Maine’s Section 96 MaineCare program, which provides in-home nursing care, faces challenges as two of the three care coordination agencies have stopped accepting new clients due to insufficient reimbursement rates. SeniorsPlus, citing unsustainable financial losses of $600,000 in 2023, halted new referrals, with CEO Betsy Sawyer-Manter emphasizing that the per-minute billing model limits staff pay and recruitment. Similarly, Alpha One ceased new referrals, citing administrative burdens and low reimbursement, although it still serves 300-400 existing clients. Care Lync remains the only agency accepting new referrals, expanding its operations significantly to manage increasing demand. CEO Gregg Golin highlighted efforts to handle 125 monthly referrals, stabilizing workloads and addressing staff turnover. The agency now serves nearly 1,100 clients, up from 600 in 2023. The Maine Department of Health and Human Services is reviewing reimbursement rates, expected to be finalized in April. Agencies hope for a shift to a per-member-per-month model to ensure financial sustainability. Our Clinical, Non-Clinical, and RCM teams assist home health entities by implementing efficient processes, optimizing reimbursement strategies, streamlining credentialing, and identifying automation opportunities. Through tailored support, we help entities sustain operations, address staffing challenges, and scale services to meet community needs while maintaining compliance and delivering high-quality patient care. Cliniqon is committed to delivering Guaranteed Quality, Ensured Compliance, and Unparalleled Outcomes in Home Health and Hospice agencies. #HomeHealthServices #HospiceCare #FrontEndServices #BackOfficeSolutions #HealthcareManagement #RevenueCycleManagement #HealthcareCompliance #PatientSupport #CareCoordination #MedicalBilling #ClaimsManagement #PatientEngagement #HealthcareOutsourcing #MedicalCoding #ProviderSupport #CliniqonCare #HealthcareSolutions #PatientCareExcellence #HomeHealthRCM #HospiceBilling NEWS CENTER Maine
