• Read more about 10-144 C.M.R. Chapter 332; MaineCare Eligibility Manual – Part 9: LIMITED BENEFIT GROUPS and Chart 3.8: Premiums for Special Benefits Waiver [Maine Section 1115 Health Care Reform Demonstration for Individuals with HIV/AIDS] MaineCare Rule #312P – Part 9

10-144 C.M.R. Chapter 332; MaineCare Eligibility Manual – Part 9: LIMITED BENEFIT GROUPS and Chart 3.8: Premiums for Special Benefits Waiver [Maine Section 1115 Health Care Reform Demonstration for Individuals with HIV/AIDS]

MaineCare Rule #312P – Part 9 and Chart 3.8 Premium Updates

• Read more about 10-144 C.M.R. Chapter 331; Public Assistance Manual Temporary Assistance for Needy Families (TANF) Manual, Chapter II TANF Rule #124 – COFA Update

10-144 C.M.R. Chapter 331; Public Assistance Manual Temporary Assistance for Needy Families (TANF) Manual, Chapter II

TANF Rule #124 – COFA Update

PRINCIPAL REASON(S) OR PURPOSE FOR PROPOSING THIS RULE: 

• Read more about Vital Records Fees; 10-146 CMR Ch. 7

Maine's Department of Health and Human Services Maine Center for Disease Control and Prevention is proposing 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.

• Read more about Transportation, Storage and Final Disposition of Dead Bodies; 10-146 CMR Ch. 1

The Department is proposing these changes to amend Chapter 1 and hold public comment, so that adoption of this non-emergency rule may coincide with the expiration of the emergency rule, which became effective January 31, 2025.

• Read more about Attention Pharmacy Providers: Temporary MaineCare Payment Holds

On February 26, 2025, we announced that, absent emergency action by the Legislature, the Department would need to temporarily hold certain provider payments beginning with the payment cycle that will run on March 12, 2025. As of the time of this message, the Legislature has not approved the necessary funding to avoid these measures.

• Read more about Attention Pharmacy Providers: Temporary MaineCare Payment Holds

On February 26, 2025, we announced that, absent emergency action by the Legislature, the Department would need to temporarily hold certain provider payments beginning with the payment cycle that will run on March 12, 2025. As of the time of this message, the Legislature has not approved the necessary funding to avoid these measures.

• Read more about Section 21 Home Support- Agency Per Diem: Authorizations in Two-Person Homes Requirements Reminder

With the end of the COVID-19 public health emergency and Appendix K flexibilities, Section 21 Home Support- Agency Per Diem providers must follow service requirements outlined in the MaineCare Benefits Manual (MBM) regarding the number of members served. MBM Ch. II, Section 21.10-6 states "As of December 24, 2012, Home Support- Agency Per Diem placements will only be approved at provider-controlled homes where a minimum of two (2) Members reside.”  

• Read more about Attention Primary Care Practices: Primary Care Plus (PCPlus) Program Reorientation Meeting

Please join us on March 28, 2025, for a PCPlus Program Reorientation Meeting on the following topics:

• Structure and goals of the current service model
• Status of the program
• Aims of MaineCare’s upcoming work to evolve and advance the program and its Alternative Payment Model (APM)

Date: March 28, 2025

Time: 12:00 to 1:00 PM

Registration link: Please register prior to the meeting.

• Read more about New Hospital Services Section 45 Billing Guidance, CR 128880

See the Supplemental Billing Instructions on the Health PAS Online Portal which explains how to bill Inpatient Prospective Payment System (IPPS) services and Outpatient Prospective Payment System (OPPS) claims.

For questions, please contact Tiffany Norton, Provider Relations Specialist.

• Read more about ​New Nursing Facility Services Section 67 Billing Guidance, CR 128953​

See the Supplemental Billing Instructions on the Health PAS Online Portal which explains how to bill Patient Driven Payment Model (PDPM) services.  

For questions, please contact Bruce Cosgrove, Provider Relations Specialist.