[Provider] Rule-Making Related to PNMI Bedhold Days

[Provider Notification]

ATTENTION:      MaineCare Providers Currently Billing Bedhold Days

 

Emergency rule-making will be published later today and effective on
July 1, 2008 related to private non-medical institutions.  In order to
implement budget initiatives adopted during the last legislative session
and to comply with federal Medicaid rules that prohibit separate
reimbursement for bedhold days under the MaineCare program, the
Department is adopting rule changes and rate changes to accomplish the
following:

 

1.                  MaineCare codes for bedhold days are being
eliminated.

2.                  Per diem rates will be increased to include
allowable costs which include fixed operational costs not related to
occupancy levels.  The methodology used to calculate these increases
varies by types of facility.   Further information will be provided by
your contract administrator.

3.                  Where applicable, cost caps are being adjusted to
ensure that budgeted savings are realized.

4.                  These rules will be permanently adopted in the
proposed rulemaking, and a public hearing will be held as part of that
separate rulemaking.

 

The proposed rules will be posted to the MaineCare Services web site
later today and can be found at 

http://www.maine.gov/dhhs/bms/rules/prov_emergency.html

once they are posted.

 

State funding for bedhold days through Chapter 21 (children's
facilities), Chapter 115 (adult residential care facilities) and
specified grant funding (adult mental health and substance abuse
treatment facilities) will not be affected by these changes.

 

Providers impacted by these changes should contact their contract
administrator with questions.

 

 

This is a one-way communication.  Please do not respond to this message.

 

 

 

-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://mailman.informe.org/pipermail/provider/attachments/20080626/ef6c2e46/attachment.html