Current Projects
- Health Information Technology (HIT)
- HIPPA Version 5010
- ICD-10
- Improving Health Outcomes for Children (IHOC)
- State Innovation Models (SIM) Initiative
- Value Based Purchasing
- PNMI Initiative
- Transportation Initiative
News & Groups
Countdown to ICD 10
ICD-10 Background
The International Classification of Diseases (ICD) is the international standard diagnostic classification for general epidemiological, health management, and clinical use. As part of HIPAA Administrative Simplification, the United States HHS mandated that all health care entities upgrade diagnosis (ICD-9-CM) and inpatient procedure codes (ICD-9-PCS) to ICD-10-CM and ICD-10-PCS, respectively. The ICD-10 code set is a full replacement of the ICD-9 code set that will provide additional granularity for diagnosis and procedure codes.
On August 24, 2012, the compliance date for this upgrade was delayed from October 1, 2013, to October 1, 2014. All discharges and services provided on or after this compliance date must use ICD-10 codes. To view the final rule (PDF*)
MaineCare ICD-10 Project Information
MaineCare is actively preparing its employees, processes and systems for the transition to ICD-10. In the fall of 2012, MaineCare initiated its remediation efforts to achieve ICD-10 compliance on October 1, 2014. We will provide regular updates on the progress of our transition. For more information, visit News and Updates.
Updated Provider Materials
- Frequently Asked Questions
- March 2013 Provider Advisory and Technical Advisory Groups (PAG/TAG) Presentation (.pdf)
- April 2013 PAG/TAG Presentation (.pdf)
- May 2013 PAG/TAG Presentation (.pdf)
Provider Readiness Survey
The MaineCare ICD-10 Provider Readiness Survey will help us gauge the readiness of providers for the ICD-10 transition, as well as monitor progress towards meeting the federal compliance date. In addition, we will use the results of this survey to identify potential providers for partner testing and those providers who may have difficulty meeting the compliance date. This survey will be distributed to all MaineCare providers on a quarterly basis via an online survey tool. We would like you to respond to this survey each quarter to track your progress.
We know your time is valuable so we have designed the survey to be completed in approximately five to ten minutes. Please answer the following questions based on your organization’s level of preparation for ICD-10. To access the survey, please click here. Thank you in advance for your time and participation!
Additional Information
Contact Us
Do you have questions about ICD-10? An ICD-10 e-mail box is available specifically for your ICD-10 related questions.
