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Section 67, Nursing Facilities (NFs) Cost-of-Living Adjustments (COLAs) & Rate Letters |
Long Term Care Services |
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Section 97, Appendix C, Residential Care Facilities (RCFs) Cost-of-Living Adjustments (COLAs) & Rate Letters |
Long Term Care Services |
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Section 103: Rural Health Center (RHC) Calendar Year 2026 (CY26) Rate Update |
Primary Care and Care Coordination |
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Children’s Single Assessment Referral Training for Pediatricians, Family Medicine Providers, and Emergency Department (ED) Providers |
Behavioral Health (BH) |
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Microdyn Update for Ambulatory Payment Classification (APC) and Diagnostic Related Groups (DRG) – CRs 135015, 135189, 135705, 135712 |
Hospital & Clinic Services |
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Rate Determination Initiation Notice for Section 43, Hospice Services |
Long Term Services and Supports |
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Rate Determination Initiation Notice for Doula Services |
Hospital & Clinic Services, Primary Care and Care Coordination |
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Medicare Standardization Rate Updates for Calendar Year 2026 (CY26) |
General, All Services |
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Children’s Single Assessment Referral Training for Behavioral Health Home (BHH) and Targeted Case Management (TCM) Care Coordinators |
Behavioral Health (BH) |
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Retroactive Rate Update: Section 65, Opioid Treatment Program (OTP) Services, CR 136636 |
Behavioral Health (BH) |
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Section 60, Durable Medical Equipment (DME) and Supplies: Annual Rate Adjustment |
Specialty Services |
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Section 5, Ambulance Services: January 1, 2026, Rate Update – CR 136854 |
Specialty Services |
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Section 4, Ambulatory Surgical Center (ASC): Annual Rate Adjustment |
Hospital & Clinic Services |
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Medicare Standardization Rate Updates for Calendar Year 2025 (CY25) |
General, All Services |
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Attention Section 60 and Section 109 Hearing Aid Providers: Binaural Hearing Billing and Prior Authorization (PA) Guidance Update |
Specialty Services |
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Updated Guidance: Provider Responsibility Regarding Third Party Liability and Secondary Billing |
General, All Services |
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Disclosures of Organizational Change Reminder |
General, All Services |
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Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 |
General, All Services |
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Follow up Training Requirements for Children’s Behavioral Health Homes (BHHs) Coordinators and Children’s Targeted Case Managers |
Behavioral Health (BH) |
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Updated Shell Case Guidance for Behavioral Health Providers |
Behavioral Health (BH) |
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Application Fee for 2026 Reminder, CR 136579 |
General, All Services |
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Section 90, Physicians Quarter 4 (QTR 4) Drug Rate Update, CR 136143 |
Hospital & Clinic Services |
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MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 66, Crisis Services |
State & Federal Policy |
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MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 65, Behavioral Health Services |
State & Federal Policy |
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Billing Reminder: When Services are Rendered Via Telehealth |
General, All Services |
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Section 50, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID): Day Habilitation Rate Update |
Long Term Care Services |
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Section 67, Nursing Facilities (NFs) Cost-of-Living Adjustments (COLAs) |
Long Term Care Services |
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Section 103: Rural Health Center (RHC) Calendar Year 2026 (CY26) Cost-of-Living Adjustment (COLA) |
Primary Care and Care Coordination |
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MaineCare Cost-of-Living Adjustments (COLAs) for Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 60, 65, 90, 92, & 96 |
General, All Services |
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Section 97, Appendix C, Residential Care Facilities (RCFs): New Rates Effective January 1, 2026 |
Long Term Care Services |
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MaineCare Notice of Agency Rulemaking Proposal, MaineCare Benefits Manual, Ch. II, Section 92, Behavioral Health Home Services |
State & Federal Policy |
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MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter I, Section 7, Children’s Behavioral Health Services Global Rule |
State & Federal Policy |
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Codes Added to the Secondary Claim Billing Process for Orthodontia |
Dental Services |
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HIV Webinar Series Now Posted |
General, All Services |
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Biosimilar Preferred Drug List (PDL) 2026 Update |
General, All Services |
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MaineCare Provider Enrollment Processing Time Improvements |
General, All Services |
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Required Wraparound Planning Principles Training for Children’s Behavioral Health Home (BHH) Coordinators and Children’s Targeted Case Managers |
Behavioral Health (BH) |
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Health PAS Online Portal Down Time Update - November 2025 |
Critical Communications |
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MaineCare Notice of Agency Rule-making Adoption, Chapter III, Section 45, Principles of Reimbursement for Hospital Services |
State & Federal Policy |
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Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 |
General, All Services |
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Provider Responsibility for Managing Users in my Health PAS Trading Partner Accounts (TPA) |
General, All Services |
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Taxonomy Code Requested on Claim Submissions – Portal Claims |
General, All Services |
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CORRECTION: Biosimilar Preferred Drug List (PDL) 2026 Update |
General, All Services |
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Update to Acentra Health Call Center |
General, All Services |
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Reminder: Provider Responsibility Regarding Third Party Liability and Secondary Billing |
General, All Services |
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Biosimilar Preferred Drug List (PDL) 2026 Update |
General, All Services |
|
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MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation: Draft CY2026 Rate Determination Schedule Presented Materials and Proposed Schedule |
General, All Services |
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Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 |
General, All Services |
|
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Section 65, Multi-Dimensional Family Therapy (MDFT): Rate Determination Kickoff Meeting Presented Materials & Survey |
Behavioral Health (BH) |
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Payment Error Rate Measurement (PERM) Update for Reporting Year (RY) 2027 and PERM RY 2024 Errors |
General, All Services |