Maine Medicine Weekly Update - 12/17/2020  (Plain Text Version)

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In this issue:
•  Advisory Panel Recommends Moderna Vaccine, FDA Expected to Authorize Emergency Use
•  Update to Our Special Edition Wednesday Vaccine Newsletter
•  FDA Authorizes First OTC COVID-19 Test
•  Maine Public Radio Reports 32 COVID-19 Cases Linked To Bangor Hospital Outbreak
•  MaineCare Section 17 Assertive Community Treatment (ACT) Service Cap
•  Attention FQHCs and RHCs: Reimbursing Telehealth Services, CR 98696
•  Current FDA Drug Shortages
•  Not Much COVID Relief Movement from Congress
•  Maine CDC Physicians To Host Regular Clinician COVID Vaccine Info Sessions
•  PPE Available Through the MMA & ActionPPE
•  Maine Medical Association Enduring Education Opportunity
•  MICIS Opioid Prescribing Presentation & Individual Academic Detailing Sessions
•  Hanley's PELI Advanced Course Enrollment is OPEN!
•  A Message from Maine Responds: Volunteer Opportunity
•  State Legislative Committees Announced
•  Upcoming Specialty Society Programs & Meetings
•  Webinar: “Radon Risk Reduction: The Current Policy Landscape in the US and the Maine Perspective” January 12, 2020
•  Caring for LGBTQ+ Youth in Maine - Emphasis on the 'T' - Half-day Symposium on Saturday, January 23
•  MOA VIRTUAL Midwinter Symposium - Feb 12-14, 2021
•  Maine CDC Annual Prevention Professionals Conference - March 2-3, 2021
•  Behavioral Health Clinician
•  Psychiatric Nurse Practitioner
•  Physician (BC/BE in Family Medicine)


MaineCare Section 17 Assertive Community Treatment (ACT) Service Cap

This is a reminder that there is no longer a cap on the number of billable days for ACT services, effective November 15, 2018.


This is a reminder that there is no longer a cap on the number of billable days for ACT services, effective November 15, 2018. 

All expectations included in the MaineCare Benefits Manual Chapter II, Section 17.04-3 apply, including ensuring that the delivery of services meets the minimum standard of a calendar monthly average of three face-to-face contacts per week. This means that on three separate days each week, the provider should see the member and provide covered services as described in policy. Providers also need to make sure that the services are primarily done in the community rather than in the office. During the COVID-19 public health emergency, telehealth may be used to satisfy the face-to-face requirements following MaineCare’s telehealth guidance

Providers may bill for attempting to contact or locate members receiving services.  We understand that there are circumstances where an attempt to contact a MaineCare member does not result in a face-to-face meeting, but it is still expected that the calendar monthly average is met. All outreach/location attempts should be clearly documented. Providers may bill for days when a collateral contacts occurs if the monthly average face-to-face has been met. 

When submitting authorizations through Kepro, please remember that the base authorizations will continue to be at 63 units for a three-month period. Additional units may be requested using the typical continued stay review process when determined to be medically necessary and supported by clinical documentation. The request must include the clinical justification of the need for additional units. For any questions about this notice, please email Jane Brann, Provider Relations Specialist, or call her at (207) 624-6925.