to enact such a program.

In a letter to the Missouri Legislature, the AMA stressed the importance of long-term, stable funding for the state's PDMP to make sure the program can be maintained and modernized.

"In rare instances when PDMPs have been adequately maintained and funded, are available at the point-of-care with up-to-date information, and integrated into physician workflow, the efficacy of PDMPs is remarkable," the letter said.  "On the other hand, when PDMPs have not been adequately funded, states simply are left with outdated, inefficient databases that serve to frustrate the prescriber, dispenser and public health community."

"As the only state without a PDMP, Missouri has become a popular destination for doctor shoppers and pharmacy hoppers from all across the nation," said Missouri State Medical Association Executive Vice President Tom Holloway.  "This is not just a criminal justice issue—it's a very serious public health issue.  And it must be addressed.  A PDMP alone is not the cure-all, but it has the potential to be a powerful tool to help physicians and other health care providers identify prescription drug abuse and diversion problems when they come calling."

Besides Missouri, 30 states will likely see efforts to improve their PDMPs this year.

Learn more at the AMA's Web page on combating prescription drug abuse and diversion. [return to top]

ICD-10 Not Likely to be Delayed; MMA Announces Training Sessions May 8th and 9th

At a Congressional hearing earlier this month, it was once again emphasized by CMS that no future delays are contemplated for the effective date of implementation of ICD-10.  It has already been delayed for two years at the request of the AMA and other physician organizations.  At this point, the October 1, 2015 implementation date is supported strongly by the health plans and CMS and Congress is unlikely to delay further the implementation date.

Following up on successful educational training sessions offered in 2014, the Maine Medical Association will again sponsor a two-day training session for coders and others involved in the transition to ICD-10 in a medical practice. Taught by experienced trainer Laurie Desjardins, CPC and offered through her firm, CDI Coding Strategies, the two-day course will be held at the MMA offices in Manchester on May 8th (Friday) and May 9th (Saturday).  Pricing will be similar to last year and the promotional materials for the course are being developed this week.  Watch your e-mail or next week's Update for further details.  This two-day training is to be distinguished from the Annual Coding Seminar April 3rd which is one of the regular First Friday education programs and is available both live in Manchester and via Webex.  The two-day training is only available on site.

For details on the two-day course, call Gail Begin at 207-485-1341.

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Job Openings: Note Posting of State Epidemiologist Position

Gastroenterologist Job in Central Maine

Challenging, Lucrative, Gastroenterologist job in central Maine - honoring and serving Veterans.  An experienced Gastroenterologist is needed in Augusta.  Develop your skills of diagnosing, treating, and managing patients, while living in an all-season recreational getaway!

Must-haves: Fellowship-trained and B/C specializing in Gastroenterology, fellowship-trained in Transplant Hepatology, and fellowship-trained in Advanced Endoscopy; experience in Upper Endoscopy (including EGD, Barrett's Esophagus diagnosis and treatment, vatical bleeding, bleeding ulcers, dilation, stent placement for esophageal strictures, and treating food impactions); experience in  Colonoscopy (diagnostic and therapeutic), ERCP, EUS with FNA (for both solid and cystic lesions), Push enteroscopy, Deep small bowel enteroscopy, Capsule endoscopy, and Combined Interventional and Endoscopic interventions (Rendezvous procedures); experience in hepatology and liver diseases; lastly, an unrestricted medical license and current BLS certification.

This is the opportunity for you to receive a competitive salary, a generous leave package, excellent health & life insurance benefits, and retirement benefits. You'd be eligible to participate in a pension program as well as a matching Thrift Savings Plan which is similar to a 401K. If you are a veteran, you may be able to combine accrued military retirement credit with VA pension benefits.

Salary will be commensurate experience, using VA’s market-based physician pay system. By law, U.S. Citizens will be given 1st preference but non-citizens will be considered in the absence of qualified citizens. A signing bonus may be available.  Relocation expenses are not authorized.  Equal Opportunity Employer.  Disabled persons and/or veterans are encouraged to apply.

For more information contact John Poulin: john.poulin@va.gov


Rockport, Maine - Internal Medicine - Primary Care

Located directly on the shore of the Atlantic Ocean, Pen Bay Medical Center seeks BC/BE IM physician to join one of its hospital-employed Primary Care groups.  We offer:

  • Competitive salary with productivity bonus
  • Four day work schedule
  • Comprehensive benefits
  • Generous Paid time off
  • CME Allowance
  • 1:7 outpatient only call
  • Impressive sub-specialty support
  • Relocation allowance
  • Loan repayment program

Come work and live where others go to vacation!

Please forward CV and confidential inquiries to:

John Bragg, Director, Physician Recruitment

Pen Bay Medical Center, 6 Glen Cove Drive, Rockport, ME  04856

(207) 921-5894    jbragg@penbayhealthcare.org


State Epidemiologist Sought

As State Epidemiologist in the Division of Infectious Disease, you will provide guidance and support to approximately 12-15 epidemiologists in the Infectious Disease Epidemiology Program for disease investigations and outbreak control, surveillance activities, and planned epidemiologic studies. Additionally, you will provide medical guidance, as needed, to all other programs within the Division; the Maine Immunization Program and the HIV, STD and Viral Hepatitis Program. You will be involved in formulation of statewide public health policy including providing legislative testimony by request for the Department. You will participate in the development of disease investigation protocols and the review of case investigations. You will consult with physicians and other health care professionals on disease prevention and control measures. You will respond to inquiries from the public and will coordinate response to media inquiries as directed by the Director of Maine CDC. You will interact with staff in the Division of Public Health System's, Public Health Emergency Preparedness Program, and the Health and Environmental Testing Laboratory, as well as the Division of Environmental Health's Health Inspections Program and other programs as requested. You will be part of the on-call rotation for nights and weekends (for telephone consultation, not on-site work) and provide technical support to other staff as needed when they are on call. As State Epidemiologist, you will supervise the medical epidemiology team which includes the Deputy State Epidemiologist and the Healthcare Associated Infections Coordinator. You will also provide medical guidance and oversight to the Tuberculosis Control Coordinator. You will serve as a liaison between federal CDC and Maine CDC on issues related to infectious disease. The State Epidemiologist will report to the Director, Division of Infectious Disease.


Graduation from an accredited school of medicine or osteopathy with board certification in an appropriate medical specialty. A twelve year combination of training and experience in medicine and public health, to include a minimum of four years experience as an epidemiologist, OR a Masters Degree in Public Health or a related field and six years experience in the field of medicine and public health, to include a minimum of four years of experience as an epidemiologist. 

SPECIAL REQUIREMENT: Applicants must be eligible for a license to practice medicine in the State of Maine and must have a valid license prior to the start of employment. 

APPLICATION INFORMATION:  For additional information about this position please contact Jeremy Wilson, Human Resources Assistant at (207) 287-1873 or by e-mail @ jeremy.p.wilson@maine.gov. To apply, please forward a completed State of Maine application form and cover letter to: 

Department of Health and Human Services 
J. Wilson, Human Resources Asst. 
#11 State House Station 
Augusta, ME 04333-0011 

Direct hire applications are available at www.maine.gov/dhhs/jobs 
Applications must be postmarked by March 2, 2015.



Inland Hospital is a dynamic healthcare organization that believes in putting the patient first in every way. We are a 48-bed community hospital in Waterville; Lakewood, a 105-bed continuing care center on the hospital campus; 18 primary and specialty care physician offices in Waterville and five surrounding communities. Inland has been a proud member of EMHS since 1998. Inland patients have seamless access to a higher level of care when needed.

Come to Waterville, Maine - home of Colby College! This dynamic community offers quality schools, safe neighborhoods, and affordable real estate - plus plenty of shopping, dining and other activities.  Waterville is situated near many lakes and rivers, and is centrally located between excellent skiing and the seacoast, 15 minutes from Augusta (Maine’s capital), an hour from Bangor, and 75 minutes from Portland.

Enjoy living in a scenic area with four-season activities including hiking, skiing, camping, kayaking, sailing, hunting and fishing, golfing, snowmobiling, whitewater rafting, snowshoeing, and much more!

For Further Information, please contact:

Sherry Tardy, Director Business Development/Provider Recruitment, Inland Hospital by email at:stardy@emh.org or by phone at: 207-487-4085.


BC/BE Family Practice Physician Sought

Sheepscot Valley Health Center (Coopers Mills, near Augusta) seeks a BC/BE Family Practice Physician to provide primary care and preventive services in a practice that includes integrated behavioral health services. The selected candidate will join a team of physicians, nurse practitioners, and a physician assistant who offer medical care to community members from birth through retirement and beyond. Coopers Mills is ideally located between the state capital and the coast. The practice has been a vital part of the community since 1980 when a group of local residents recognized the need for high quality medical care closer to home. Over 4,000 people receive primary care and behavioral health services each year. We offer competitive compensation and malpractice coverage. The site is eligible for loan repayment. EOE. 

Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | Phone: (207) 660-9913 | Fax: (207) 660-9901 | Communications@HealthReach.org |www.SheepscotCHC.org.


Augusta, Maine – Adult Psychiatrist

Kennebec Behavioral Health seeks a BC/BE adult psychiatrist with a Maine Medical License or immediate eligibility for licensure, for our Augusta location. Join our thriving, successful outpatient Medication Management Team and the chance to work for a multi-site health provider that has been serving our communities for more than 50 years. Located a short distance from the coast, ski resorts, golf courses, lakes, rivers and hiking trails, KBH operates central Maine’s largest Medication Clinic. Our Med Management team provides assessments, medication management and education.

Generous Sign-On Bonus!

