December 2, 2019

In This Issue
5 things Doctors Need to Know About 2020 Medicare Fee Schedule
AMA Comments to CMS 2020 Physician Fee Schedule and QPP Proposed Rule
15 Physicians Fired From Chicago-area Health System, Replaced by APRNs
MaineCare "Provider" Application Fees to Rise
US Life Expectancy Continues to Decline; Maine has 4th Greatest Rate
Maine Native, Med Student, Featured in NPR Story on Opioids
This Week's Public Health Updates from the AMA
IMD Exclusion for SUD and SMI/SED 1115 Waiver Application
Safe Sleep Research Project - Provider Survey to improve recommendations for parents
HealthCare.gov 2020 Open Enrollment Ends on December 15
From The Alzheimer's Association: Making a Plan of Care for Patients with Cognitive Decline and Dementia
MMA Legislative Calls Will Start Again in January; Organizational Meeting 12/10 at 6 p.m., MMA HQ
Maine Legislature's List of Bill Titles for 2020 Session: Initial Approval List
Upcoming Specialty Society Meetings
MMA partners with the Maine Suicide Prevention Program and the Maine CDC/Sweetser to offer training for clinicians.
10th Annual Maine Patient Safety Academy - March 30, 2020
Northern Light Sebasticook Valley Hospital seeks a BC/BE General Surgeon
Family Medicine Physician
Family Medicine Opportunity in Beautiful Western Maine
BC/BE Family Medicine or Internal Medicine Physician
Physician Director of Primary Care
Full-time, Part-time and Leadership Opportunities for Physicians
Opportunities at the VA for Volunteer Physicians
Volunteer Opportunity with Partners for World Health

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IMD Exclusion for SUD and SMI/SED 1115 Waiver Application

On November 26, 2019, MaineCare submitted a 1115 demonstration waiver application to CMS with the goal of improving the SUD service delivery system. If approved, this waiver would allow for additional federal funding for residential or inpatient SUD treatment for MaineCare-enrolled adults and would provide state flexibility to pilot four services focused on MaineCare-enrolled parents with SUD who are involved with or at-risk of involvement with Child Protective Services. The proposed pilots include community-based skill development, parenting interventions, and MaineCare eligibility changes intended to address coverage and service delivery gaps that impact the health and well-being of this target population and their families. For questions about the submitted waiver, please contact Olivia Alford at Olivia.Alford@maine.gov

Please note, the waiver application includes provisions related to SUD treatment and recovery only. Earlier this year, the Department proposed incorporating provisions related to SMI/SED residential and inpatient services as part of this submission; however in response to stakeholder feedback these two proposals have been separated. Delivery system improvements related to SMI/SED remain a priority and will be addressed after further system-wide capacity and needs assessment and informed by further stakeholder engagement.

1115 Waiver Submission Documents

To view documents related to and MaineCare 1115 waivers, including the most recent 1115 waiver submission to improve Maine’s substance use disorder service delivery system, please visit: https://www.maine.gov/dhhs/oms/rules/demonstration-waivers.shtml.


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