HIPAA/EDI Information

Important Information Regarding HIPAA EDI Enrollment

The State of Maine's MeCMS Release Management Team had announced that MaineCare was ready to test ANSI X12N 4010A1 transactions (HIPAA standard). However, due to a recently discovered software defect, the MeCMS Release Management Team's ability to begin testing and to receive 4010A1 transactions has been delayed. After careful consideration, the MeCMS Release Management Team has decided to put the Trading Partner Enrollment and Migration Process on hold indefinitely.

Based on the MeCMS repair timelines, the State of Maine's Electronic Data Interchange (EDI) Team is unable to provide a specific date for resuming the 837 I enrollment and testing process. The schedule that was publicized for receiving and testing files has been cancelled. The EDI Team will provide updates to this web site as new information is made available.

The State of Maine's MeCMS Release Management Team apologizes for any inconvenience this delay will cause to our customers.

MaineCare is currently in the process of selecting a  fiscal agent vendor that will implement a Medicaid Management Information System (MMIS) for MaineCare.  We are on track with a scheduled implementation of this MMIS by January 2010.  It is not anticipated that any HIPAA transactions will be supported by the current MMIS system (MECMS) prior to the transition to the new Fiscal Agent.  This includes the 837 HIPAA Claims: Professional, Dental, or Institutional. 

We encourage you to visit our web site http://www.maine.gov/bms/provider.htm and to sign up for the OMS ListServ http://mailman.informe.org/mailman/listinfo/provider/ to receive provider updates on this topic.  Thank you!