Section 60 DME Cures Act Codes, CR 109579
Effective May 13, 2022, MaineCare Benefits Manual (MBM), Section 60, Durable Medical Equipment (DME) codes have been updated in MIHMS retroactively to January 1, 2022.
Access to Abortion Care in Maine
Jul 7, 2022
In the wake of the Supreme Court striking down Roe v. Wade, Governor Janet Mills has signed an Executive Order to further safeguard access to abortion in Maine and to protect Maine health care providers who provide reproductive health care and their patients.
MaineCare Pediatric COVID-19 Vaccine Administration and Vaccine Counseling: Please Hold Claims Pending Further Billing Guidance
Effective June 17, 2022, the Food and Drug Administration authorized emergency use of the Moderna and Pfizer-BioNTech vaccines for the prevention of COVID-19 to include children as young as 6 months. &n
Updated Payment Rate Details for Substance Use Disorder (SUD) Intensive Outpatient Program (IOP) Service Providers, CR 110559
Effective June 29, 2022, we have updated the rate for Sections 65, Substance Use Disorder (SUD) Intensive Outpatient Program (IOP) services in MIHMS retroactively to January 1, 2022. These rates are now ready to bill.
Primary Care Plus (PCPlus) Orientation Events
PCPlus is MaineCare’s new value-based approach to support the primary care system, improve healthcare quality, and reduce inefficient health care spending. PCPlus gives primary care providers greater flexibility and incentives to meet MaineCare members’ healthcare needs.
Over 230 primary care practices are expected to participate in PCPlus starting July 1, 2022. Participation includes:
Dental Prior Authorization (PA) Forms, CR 110373
Effective July 1, 2022, we have updated the Prior Authorization (PA) process for dental services. We have updated some dental PA forms. Please see below for more information about the changes that are in effect on July 1, 2022.
Please discontinue use of these forms:
- Dentures PCP PA Form
- Supplemental Denture PA Form
Please use the following new forms:
UPDATE for Providers Billing on UB-04 and 837I Claims, CR 107682
Effective August 31, 2022, UB-04 and 837I claims submitted without an attending provider will be denied.
MaineCare Benefits Manual, Chapter II, Section 25, Dental Services (repeal); Chapter III, Section 25, Allowances for Dental Services (repeal); Chapter II, Section 25, Dental Services and Reimbursement Methodology (rule replaces the two repealed rules)
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website
Re-entry Update #8
June 30, 2022
Good afternoon,
Just a quick reminder that tomorrow is the last day for workers to fill out the DHHS Telework Approval Forms which can be found at the Office Re-entry Planning for DHHS site. We encourage you all to fill it out, even if you prefer not to telework. After tomorrow, this Form will be used for updated and adjusted schedules, new workers, and workers whose supervisors subsequently determine that they are eligible for telework.