• Read more about MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE)

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.   

• Read more about Update to the Rounding Rule Enforcement Date 

This notice is an update to the e-message sent on January 20, 2023. MaineCare is extending its delay of the enforcement of the rounding rule by one month, from May 1, 2023, to June 1, 2023, to allow further time for necessary system changes.  

• Read more about Maine CDC Issues Additional Advisories on Eating Freshwater Fish Due to PFAS Contamination

AUGUSTA - The Maine Center for Disease Control and Prevention (Maine CDC) today issued updated and additional freshwater fish consumption advisories, recommending limiting consumption of all fish or certain fish from six waterbodies in Maine. Two of the advisories are expansions of those issued last year for seven waterbodies, while four bodies of water are new additions to the list, which now totals 11.

• Read more about COVID-19 Long Term Care Supplemental Payment Information for Section 2, 67, and 97 Appendix C Providers 

Pursuant to PL 2023, ch.

• Read more about Update to Prior Authorizations (PA) for Gender Affirming Medical and Surgical Treatment​

On September 15, 2022, the World Professional Association for Transgender Health (WPATH), updated the Standards of Care for the Health of Transsexual, Transgender, and Gender Diverse People to Version 8.

• Read more about Information for Providers Regarding the End of the Public Health Emergency (PHE)

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.  

• Read more about Information for Providers Regarding the End of the Public Health Emergency (PHE)

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.

• Read more about Electronic Visit Verification (EVV) Trainings and Forums

The federal deadline to implement the EVV requirements for Home Health providers delivering services under Section 40 and Hospice providers delivering services under Section 43 happened January 1, 2023.

We continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings and/or forums more than once.

• Read more about Updated FAQ Regarding MaineCare Guidance on Reimbursement when Restraint is Utilized in Outpatient Behavioral Health Settings, Including Schools

The Office of MaineCare Services has updated the Frequently Asked Questions document issued in conjunction with the e-message sent on March 6, 2023, “Notice to MaineCare Providers Regarding MaineCare Reimbursement when Restraint is Utilized in Outpatient Behavioral Heal

• Read more about Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials

MaineCare previously provided notice that we had initiated a rate determination process for Section 67, Nursing Facilities and Section 97, Residential Care Facilities. As part of the rate determination process, MaineCare and our vendor Guidehouse Inc.