Updated Secondary Billing Instructions

We updated Secondary Billing Instructions to add detail about entering primary insurance payment information. Enter primary insurance payment information at the line level. If there are lines that do not have payment due to bundled services, enter the payment information at the header level. 

When billing MaineCare secondary claims, you must attach an EOB to all claims, regardless if the submission type is Direct Data Entry (DDE), paper, or Electronic Data Interchange (EDI).

Youth Camps Rule, 10-144 CMR Ch. 208

Maine CDC is adopting amendments to its Rules Relating to Youth Camps, Day Camps and Primitive Trip Camping which it has renamed “Youth Camps Rule”. The Department’s amendments to the rule include rule format changes and a change to the rule title for consistency with other Maine CDC rules. The Department also added, updated and clarified definitions within the rule. Other changes within the rule include incorporating the application, licensing and enforcement provisions and requirements from its Health Inspection Program Administration Rule (Ch. 201).

Payment Error Rate Measurement (PERM) Reporting Year (RY) 2024 Errors

All errors found during a PERM audit are considered improper payments.Maine is required to reimburse the federal government for all improper payments and has the right to seek recoupment from providers for improper payments resulting from provider error.

The most common errors found in the RY 2024 PERM Audit cycle are listed below. The most common errors from the previous two PERM cycles are also included in the list. Before submitting a claim, check that the information for the member and the services provided are accurate and complete.

Vital Records Fees, 10-146 CMR Ch. 7

CONCISE SUMMARY: Maine’s Department of Health and Human Services Maine Center for Disease Control and Prevention is adopting this rule to coincide with the expiration of the rule adopted on an emergency basis (effective January 31, 2025), ensuring the additional $5.00 for burial-transit permits issued in Maine remains in rule as required by Public Law 2023, Chapter 677, § 4. This routine technical rule adopts changes that reflect the collection of an additional $5.00 above the current fee charged for the permit required for the transportation, temporary storage, disinterment, or final dispo

Vital Records Fees, 10-146 CMR Ch. 7

CONCISE SUMMARY: Maine’s Department of Health and Human Services Maine Center for Disease Control and Prevention is adopting this rule to coincide with the expiration of the rule adopted on an emergency basis (effective January 31, 2025), ensuring the additional $5.00 for burial-transit permits issued in Maine remains in rule as required by Public Law 2023, Chapter 677, § 4. This routine technical rule adopts changes that reflect the collection of an additional $5.00 above the current fee charged for the permit required for the transportation, temporary storage, disinterment, or final dispo

Transportation, Storage and Final Disposition of Dead Bodies Rule, 10-146 CMR Ch. 1

This rule adoption includes the additional $5.00 fee for burial-transit permits issued for the transportation, temporary storage, disinterment, or final disposition of a dead human body, pursuant to Public Law 2023, chapter 677, section 4, and replaces the outdated reference to a repealed statute (30 MRS § 2352) with the correctly referenced statute, 30-A MRS § 2652. Additionally, the amended rule includes technical changes to the format to conform to agency standards.

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