• Read more about Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe RSV Infection

The Office of MaineCare Services (OMS), in coordination with their Pharmacy Benefits Manager Change Healthcare (CHC), review data from the National Respiratory and Enteric Virus Surveillance System (NREVSS) to track the epidemic season for Respiratory Syncytial Virus (RSV). Palivizumab is indicated for the prevention of serious lower respiratory tract disease caused by RSV in infants. Peak RSV activity typically occurs between November and March.

• Read more about Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe RSV Infection

The Office of MaineCare Services (OMS), in coordination with their Pharmacy Benefits Manager Change Healthcare (CHC), review data from the National Respiratory and Enteric Virus Surveillance System (NREVSS) to track the epidemic season for Respiratory Syncytial Virus (RSV). Palivizumab is indicated for the prevention of serious lower respiratory tract disease caused by RSV in infants. Peak RSV activity typically occurs between November and March.

• Read more about URGENT NOTICE: Abrupt Service Disruption in Southern Maine

The Maine Prescription Monitoring Program (PMP) is notifying all pharmacists and pharmacy staff of an abrupt service disruption event affecting several hundred patients in southern Maine. A pain and addiction medicine clinic in this region has been affected by federal law enforcement action, leaving patients without access to their usual care.

• Read more about URGENT NOTICE: Abrupt Service Disruption in Southern Maine

The Maine Prescription Monitoring Program (PMP) is notifying all health care providers and institutions of an abrupt service disruption affecting several hundred patients in southern Maine. A pain and addiction medicine clinic in this region has been affected by federal law enforcement action, leaving patients without access to their usual care.

• Read more about MaineCare Notice of Agency State Plan Submission, 1915(k) Community First Choice State Plan Option

This is a duplicate posting of an e-message that was sent yesterday, updated to correct a systems issue that impacted a few of the links within the message. 

• Read more about HIV Testing for Older Adults

Almost 25% of all new HIV diagnoses are in people ages 45 and older. Older HIV patients have the same risk factors as any age including the following:

• vaginal or anal sex without a condom or without Pre-exposure Prophylaxis (PreP)
• sharing needles.

Age can make people more prone to HIV. For example, thinning vaginal walls make tears more likely and older people may also be less likely to use a condom since pregnancy is not a concern.

• Read more about Update for Billing Attending Providers on UB-04 and 837I Claims

This message is a follow up to our message sent on August 19, 2022. To align with a new enforcement deadline set by Medicare, effective April 1, 2023, MaineCare will deny UB-04 and 837I claims submitted without an enrolled attending provider.

• Read more about Riverview Psychiatric Center

• Read more about MaineCare Notice of Agency State Plan Submission, 1915(k) Community First Choice State Plan Option

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the propose

• Read more about Reminder: Primary Care Plus (PCPlus) Application is Open

MaineCare Services is pleased to announce that we are now accepting applications for participation in MaineCare’s PCPlus program. PCPlus is a MaineCare primary care model that gives Primary Care Providers (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes.