• Read more about MaineCare Dental Rate Reform Materials

MaineCare is currently updating MaineCare Benefits Manual, Chapter III, Section 25 Dental Services rates as one of our priority rate reform initiatives. We have added several documents that provide additional information regarding MaineCare’s recommendations for the new dental services rate methodology to the Projects and Initiates webpage, such as:

• Read more about Attention Providers of Sections 13, 17, 28, 65, and 92 

MaineCare is conducting rate studies for the sections of the MaineCare Benefits Manual named above. These studies are being performed by Burns and Associates, a division of Health Management Associates. 

• Read more about Attention Providers of Sections 13, 17, 28, 65, and 92 

MaineCare is conducting rate studies for the sections of the MaineCare Benefits Manual named above. These studies are being performed by Burns and Associates, a division of Health Management Associates. 

• Read more about Attention Providers of Sections 13, 17, 28, 65, and 92 

MaineCare is conducting rate studies for the sections of the MaineCare Benefits Manual named above. These studies are being performed by Burns and Associates, a division of Health Management Associates. 

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

The EVV requirement deadline for Personal Care Services (PCS) was January 1, 2021 and will be January 1, 2023 for Home Health providers delivering services under Section 40 and for Hospice Services providers delivering services under Section 43.

We are offering provider and aggregator trainings online via Microsoft Teams. The trainings are designed to help providers and aggregators to comply with federal EVV requirements.

Training Topics

Training topics include, but are not be limited to:

• Read more about Primary Care Plus (PCPlus) Applicants: Community Health Worker Environmental Scan Template Now Available 

What is PCPlus? 

• Read more about Primary Care Plus (PCPlus) Applicants: Community Health Worker Environmental Scan Template Now Available 

What is PCPlus? 

• Read more about Notice of Final Statewide Transition Plan (STP) for Home and Community-Based Services (HCBS) Settings

The Division of Policy posts all proposed and recently adopted rules on

• Read more about Dental Rate Reform

• Read more about MaineCare Benefits Manual Section 97, Appendix D Children’s Residential Care Facility (CRCF) Services: Changes to Kepro Referrals and Prior Authorizations (PA) 

Effective May 1, 2022, you must submit a PA to Kepro for all youth determined eligible for CRCF services. The PA will be valid for six months. This includes new CRCF referrals and Transfer CRCF referrals.