• Read more about Attention Section 19 Providers: Home and Community Based Services for Older and Disabled Adult Caregivers Training is Available

The Office of Aging and Disability Services is excited to announce a virtual training opportunity on Mental Health First Aid scheduled for June 5, 2023. This training is provided in collaboration with National Alliance on Mental Illness (NAMI) Maine and is available for caregivers who provide care to MaineCare members under MaineCare Benefits Manual, Chapter II, Section 19. Caregivers may include personal support staff, attendants, home health aides, nurses or other natural and family

• Read more about ​Billing Guidance to Include National Drug Codes (NDCs) in Drug Claim Lines​

When submitting drug claims, please bill your usual and customary charge for the drug and populate it in the charge field of the claim.      

• Read more about Removing Custom Fee Schedules from the HealthPAS Online Portal, CR 115784

Today, May 8, 2023, MaineCare removed custom fee schedules for chiropractor, optometry, podiatry, and home health services and incontinence supplies from the HealthPAS Online Portal.

• Read more about Update to the ​Biosimilar Preferred Drug List

On April 21, 2023, we updated Biosimilar Preferred Drug List (PDL) on the Health PAS Online Portal.  

• Read more about Attention all Providers: Payment Error Rate Measurement (PERM) Audit 

The State of Maine is currently in the process of a federally mandated PERM audit for Reporting Year 2024. This audit covers randomly selected paid claims with a payment date from July 1, 2022, through June 30, 2023. Due to the random sampling of claims, all providers should be prepared to send requested medical records (more information below) to support claims that were or will be paid during this time period.  

• Read more about Maine CDC Marks Lyme Disease Awareness Month with “Tick Free ME” Tips

AUGUSTA – The Maine Center for Disease Control and Prevention (Maine CDC) urges Maine residents and visitors to take precautions to stay “tick free” during Lyme Disease Awareness Month (PDF) this May.

• Read more about ​Pfizer-BioNTech COVID-19 Bivalent Vaccine Booster Authorized for Use in Individuals Aged Six Months to Four Years, CR 116564

On March 28, 2023, we sent an announcement that we will cover the Pfizer-BioNTech bivalent COVID-19 vaccine booster for individuals ages six months to four years as outlined in the Emergency Use Authorization (EUA) form the

• Read more about Delivery System Reform Unit (DSRU) Virtual Update Session

MaineCare’s DRSU is holding a virtual learning session about MaineCare’s strategy for delivery system and rate reform, along with updates on other important initiatives. This session is open to all providers. This session is on May 22, 2023, from 1:30 to 3:00 PM.    

• Read more about Maine CDC Identifies Positive Measles Test Result

Notifies facilities where exposure may have occurred out of an abundance of caution pending confirmation

AUGUSTA, Maine— The Maine Center for Disease Control and Prevention (Maine CDC) has received a report of a positive measles laboratory result in a Maine child and is awaiting confirmation from the U.S. Centers for Disease Control and Prevention (U.S. CDC). The Maine CDC notified the facilities where exposure may have occurred and is working with those facilities to inform potentially exposed individuals.

• Read more about PMP Newsletter - March 2023

New Features

The Maine Prescription Monitoring Program is excited to announce that it has launched new, online waiver request processes for prescribers and dispensers.

Prescribers can now request waivers from the Electronic Prescribing mandate online. Once logged into the Maine PMP at maine.pmpaware.net, click on Menu, under the Waivers heading, click on Individual Request for E-Prescribing Waiver. This new process makes it significantly easier to request a waiver and speeds up the approval process.