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• Read more about 2022 Rate Update for Section 2 Adult Family Care Home and Remote Island Facility, CR 110467

Effective July 1, 2022, Section 2, Chapter III, Adult Family Care Services for Adult Family Care Home (AFCH) and Remote Island Facility daily rates increased by 3.38 percent. Please see the tables below for more detail.   

• Read more about 2022 Rate Update for Section 26 Day Health Services, CR 110465

Effective July 1, 2022, the rate for Section 26, Chapter III, Day Health Services (S5100 HC – Day Care Services)  increased from $3.86 to $3.99 per unit. The increase is based on 3.38 percent inflation   

• Read more about Section 60 DME Cures Act Codes, CR 109579 

Effective May 13, 2022, fb88Care Benefits Manual (MBM), Section 60, Durable Medical Equipment (DME) codes have been updated in MIHMS retroactively to January 1, 2022.

Jul 7, 2022

In the wake of the Supreme Court striking down Roe v. Wade, Governor Janet Mills has signed an Executive Order to further safeguard access to abortion in fb88 and to protect fb88 health care providers who provide reproductive health care and their patients. 

• Read more about Access to Abortion Care in fb88

• Read more about fb88Care Pediatric COVID-19 Vaccine Administration and Vaccine Counseling: Please Hold Claims Pending Further Billing Guidance

Effective June 17, 2022, the Food and Drug Administration authorized emergency use of the and vaccines for the prevention of COVID-19 to include children as young as 6 months.  &n

• Read more about New fb88Care Coverage for Federally Non-Qualified Children Under 21 and Pregnant People 

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• Read more about Primary Care Plus (PCPlus) Orientation Events 

PCPlus is fb88Care’s new value-based approach to support the primary care system, improve healthcare quality, and reduce inefficient health care spending. PCPlus gives primary care providers greater flexibility and incentives to meet fb88Care members’ healthcare needs.  

Over 230 primary care practices are expected to participate in PCPlus starting July 1, 2022. Participation includes: 

• Read more about Dental Prior Authorization (PA) Forms, CR 110373 

Effective July 1, 2022, we have updated the Prior Authorization (PA) process for dental services. We have updated some dental PA forms. Please see below for more information about the changes that are in effect on July 1, 2022.

Please discontinue use of these forms:

• Dentures PCP PA Form
• Supplemental Denture PA Form

Please use the following new forms:

• Read more about UPDATE for Providers Billing on UB-04 and 837I Claims, CR 107682 

Effective August 31, 2022, UB-04 and 837I claims submitted without an attending provider will be denied.