[Provider] Update: New Effective Date for PNMI Bedhold Days Changes

[Provider Notification]

ATTENTION:      MaineCare Providers Currently Billing Bedhold Days

 

Following the listserv message sent last week on emergency rule-making
for PNMI Bedhold Days, the implementation date has changed.  This
rule-making is now planned with an effective date of August 1, 2008.
Updated emergency rules will be posted soon and can be found at

http://www.maine.gov/bms/rules/provider_mcare_benefit.htm

 

Once again, the changes are being made 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.

 

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.

 

 

 

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

 

 

 

 

 

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