Attention Providers: Submit Documentation Electronically to Avoid Delays - Clarification*
*Please note bolded text below for clarification of our previous message.
Attention Pharmacy Providers: MaineCare Pharmacy Service Disruption Update Call February 29, 2024
The Office of MaineCare Services is inviting you to join a Zoom webinar today, February 29, 2024. We will use this time is to review current guidance and as an opportunity for sharing questions and concerns with the State. Please register in advance.
When: Feb 29, 2024 01:00 PM Eastern Time (US and Canada)
Attention Providers: Submit Documentation Electronically to Avoid Delays
As communicated on February 23, 2024, Change Healthcare is experiencing a network interruption related to a cyber security issue. This is a national issue affecting health care systems and Medicaid programs in many states, including Maine.
Post Incarceration Incentive Pilot Update
In December, MaineCare announced the Post Incarceration Incentive Pilot Payment. Please refer to our previous notice for additional information on the process for submitting services for providers that receive weekly, monthly, or non-claims-based reimbursement from MaineCare.
MaineCare Responds to Pharmacy Vendor Network Disruption
Authorizes pharmacies to provide 30-day supplies of covered prescriptions to MaineCare members
AUGUSTA – MaineCare, Maine’s Medicaid program, is continuing to respond to a disruption caused by a cyber security issue affecting Change Healthcare, an out-of-state vendor that operates MaineCare’s pharmacy claims system. This is a national issue affecting health care systems and Medicaid members in many states.
Attention Providers: UPDATE on Issues Processing MaineCare Pharmacy Claims
In follow-up to our February 23, 2024, e-message,
Attention Pharmacy Providers: 30-Day Prescriptions Authorized in Response to Change Healthcare Network Outage
This message is to announce that MaineCare is now authorizing 30-day prescriptions to continue to assist pharmacies in fulfilling MaineCare member prescriptions in response to the Change Healthcare network interruption. This is a change from MaineCare’s temporary authorization of the use of a 3-day override as noted in our February 23, 2024 e-message.
Attention Providers: Possible Delays in Prior Authorizations Due to Network Interruption
As communicated on February 23, 2024, Change Healthcare is experiencing a network interruption related to a cyber security issue. This is a national issue affecting health care systems and Medicaid members in many states, including Maine.
Attention Providers: Network Interruption Resulting in Issues Processing MaineCare Pharmacy Claims
You may be aware that Optum Change Healthcare is experiencing a network interruption related to a cyber security issue. This is a national issue affecting Medicaid members in many states, including Maine. As a result, MaineCare is experiencing issues processing pharmacy claims.
Attention Section 67, Nursing Facilities (NFs): Draft Rate Methodology Public Review and Comment
As part of the Department’s reimbursement reform efforts, MaineCare initiated a rate determination in June of last year, for Section 67, Nursing Facilities and Section 97, Appendix C, Residential Care Facilities.