SeniorsPlus/EIM
8 Falcon Road
Lewiston, ME 04240
Lewiston:
Telephone:
1-888-234-3920
or 207-795-7213
TTY: 207-795-7244
1-888-459-6667
Fax: 207-795-4009
Bangor:
Telephone:
1-866-456-2322
or 207-990-1581
TTY: 207-990-2380
1-888-487-6177
Fax: 207-795-4009
Email Us
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| Information for New Providers |
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INFORMATION FOR NEW PROVIDERS:
Provider Relations fully supports consumer choice. Accordingly we strive to attract and maintain a comprehensive provider network that facilitates choice while ensuring the delivery of quality services supported by high ethical standards.
New providers or organizations who are thinking about becoming new providers frequently have questions about the contracting process. We have listed below several of the frequently asked questions and areas of discussion:
If you aren’t already licensed, or Registered with the State as a provider, write to the appropriate licensing agency and find out the licensing or registration requirements
Check the appropriate DHS or OES web site for a complete listing of downloadable program rules
The regulations that cover EIM programs are:
Office of Elder Services - OES Policy Manual Site:
www.maine.gov/dhs/beas/policy2003/
Section 63 governs our Home Based Care Program
MaineCare Benefits Manual Site:
www.maine.gov/sos/cec/rules/10/ch101.htm
Section 96 for Private Duty Nursing/Personal Care Services governs our PDN program for MaineCare
consumers.
Section 19 for Home and Community Based Care for the Elderly and Disabled governs our nursing facility
Level of care consumers who choose to live at home.
Section 13 for Targeted Case Management
General Guidelines
♦ Providers are responsible for reading and understanding the rules and regulations. EIM will attempt to answer specific questions
♦ Providers will be required to complete a two-step application process. Acceptance of applications does not guarantee approval of provider agreement
♦ Begin checking out options for general and professional insurance as coverage is required by EIM
♦ EIM does not recommend any particular insurance agencies or policies to providers
♦ Complete Initial Application to EIM Provider Network and send to EIM Provider Relations
♦ Feel free to call, e-mail or write Provider Relations with questions or issues concerning the contracting process
♦ Questions about starting a business, business consulting, financial or legal planning need to be directed to professionals outside of EIM. EIM does not provide financial or legal advice about worker’s comp or withholding of wages for taxes
♦ Formulate a receivables plan for your start-up. There may be delays in reimbursement. It is not unusual to see a 6-8 week window from billing to reimbursement. There are times when reimbursement may take even longer. Become familiar with the billing and payment process with EIM and the State of Maine
Other Information for New EIM Providers
♦ Even though your provider agency is contracted and present in the EIM database, consumer choice dictates provider referrals.
♦ Provider Relations does not recommend providers to consumers or to EIM care coordination staff
♦ If you wish to meet your Consumer Services team you should contact the Care Management Team Leader for your geographic area
♦ Provider Relations will conduct an audit of personnel and consumer records usually within the first 3 months of your provider agreement.
♦ If you decide to change any rates, services or counties it’s important to put such changes in writing and remember to include the expected effective date
♦ Ask questions of Provider Relations for support. We’re here to help in any way we can.
Initial Application for EIM Provider Network
Following is a copy of the Initial Application for EIM Provider Network. Please contact Contract Administrator in EIM Provider Relations to obtain a current copy of this application by mail:
Click here to open and print the application. Revised 11/7/05
*Note: You will need to have Adobe installed on your computer to view this file. If you do not have it, see instructions below to download it.
Don't have Adobe Acrobat Reader?
Download for free!
Insurance Requirements
Elder Independence of Maine has specific requirements for general and professional liability insurance for all contracted providers. Requirements are summarized below. Please contact Provider Relations with questions.
Liability Insurance Requirements
Revised August 11, 2004
Insurance requirements by provider type are shown below. Please note that some types of providers are required to have both types of insurance coverage.
Professional Liability Coverage:
Home Health Agencies
Interpreter Services
Independent Living Assessment Providers
Nursing Facilities
Residential Care Facilities
Adult Day Care – Medical Model
Area Agencies on Aging
Personal Care Agencies
Independent Contractors
General Liability Coverage:
Home Health Agencies
Interpreter Services
Independent Living Assessment Providers
Nursing Facilities
Residential Care Facilities
Adult Day Care – Both Social and Medical Model
Area Agencies on Aging
Personal Care Agencies
Homemaker Services
Chores Services
Independent Contractors
*Transportation Services
** Emergency Response Services
*Transportation Services – Provider must also have appropriate auto insurance on file and available upon request.
** ERS Provider may be required to verify professional liability insurance coverage for Call Center services.
Provider may also be required to show evidence of bonding and/or meet other requirements.
Provider must assure that Elder Independence of Maine is listed as additional insured or certificate holder on the insurance policy.
Questions regarding amount of insurance required should be directed to Provider Relations.
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©2002, Elder Independence of Maine
Last revised on: 6/18/08
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