MaineCare Bulletins

Date Title Topic
Update to Electronic Visit Verification (EVV) Missing Clients in Sandata General, All Services
Missing Clients in Sandata General, All Services
Section 97, Private Non-Medical Institutions (PNMI) Appendices E & F: Rate Letter Update Behavioral Health (BH), Long Term Care Services
Section 40, Home Health Services: Reimbursing Parents Providing Home Health Aide (HHA) Services Long Term Services and Supports
Reminder for all Providers: A 30-Day Notice is Required Prior to Closure General, All Services
Section 50, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Rate Letters for Calendar Year (CY) 2025 Long Term Care Services
​​Section 28: Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Claim Denials, CR 129350​ Behavioral Health (BH)
Psychiatric Residential Treatment Facilities (PRTFs) Revised Draft Rates: Presented Materials & Comment Deadline Behavioral Health (BH)
Nursing Facilities (NF): January Claims Hold and Navigating Rate Reform Billing Changes Long Term Care Services
Dental Services Forum Registration and Topics Dental Services
Opioid Health Homes (OHH) Pay-for Performance (P4P) Benchmark Announcement Behavioral Health (BH)
Correction to Hospital Psychiatric/Substance Use Disorder (SUD) Fee Tables, CR 128816 Hospital & Clinic Services
Microdyn Update for Diagnostic Related Groups (DRG), and Ambulatory Payment Classifications (APC), CRs 127722, 127723, 128406, 128150, & 128151 Hospital & Clinic Services
Board Certified Behavior Analyst (BCBA) and Telehealth Guidance for Section 28 Providers Behavioral Health (BH)
Section 45, Acute & Rehabilitation Hospital Providers: Reminder of Upcoming January 1, 2025, Outlier Methodology Changes Hospital & Clinic Services
Section 45, Critical Access Hospital (CAH) Providers: Reminder of Upcoming January 1, 2025, Changes Hospital & Clinic Services
Section 89, MaineMOM Performance-Based Adjustment Withhold Behavioral Health (BH)
Home and Community-Based Services (HCBS) Access Rule Town Hall Announcement Long Term Services and Supports
Medicare Standardization Rate Updates for Calendar Year 2025 (CY25) General, All Services
Section 103: Rural Health Center (RHC) Calendar Year 2025 (CY25) Rate Update, CR 128922 Primary Care and Care Coordination