Blog
Nursing Facility Rate Reform Update: Providers May Now Submit January Claims
- By: Angela Westhoff
- On: 02/06/2025 15:01:59
- In: Legislative/Government Affairs
Claims for dates of service starting on or after January 1, 2025, may now be submitted for reimbursement. Billing Guidance can be found here.
Correction to NF Rate Letters:
MaineCare corrected an error in Code AAAA6 that included a third decimal place in the PDPM weights in the table of the rate letters. The PDPM weights are limited to two decimal places to align with the format of the Centers for Medicare & Medicaid Services (CMS) PDPM weights on which the MaineCare PDPM weights are based. Updated rate letters are now available on the secure Health PAS Online Portal.
Resources:
Recordings of the Open Office Hours for providers, billers and/or vendors from January 16 and January 28, 2025.
Facility-specific assessment reports submitted to CMS between October 1, 2024, and December 31, 2024, can be accessed by logging into the Submission Management System (SMS). Please contact Catherine.Gunn@maine.edu if you need assistance with your username and password.
Contact Information:
For case mix or PDPM questions please contact Sue Pinette, Case Mix Manager and Resident Assessment Instrument (RAI) Coordinator.
If you require further assistance, please contact Bruce Cosgrove, Provider Relations Specialist.
Staff contact: awesthoff@mehca.org