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Behavioral
Health Homes (BHH) Rate Proposal and Comment Period
As presented in the BHH meeting on Thursday,
August 27, 2015, the Department has released a proposed rate model for BHH services
and is seeking feedback on the proposal. The rate model and supporting
materials have been posted on the Burns
& Associates, Inc. website.
Please submit
comments through email by September
11, 2015.
Please
contact the Behavioral Health Homes team with questions.
Reminder: Durable
Medical Equipment (DME) Providers Only: X12 File for EDI Claims, Update for
ICD-10
If
you are a DME provider and submit claims through the Electronic Data
Interchange (EDI), you MUST populate segment SV5 in the X12 file if your claims
span the ICD-10 implementation date (10/1/2015). If you do not
populate SV5 when spanning, the claims will be rejected. You can avoid
this rejection by populating the SV5 segment in the X12 file or by submitting
your DME via Direct Data Entry (DDE) on the MyHealthPas Portal.
When billing DME
claims that span the ICD-10 implementation date, you must use an ICD-9 code
that is valid at the FROM date of service.
If
you have questions, please contact us through the ICD-10 email box.
Code and Rate Additions,
Deletions, and Corrections
The
“Code and Rate Additions, Deletions, and Corrections” spreadsheets have
recently been updated. The spreadsheets are used to notify you of code and rate
changes. You can view these spreadsheets on the Claims, Billing, and
Enrollment webpage.
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Out
with the old and in with the new!
Now that we have transitioned to our new
e-message service, we have discontinued the use of the Provider Notification
listserv and will not be sending messages through the old service.
Select
the topics you want more information about!
The new e-message service allows you to select
which topics you want more information about. Starting next week, we will no longer send
the same message in several different e-message topics, unless the message is
applicable to those topics. For example, you will not receive policy notices
from the General Topic and the Policy and State Plan Amendments topic but only
receive them from the Policy and State Plan Amendments topic e-message service. Please be careful to select the topics you would like more information
about.
The following are MaineCare’s available
e-message topics:
- General Topic (Claims
and Billing Issues and Updates)
- ICD-10
- MaineCare Members
- Pharmacy
- Policy and State Plan
Amendments
- School-Based Services
- Value-Based Purchasing
To update your preferences, please select the
link at the bottom of this e-message.
Please contact the Communications Team with
questions.
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