|Attestation Form for MaineCare Primary Care Payment Bump Available; Must be Completed
the Office MaineCare Services (OMS) is implementing Section 1202 of the Affordable Care Act, effective January 1, 2013 which requires Medicaid programs to pay "for primary care services furnished by certain physicians in calendar years (CYs) 2013 and 2014 at rates not less than the Medicare rates in effect in those CYs or, if greater, the payment rates that would be applicable in those CYs using the CY 2009 Medicare physician fee schedule conversion factor."
In order to receive the increased rate, providers must fill out and submit a Self Attestation form. By completing the form, providers attest that s/he meets the criteria established by the ACA - specifically, that:
- they are appropriately Board certified; OR
- that 60 percent of their Medicaid claims are for evaluation and management (E&M) and vaccine administration codes as specified in the federal rule.
The Self-Attestation form can be found here HERE (downloadable .pdf document) and provides detail on each of the above criteria.
Provider files will be updated once OMS has approved your form, and OMS will send you a confirmation via email. Please note that the increase will not occur until OMS has approved your form, and that payments will be retroactive to 1/01/13.
If you have any questions, please contact Donna Sutter at OMS at (207) 629-4280
(reprinted from MMA Weekly Update)
| Do You Do Driver Exams? (school bus, commercial?) NEW Federal Rule Affects You!|
Just Announced - MAFP to provide "Commercial Certified Driver Medical Examiner Training" - April 13th (registration open after Feb 1st)
Final Rule Calls for National Registry of Certified Medical Examiners
The new federal regulations call for the creation of a training, testing and registration program for health professionals who provide physicals for drivers of commercial vehicles.
Physicians Providing Driver Exams Face New Federal Regulations -
The new rule is intended to improve highway safety and driver health.
The regulation calls for medical examiners to re-certify every 10 years and comply with additional reporting requirements.
Family Physician Linda Sanborn Named "Legislator of the Year" by Maine Chapter of the American Academy of Pediatrics
Blue Hill, ME - The Maine Chapter of the American Academy of Pediatrics (Maine AAP) named Representative Linda Sanborn "Legislator of the Year" for 2012. This annual award recognizes her work as an ongoing advocate for children's health and a determined force in the Maine State House. Read More
MaineCare Opioid Limits Work Group Completes Work; Limits Take Effect Jan. 1, 2013
The MaineCare Opioid Limits Work Group, chaired by MaineCare Director Kevin Flanigan, M.D. has completed its work and has forwarded to MaineCare staff its recommendations for implementing the limits required by the Supplemental Budget on Jan. 1. The limits impact both prescriptions for acute pain and chronic pain and will be effective retroactively. The draft proposal, which is still being put into an emergency rule, is posted on the MMA website at www.mainemed.com (in Spotlight section).
The Work Group, consisting of physicians, mid-level providers, and advocates for MaineCare patients (MMA staff participated as well) met seven times over the summer and fall and received input from a wide variety of sources. While the final supplemental budget took effect on August 30th, DHHS Commissioner Mary Mayhew agreed to delay the implementation of the limits until January 1, 2013, in order to provide the Work Group with time to receive input and provide recommendations for the emergency rule being drafted.
While the draft proposal is by no means perfect, it does take into consideration all the relevant interests and balances them in as fair and responsible manner as possible.
The draft proposal, which is expected to be drafted into an emergency rule before January 1, HERE
| MC-FP Exams Scheduled |
Online application for the 2013 MC-FP Examinations scheduled for April 2013 is now open. Physicians can access the online application by logging into their Physician Portfolio
The dates for the April 2013 exams are:
April 5, 6, 8, 9, 10, 11, 13, 15, 16, 17, 18, 19, 20, 22
The online application for the November 2013 Examination will open in the summer of 2013.
Dates for November exams are:
November 1, 2, 4, 5, 6, 7, 8
Physicians may contact the ABFM Support Center with any questions: email@example.com or 877-223-7437.
| Commercial Driver Medical Examiner (CDME) Self-Assessment Now Available Online
Commercial Driver Medical Examiner (CDME) Self Assessment
The American College of Occupational and Environmental Medicine (ACOEM) offers an innovative, challenging, and practical way for providers of commercial driver medical examinations to exercise, update, and maintain their knowledge base and conveniently and affordably earn valuable CME credits.
The ACOEM CME program consists of a user-friendly 46-question self-assessment based on the NEW 5th Edition of The DOT Medical Examination: A Guide to Commercial Drivers' Medical Certification, by Natalie Hartenbaum, MD, MPH, FACOEM.
| Will you be pictured NEXT year?
|MARK the DATES NOW for the MAFP 21st Annual Family Medicine Update CME by Family Docs for Family DocsApril 10-13, 2013 at Sunday River Hotel & Conference Center NEW for 2013:**2 SAM's (4/10) - Asthma OR Mental Health in the Community **NRCME Training (4/13- separate conference, add'l feeSchedule & Registration will be available at: www.maineafp.org after January 31st 2013
CME - QC Provider Lunch & Learn: Effective and Efficient Prescribing - Jan. 8, Noon-1pm
Please join us for the Maine Quality Counts Provider "Lunch and Learn" on Tuesday, January 8 (12N - 1PM) to learn about best practices for effective and efficient prescribing.
Dr. Elisabeth Fowlie Mock will discuss how the Maine Independent Clinical Information Service (MICIS), the academic detailing program of the Maine Medical Association, works to close the gap between the best available evidence and actual prescribing practices.
MICIS achieves this by bringing evidence-based prescribing recommendations to providers at their practice site to encourage the clinically appropriate use of prescription drugs.
| FREE - CME! |
Feb 1st - MMA's First Friday - MaineCare Opiate Limits & Prescription Drug Abuse
The MMA's "First Fridays"
Educational Series for 2013 begins on Friday, Feb. 1 from 9:00am to 1:00pm and includes an unusual feature.
THERE IS NO COST to attend, either in person at the MMA offices in Manchester or via webex from a laptop or desktop. Because of grant funding by the state Office of Substance Abuse and Adult Mental Health Services, we are able to present the program without charge.
Maine CDC WIC Nutrition Program formula changes
To Community Health Care Providers:
The Maine CDC WIC Nutrition Program would like to share with you the following information regarding medical formula and our newest contract formula, Enfamil PREMIUMŪ Newborn.
Click HERE For the complete prescribing instructions & contact information for questions