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Nursing Home Facilities- Members Coverage Inadvertently End-Dated in MIHMS

On January 8th, MaineCare provided a notice regarding Section 67 Nursing Facilities (NFs) that several members have had their MaineCare coverage for nursing facility services inadvertently end-dated on December 31, 2023. They stated that they are aware of the issue and that a resolution is forthcoming. 

Section 67 providers can continue to bill for nursing facility services up to December 31, 2023, but MaineCare indicates they should refrain from billing for dates of service on or after January 1, 2024. MHCA has inquired about a timeline for resolution of this problem and will updated members as soon as possible.

Members should contact their Provider Relations Specialist, Bruce Cosgrove, with questions. 
 
Staff contact: awesthoff@mehca.org