Maine Health Exclusion Program Integrity

Listing Websites about Maine Health Exclusion Program Integrity

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Program Integrity Department of Health and Human Services

(8 days ago) WebProgram Integrity. 11 State House Station. Augusta, ME 04333-0011. (207) 287-4660. Program Integrity (PI) is responsible for monitoring and safeguarding the MaineCare program against fraud, abuse and waste through an audit process, driven by referrals …

https://www.maine.gov/dhhs/oms/providers/program-integrity

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Department of Health and Human Services - Maine DHHS

(8 days ago) WebTo enable the OMS Program Integrity Unit to implement appropriate sanctions, the final rule allows the Department, in its discretion, to consider a request …

https://www1.maine.gov/dhhs/oms/about-us/policies-rules/recently-adopted-rules

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Prohibited to Employ Individuals Excluded by Maine or …

(9 days ago) WebSearch for People Excluded by the Federal Government. To check whether a person is excluded by the federal government, providers can use the Office of Inspector General …

https://mainecare.maine.gov/Provider%20Enrollment%20Guides/Special%20Tools/Prohibited%20to%20Employ%20Individuals%20Excluded%20by%20Maine%20or%20Federal%20Government.pdf

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OMS Program Integrity Department of Health and Human Services

(3 days ago) WebDHHS → OMS Program Integrity OMS Program Integrity. Reporting Form. I am reporting: Health and Human Services Augusta, Maine 04333. Phone: (207) 287-3707 FAX: …

https://www.maine.gov/dhhs/form/oms-program-integrity

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Emergency Rules Department of Health and Human Services

(1 days ago) Webg. Section 25.06-2, The Division of Program Integrity, because it only refers providers to Chapter I, which already applies to all providers. h. Maine is facing a …

https://www1.maine.gov/dhhs/oms/about-us/policies-rules/emergency-rules

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Federal and State Program Integrity in Maine Health Information …

(Just Now) WebFederal and State Program Integrity: Civil liability of persons making false claims - Me. Rev. Stat. tit. 22, § 15: Maine law holds any person, organization or entity liable for …

https://www.healthinfolaw.org/state-topics/20%2C57

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Department of Health and Human Services, Center for …

(4 days ago) WebMaine Focused Program Integrity Review Final Report November 2019 1 Objective of the Review The Centers for Medicare & Medicaid Services (CMS) is committed to …

https://www.cms.gov/files/document/mefy19focusedpireviewfinalreportpdf.pdf

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MaineHealth Code of Ethical Conduct

(5 days ago) WebIt is the policy of MaineHealth to protect the integrity of clinical decisions, health care education, indirectly results in unnecessary costs to a health care program. Abuse …

https://assets.mainehealth.io/s3fs-public/imported_images/Code-of-Ethical-Conduct.pdf

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Program Integrity Medicaid

(2 days ago) WebThe State Program Integrity Assessment (SPIA) is the CMS first national data collection on state Medicaid program integrity activities for the purposes of program evaluation and …

https://www.medicaid.gov/medicaid/program-integrity/index.html

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MaineCare Notice of Agency Rule-making Adoption, MaineCare

(Just Now) WebThe previous rule did not address retroactive enrollment for providers other than federally qualified health centers, rural health centers, and Indian health centers. …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/mainecare-notice-agency-rule-making-adoption-mainecare-benefits-manual-chapter-i-section-1

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Maine Health System Settles Case Involving Excluded Individual

(1 days ago) WebOn August 24, 2018, St. Mary's Health System (St. Mary's), Lewiston, Maine, entered into a $68,497.32 settlement agreement with OIG. The settlement agreement resolves …

https://oig.hhs.gov/fraud/enforcement/maine-health-system-settles-case-involving-excluded-individual/

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Maine Department of Health and Human Services

(9 days ago) WebMaine has received approval for the 1115 Demonstration waiver to lift the Institute of Mental Disease (IMD) exclusion for Substance Use Disorders (SUD) …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/attention-private-non-medical-intuition-pnmi-appendix-b-providers-maintenance-case-needed

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Maine Exclusion List - SecureEPLS

(8 days ago) WebMaine Exclusion List. Maine provides its "Program Integrity Excluded Providers" which is a way to research whether an individual/entity is on the MaineCare exclusion list. Maine …

https://www.secureepls.com/exclusion-databases/maine-exclusions-list

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Coverage & Benefits Department of Health and Human Services

(6 days ago) WebCase Mix, Private Duty Nursing, and Home Health; Program Integrity; Provider Directory; DHHS → Office of MaineCare You will know if you must pay a premium for coverage …

https://www1.maine.gov/dhhs/oms/member-resources/coverage-benefits

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Maine Mental Health Services Provider Settles Case Involving …

(9 days ago) WebOn November 27, 2018, Spurwink Services (Spurwink), Portland, Maine, entered into a $61,461.00 settlement agreement with OIG. The settlement agreement resolves …

https://oig.hhs.gov/fraud/enforcement/maine-mental-health-services-provider-settles-case-involving-excluded-individual/

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Taxonomy Code Requested on Claim Submissions – Portal Claims

(6 days ago) WebDepartment of Health and Human Services 109 Capitol Street 11 State House Station Augusta, Maine 04333. Phone: (207) 287-3707 FAX: (207) 287-3005 TTY: …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/taxonomy-code-requested-claim-submissions-portal-claims-2024-04-25

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340B Program Overview Department of Health and Human …

(2 days ago) WebJan 29, 2024. MaineCare does not allow contract or retail pharmacies to enroll in the 340B Medicaid drug program, either directly or under subcontract with a 340B entity. …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/340b-program-overview-2024-01-29

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Behavioral Health Integration at MaineHealth MaineHealth

(1 days ago) WebThe MaineHealth Behavioral Health Integration (BHI) program helps people get effective and efficient care for mental and behavioral health problems through their primary care …

https://www.mainehealth.org/maine-behavioral-healthcare/about-maine-behavioral-healthcare/behavioral-health-integration-mainehealth

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