AI HubMaine Medicaid's Support for Home Care Services
This video describes how Maine Medicaid (MaineCare) covers several home care services including personal care, homemaker support, and home health services. It explains eligibility criteria and how agencies must align their billing and EVV practices under Medicaid rules.
Who we empower every day
By Role- Agency Owners – Align operations with MaineCare’s rules to maximize reimbursement
- Supervisors: Make sure that the services and staffing meet the covered scopes.
- Care Managers: Match all services to the eligibility of their clients.
- Billers: Comply with Medicaid coverage guidelines while submitting claims.
- Schedulers: Service assignments must be made during authorized benefit windows.
- Caregivers: Only offer services that can be reimbursed.
- On-Call Coordinators: Modify tasks when there is insufficient client coverage.
Many home care programs require strict documentation, EVV, and care approval before reimbursement. Agencies must ensure EVV data, claims, and service delivery are fully aligned.
