This amendment modifies the reimbursement received at an Indian Health Services or Tribal 638 provider for a Medicaid member with dual eligible benefits. The Medicare payment will be treated as third party payments and be offset against the all-inclusive Medicaid payment.

This amendment revises the state’s Alternative Benefit Plan (ABP).

This amendment proposes to implement coverage of routine patient costs associated with participation in qualifying clinical trials.

This amendment modifies coverage requirements for routine patient costs associated with participation in clinical trials.

This amendment establishes Partial Hospitalization Program (PHP) services for individuals ages 21 through 64 with substance use disorder, mental health diagnoses, and/or co-occurring disorders
within the Medicaid state plan.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to add a Nursing Facility payment 4/1/22-6/30/22 and correct ASC procedure code 36561 payment amount from $1,813.06 to $1,831.06, effective 8/26/2021.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to  allow the state Medicaid agency to reimburse FQHCs at the fee schedule amount for administration of Covid-19 vaccines.

This plan amendment establishes the rate for ostomy supplies at the lower of provider charges or 88.2% of the current Maine Medicare rate.

This amendment was submitted in order to update the Medicaid fee schedule to include the rate increase for adaptive behavioral treatment by Behavioral Therapists.