Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums

Registration is now open for MaineCare's DSR Annual Forums for:

  • Accountable Communities (AC),
  • Behavioral Health Homes (BHH),
  • Community Care Teams (CCT) including Housing Outreach and Member Engagement (HOME) providers,
  • MaineMOM,
  • Opioid Health Homes (OHH), and
  • Primary Care Plus (PCPlus) providers.    

MaineCare is offering two venue/date options this year. Both sessions will run from 9:00 AM to 4:00 PM. 

Auburn   

Virtual Forum for Dental Service Providers Next Week

MaineCare is hosting a dental forum on July 30, 2024, 12:00PM – 1:00PM.       

The first 30 minutes will include updates and clarification from MaineCare about the following topics:   

  • Services covered and underutilized   

  • Claims and billing updates   

  • Who to contact and when 

  • Early and Periodic Screening, Diagnosis, and Treatment services (EPSDT) resources now available     

  • Addressing challenges and barriers to accessing dental services    

MaineCare as a Secondary Payer

Many MaineCare members are dually eligible for both Medicare and full MaineCare. These members may have Medicare Advantage plans that have different coverage from traditional Medicare. Many Medicare Advantage plans cover some dental services, so it is important to verify the members’ coverage with their primary insurance before providing services.  

Update: Some Claims Payments Delayed Due to Earlier MIHMS Outage

This morning, Friday, July 19th, Gainwell became aware that Crowdstrike, a leading security product vendor and supplier for Gainwell, reported a problem with an update to one of their products. The Crowdstrike problem has affected technology systems worldwide. As a result, MIHMS applications were temporarily unavailable, and some claims were not able to process through the financial cycle for payment next week. These claims will process to pay the following week.

Update: Health PAS Online Portal, Provider Services, Member Services Restored

This morning, Friday, July 19, 2024, Gainwell became aware that Crowdstrike, a leading security product vendor and supplier for Gainwell, had reported a problem with an update to one of their products. The Crowdstrike problem has affected technology systems worldwide. As a result, the Health PAS Online Portal and the Provider and Member Services call centers had been unavailable.

All systems are now restored, although you may experience some slowness when using the portal.

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