The following was disseminated by the Office of MaineCare Services on Monday, 8/12/2019:
MaineCare in Education Updates
MaineCare is currently working to finalize a new school-based services section of policy that will be added to the MaineCare Benefits Manual. In addition to adding new medical services for children, the new policy will provide detailed and clear instructions for providers regarding provision of services, record-keeping, and claims submission for the medically necessary services provided through the school-based services program. These changes will also ensure that services provided are clearly identified to ensure accountability for the state share of costs assessed to districts seeking reimbursement for medically necessary services to MaineCare members through IDEA (Individuals with Disabilities Education Act). The Department will offer information to providers on this new policy through a number of scheduled in-person trainings across the state and online. Providers will also be able to request individualized training to meet their needs, conducted at their own on-site locations. More details on these changes, including the rulemaking timeline and public comment period, will be shared as they become available.
In the meantime, the MaineCare in Education webpage has been updated to provide additional support for school-based providers. These updates include:
MaineCare in Education School-Based Services Billing Guide
The MaineCare in Education 2019 guide has been updated to include more detailed descriptions of covered services and policy information regarding current documentation requirements for each service as it relates to the MaineCare school-based services policy that is currently in effect. Providers can view requirements for each covered service and more easily find related provider and documentation requirements mandated in current policy.
MaineCare in Education: An Overview for School Administrators
A presentation for school administrators, recently shared at the Department of Education’s Commissioner’s Conference is now available. The presentation provides a brief overview of MaineCare and the options that schools currently have regarding enrollment as MaineCare providers.
Quick Reference Fact Sheets
Accessing MaineCare in Schools
Audit Checklist for School-Based Services
Claims Status Review Quick Reference
Claim Submission Quick Reference
Medically Necessary School-Based Services
MIHMS Enrollment Checklist
All questions relating to MaineCare School-Based Services can be directed to MaineCareinEducation.DHHS@maine.gov.