July 30, 2021 MaineCare Updates
Maine Department of Health & Human Services sent this bulletin at 07/30/2021 11:13 AM EDT
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In this message:
- Primary Care Provider Incentive Payment (PCPIP)
- Kepro Address Change on August 1st, 2021
- Attention Providers of Children’s Services: Pediatric Codes Document
- Private Duty Nursing (PDN) Forms on the Health PAS Online Portal, CR 95918
Primary Care Provider Incentive Payment (PCPIP)
The MaineCare e-message from April 17, 2020 noted that future PCPIP data may be adjusted due to COVID-19. MaineCare is currently reviewing the data for the PCPIP-63 reports for the reporting period of October 1, 2019 – September 30, 2020. The data is being reviewed to determine the potential effects of COVID-19 on quality measures and payments.
Though the PCPIP is usually processed by the end of July, there has been a delay to allow for the data review. Providers will be notified by e-message once the new payment date has been established.
For any questions, please email PCP Network Services.
Kepro Address Change on August 1st, 2021
Effective August 1, 2021, Kepro is relocating to a new office. The new address is 82 Running Hill Road, Suite 202, South Portland, ME 04106.
Who is Kepro?
Since 2007, Kepro has been serving the Department of Health and Human Services (DHHS) as the Administrative Services Organization (ASO) responsible for Maine’s mental health and substance use services. Kepro Maine reviews and approves services provided through MaineCare, as well as managing additional services to assist citizens of Maine in leading healthier lives.
More information about Kepro can be found at www.qualitycareforme.com.
Attention Providers of Children’s Services: Pediatric Codes Document
A new reference document for Commonly-Used Pediatric Codes has been posted on our Children’s Services webpage.
Please contact Provider Relations at 1-800-977-6740 with questions.
Private Duty Nursing (PDN) Forms on the Health PAS Online Portal, CR 95918
MaineCare Benefits Manual, Section 96 PDN forms are now located on the Health PAS Online Portal. We have moved all the PDN forms formerly found on the Case Mix, Home Health, and Private Duty Nursing webpage to the new PDN portal page.
The following PDN forms are now available on the Health PAS Online Portal:
- Change of a Previously Approved Plan of Care (PDF)
- Communication/Discharge Form (PDF)
- Request for PDN Staffing (PDF)
- Request for Special Circumstances Nursing Approval (PDF)
- Significant Changes in Services Request Form (PDF)
- Time Task Allowance (Excel)
- Unable to Fully Staff (PDF)
To ensure your PDN form is accepted, please use the most current version on the portal.
For questions, please contact Provider Services at 1-866-690-5585.