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Feds evaluate MaineCare billing system

Posted Sept. 27, 2011, at 7:36 a.m.
Last modified Sept. 27, 2011, at 9:40 a.m.

The Portland Press Herald reports on this week’s federal inspection of Maine’s new computer billing and data-tracking system for MaineCare, the state’s Medicaid program. The system has been in development since 2005, when an untried system known as the Maine Claims Management System, or MECMS, came on line and immediately malfunctioned, bringing MaineCare billing to a virtual standstill.

“The state hasn’t had a billing system that meets federal requirements since it switched computer systems in 2005. If the state meets the standards, it will get a 75 percent match for Medicaid services. The state now gets a 50 percent match,” PPH reporter Susan Cover writes.

“Maine’s $6 billion, two-year budget books nearly $17 million in savings in the next fiscal year on the assumption that the state will be deemed compliant and get more federal money.”

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