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Home > Data Center > School Finance Data> MaineCare Seed Payments

MaineCare Seed Payment Reports and Adjustments

New MaineCare Seed/Match Procedures:

The Center for Medicare & Medicaid Services (CMMS) advised MaineCare that the process that Maine had been using in past years could not continue. As a result, the Department of Health and Human Services (DHHS) Office of MaineCare worked with the Department of Education (DOE) to find solutions to some fundamental issues regarding the payment of school based services. These issues have been complex and have required systems changes in both state agencies.

As a result, a new Inter-Governmental Transfer (IGT) approach has been implemented. This new approach eliminates the need for each school administrative unit (SAU) to submit Certified Public Expense (CPE) forms. In addition, this IGT approach will not involve the time study and year-end cost reconciliation procedures previously required by CMMS rules.

MaineCare Seed/Match Procedures for Services Provided by Special Purpose Private Schools (SPPS):

MaineCare will pay 100 percent of the eligible claims submitted by Special Purpose Private Schools (SPPS) to include both the federal portion and the State seed/match portion required for each claim. The DOE will advance to DHHS the seed/match portion that will allow the 100 percent payment for eligible services provided by SPPS. In the case of State Agency Clients (SAC), the seed/match amount has been advanced to DHHS directly from the DOE for appropriation for SAC. The DOE will make quarterly adjustments to subsidy to reflect those advancements to DHHS made on behalf of SAUs. Each SAU will be provided the detail of the MaineCare payments for each service and an opportunity to verify accuracy of the subsidy adjustments.

MaineCare Seed/Match Procedures for Services Provided by Public School Administrative Units (SAUs):

MaineCare will pay 100 percent of the eligible amount for each service provided by the school administrative unit (SAU), and that amount will include both the federal portion and the State seed/match portion for services provided by the SAU. The DOE will advance to DHHS the seed/match portion that will allow the 100 percent payment for eligible services provided by public SAUs. In the case of State Agency Clients (SAC), the seed/match amount has been advanced to DHHS directly from the DOE State appropriation for SAC. The DOE will make quarterly adjustments to subsidy to reflect those advancements to DHHS made on behalf of SAUs. As with the SPPS procedures, SAUs will be provided the detail of the MaineCare payments for each service and an opportunity to verify accuracy of the subsidy adjustments.

 

Prior Communications regarding MaineCare Seed:

MaineCare Seed payment adjustments; review reports by January 17 (posted December 4, 2013) http://mainedoenews.net/2013/12/04/mainecare-seed-payment-adjustments-report-review/

MaineCare Seed payment adjustments; review reports by July 12 (posted June 19, 2013) http://mainedoenews.net/2013/06/19/mainecare-seed-reports-due-july-12/

MaineCare Seed payment adjustments; review reports by May 15 (posted April 23, 2013) http://mainedoenews.net/2013/04/23/mainecare-seed-reports-may-15/

MaineCare Seed payment adjustments pending; review reports by November 27 (posted November 15, 2012) http://mainedoenews.net/2012/11/15/mainecare-seed-adjustments/

MaineCare seed/match procedures for School Administrative Units (posted August 16, 2012) http://mainedoenews.net/2012/08/16/mainecare-seed-match-procedures/

Sign up for MaineCare in education e-newsletter (posted August 8, 2012)
http://mainedoenews.net/2012/08/08/mainecare-listserve/

MaineCare Seed for Special Purpose Private Schools (posted May 2, 2012)
http://mainedoenews.net/2012/05/02/mainecare-seed-schools/

 

Accounting Instructions regarding MaineCare Seed Payments for SAU Staff:

Instructions for Accessing MaineCare Seed Payment Reports in Infinite Campus for SAU Staff:

The detailed MaineCare Seed payment reports are available in Infinite Campus (State Edition). The following Infinite Campus roles will have access to these reports:

  • SAU District Admin
  • SAU District Admin (Read Only)
  • SpecEdAdmin (Read Only)

To Access and Open the Report(s):

  1. Log into Infinite Campus (State Edition)
    • If you have multiple SAUs, each individual SAU must be logged into separately.
  2. Choose the "Index" tab
  3. Select ME State Reporting
  4. Select MaineCare Reports
  5. Select either:
    • MaineCare Private School Payments (for Special Purpose Private Schools)
    • MaineCare Public School Payments (for public schools)
  6. Select Date Processed
    • Such as "Q313"
    • Click "Generate Report"
      • This will create an Excel spreadsheet of the report selected and will bring up a dialog box that will ask if you want to open or save the file.
    • If you choose open, it will open the report as an Excel spreadsheet, which you can print or save.
    • If you choose save, it will bring up the "Save As" dialog box, and you can save it to a folder on your computer or network.

Select Columns on the Report:

  • Billing Provider Name - this is the name of the Special Purpose Private School or SAU billing MaineCare
  • MaineCare Seed Amount - State Share Amount Prof - this is the amount of MaineCare Seed/Match that the Maine Department of Education (DOE) has advanced to the Department of Health & Human Services (DHHS) on your SAUs behalf.
    • This is the amount that the DOE will recapture by adjusting your SAUs State Subsidy:
      • ED 279 Line 59E "Less MaineCare Seed - Private" will be for recovering MaineCare Seed paid on behalf of your SAUs students at Special Purpose Private Schools.
      • ED 279 Line 59E "Less MaineCare Seed - Public" will be for recovering MaineCare Seed paid on behalf of students that were billed for by your SAU.

 


Questions on Student-by-Student Details Infinite Campus Report(s):

Please direct all questions regarding the Infinite Campus MaineCare Seed Payment reports to the email address denise.towers@maine.gov.

If you are inquiring about a charge for a particular student or time period, please include the following:

  • Student's State Student ID
  • Service Provided Dates (To and From)
  • If you disagree with the charge, please provide the reason that you disagree with the charge, along with supporting evidence.
  • Should this inquiry result in a change to the subsidy adjustment, the revision will be reflected in later monthly subsidy checks.