DHHS → node
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.
On April 21, 2023, we updated Biosimilar Preferred Drug List (PDL) on the Health PAS Online Portal.
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.
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.
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
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.
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.
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.
At the beginning of the COVID-19 pandemic, the federal government declared a PHE and relaxed certain requirements to ensure Medicaid members could continue to access healthcare services. The federal government has declared that the PHE will end on May 11, 2023.
Starting May 12, 2023, some billing flexibilities and how MaineCare members access health care services will revert to how they were administered prior to the declaration of the PHE.
Registration is now open for MaineCare's annual forums for Accountable Communities (AC), Behavioral Health Homes (BHH), Community Care Teams (CCT) including HOME providers, MaineMOM, Opioid Health Homes (OHH), and Primary Care Plus (PCPlus) providers.
MaineCare is offering three different opportunities for trainings this year. Two different forum learning sessions are available virtually. The third is available in-person and will feature the same information at each session. Please see the table below.