KBH offers flexible, competitive compensation and benefits:

  • Health, dental, vision and life insurance
  • Relocation assistance
  • Travel reimbursement
  • 20 vacation days yearly
  • 11 holidays
  • 8 sick days
  • No on-call responsibilities or mandatory overtime.
  • Day time schedule (Monday – Friday)
  • Flexible schedule

Please forward CV and confidential inquiries to:

Amanda Fitts, Assistant Practice Manager

Kennebec Behavioral Health

67 Eustis Parkway

Waterville, ME 04901

(207) 873-2136  afitts@kbhmaine.org


Lincoln, ME:  Family Medicine Opportunity with Leadership Option

  • Federally Qualified Community Health Center with 6 Locations
  •  Medical Director opportunity if desired
  • Serves 19 small, rural towns in North Central Maine with over 14,000 active patients
  • Focused mission to serve/support underserved populations
  • Service area:  +/- 24,000
  • 4-day work week
  • Phone call 1:8
  • Excellent salary and benefit package, including FTCA malpractice insurance
  • Superb team of 25 multidisciplinary healthcare professionals, with collegial professional environment
  • On-site lab and radiology services
  • Work collaboratively with two local Critical Access Hospitals
  • National Health Service Corps, and/or other student loan repayment programs
  • J1 visa candidates welcome

Home of 13 Lakes. Thousands of miles of accessible recreational woodland and waterways appeal to those seeking nature, but this region is also within 45 minutes of Bangor, Maine’s third largest city, and UMaine’s flagship campus in Orono.

Contact:  Jamie Lynn Grant at JGrant@NEHS.net or (207)745-7059









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Upcoming Events


Dementia Care in Primary Care

Friday, March 13, 2015 

Join us to learn about, and work with colleagues, on the implementation of best practices for Dementia Care in Primary Care.  This symposium will be offered on Friday, March 13.  The focus of this symposium is on implementation of a standardized approach to memory related problems in Primary Care.  The symposium will be useful to all providers working in Primary Care.  It will be an all-day event, offering CME as well as an opportunity to engage in an office based Quality Improvement process.

The symposium is sponsored by the Office of Aging and Disability Services and is free to participants.  We encourage bringing a member of your support staff who might be integral to implementation of process improvement.

The primary site will be at MaineGeneral in Augusta, but it also will be transmited to EMMC in Bangor.

Cliff Singer, MD                                                                    Roger Renfrew, MD, FACP

Geriatric Mental Health and Neuropsychiatry                     Facilitator Clinical Geriatrics

Acadia Hospital and EMMC                                               MaineGeneral Medical Center

207-973-7026                                                                    207-621-3699



Maine Concussion Management Initiative Training Programs – Level 1 and Level 2

General Information for 2015

When and where held:

              March 13, 2015 in Bangor at St. Joseph’s Hospital  

              May 1, 2015 in Machias at DownEast Community Hospital                       

              June 12, 2015 in Waterville at Colby College

              October 20, 2015 in Portland in conjunction with the Maine Brain Injury Conference

                             (Registration and fees will be through the Maine Brain Injury Conference for October 20)


Training Program: Training programs in 2015 will be updated.

              Level 1 - An Introduction to Concussions and Concussion Management

              Level 2 – Interpreting Neurocognitive Testing (Level 1 is a prerequisite for taking Level 2)

              8:00am – 8:15   Registration and Continental Breakfast (Level 1 and Level 2 are run simultaneously)

              8:15am-12:00pm            Level 1 – An Introduction to Concussions and Concussion Management

                                                          ○            The Diagnostic and Return to Play Dilemma

                                                          ○            Sport Related Concussion: Short and Long Term Sequelae

                                                          ○            Concussion Sideline Assessment

                                                          ○            Concussion Risk Factors, Treatment and Return to Function

                                                          ○            Tools in Concussion Management

                                                          ○            Concussion Case Studies

                                                          ○            Review and Wrap-up

              8:15am-12:00pm            Level 2 – Interpreting Neurocognitive Testing             

                                                          ○            Using ImPACT Testing in Concussion Management

                                                          ○            Interpreting ImPACT Test Results

                                                          ○            Case Reviews

                                                          ○            Review and Wrap-up

              Registration Fee:

              $100 for Health Care Professionals (MD, DO, NP, PA, Neuropsychologist, ATC, RN, PT, OT, SLP)


              $40 for school personnel and all other attendees

                             (School nurses, coaches, school athletic directors, administrators, parents, etc.)

              $20 for students – currently enrolled in a college program

Registration Fee Includes:

              1. Handouts

              2. Continental Breakfast and mid-morning break

              3. CEU/CME credits for Health Care Professionals

Registration Confirmation will be sent by email and will include:

              1. Directions to training location.            

              2. Training agenda.

For more information contact:

              Jan Salis, PT, ATC

              MCMI - Membership Committee Chair


              (207) 577-2018


SAVE THE DATE:  Maine Academy of Family Physicians Spring Events

23rd Annual MAFP Family Medicine Update – April 8-10, 2015, at the Atlantic Oceanside in Bar Harbor

April 11th (tentative) Certified Medical Examiner Training (for DOT Exams) – dependent on registration minimum met

For more information check our website:  http://www.maineafp.org/cme/mafp-cme-meeting

Complete schedule and registration available after January 15th. [return to top]

For more information or to contact us directly, please visit www.mainemed.com l ©2003, Maine Medical Association