MaineCare Bulletins

Date Title Topic
Attention Section 60 and Section 109 Hearing Aid Providers: Binaural Hearing Billing and Prior Authorization (PA) Guidance Update Specialty Services
Disclosures of Organizational Change Reminder General, All Services
Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 General, All Services
Updated Guidance: Provider Responsibility Regarding Third Party Liability and Secondary Billing General, All Services
Follow up Training Requirements for Children’s Behavioral Health Homes (BHHs) Coordinators and Children’s Targeted Case Managers Behavioral Health (BH)
Updated Shell Case Guidance for Behavioral Health Providers Behavioral Health (BH)
Application Fee for 2026 Reminder, CR 136579 General, All Services
Section 90, Physicians Quarter 4 (QTR 4) Drug Rate Update, CR 136143 Hospital & Clinic Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 66, Crisis Services State & Federal Policy
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 65, Behavioral Health Services State & Federal Policy
Billing Reminder: When Services are Rendered Via Telehealth General, All Services
Section 103: Rural Health Center (RHC) Calendar Year 2026 (CY26) Cost-of-Living Adjustment (COLA) Primary Care and Care Coordination
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
Section 97, Appendix C, Residential Care Facilities (RCFs): New Rates Effective January 1, 2026 Long Term Care Services
Section 50, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID): Day Habilitation Rate Update Long Term Care Services
Section 67, Nursing Facilities (NFs) Cost-of-Living Adjustments (COLAs) Long Term Care Services
MaineCare Notice of Agency Rulemaking Proposal, MaineCare Benefits Manual,  Ch. II, Section 92, Behavioral Health Home Services State & Federal Policy
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter I, Section 7, Children’s Behavioral Health Services Global Rule State & Federal Policy
Biosimilar Preferred Drug List (PDL) 2026 Update General, All Services
MaineCare Provider Enrollment Processing Time Improvements General, All Services
Required Wraparound Planning Principles Training for Children’s Behavioral Health Home (BHH) Coordinators and Children’s Targeted Case Managers Behavioral Health (BH)
Codes Added to the Secondary Claim Billing Process for Orthodontia Dental Services
HIV Webinar Series Now Posted General, All Services
Health PAS Online Portal Down Time Update - November 2025 Critical Communications
MaineCare Notice of Agency Rule-making Adoption, Chapter III, Section 45, Principles of Reimbursement for Hospital Services State & Federal Policy
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Provider Responsibility for Managing Users in my Health PAS Trading Partner Accounts (TPA) General, All Services
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
CORRECTION: Biosimilar Preferred Drug List (PDL) 2026 Update General, All Services
Reminder: Provider Responsibility Regarding Third Party Liability and Secondary Billing General, All Services
Biosimilar Preferred Drug List (PDL) 2026 Update General, All Services
Update to Acentra Health Call Center General, All Services
MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation: Draft CY2026 Rate Determination Schedule Presented Materials and Proposed Schedule General, All Services
Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 General, All Services
Section 65, Multi-Dimensional Family Therapy (MDFT): Rate Determination Kickoff Meeting Presented Materials & Survey Behavioral Health (BH)
Payment Error Rate Measurement (PERM) Update for Reporting Year (RY) 2027 and PERM RY 2024 Errors General, All Services
Rural Health Transformation Program (RHTP) Application Update General, All Services
Annual 1115 Substance Use Disorder (SUD) Waiver Post Award Forum Behavioral Health (BH)
MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation on Draft CY2026 Rate Determination Schedule General, All Services
Rate Determination Kickoff Meeting: New Service, Section 65 Multi-Dimensional Family Therapy (MDFT) General, All Services
Implementation of ​Rates for Certain Medicare Covered Family Planning Services and Long-Acting Reversible Contraception (LARCs): Sections 14, 30, 31, 45, 90 & 103 Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Primary Care and Care Coordination
Update: Health PAS Online Portal Technical Difficulties Critical Communications, General, All Services
Registration is Open for the MaineCare 2025 Delivery System Reform Forums Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
HealthPAS Online Portal Technical Difficulties Critical Communications, General, All Services
Email Address Correction: Optional HIV Prevention, Care, and Treatment Training for Providers Attending MaineCare Delivery System Reform (DSR) Regional Forums Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
2025 Drug Rate Updates for Quarters 1, 2, & 3, CR 135366 Hospital & Clinic Services
Optional HIV Prevention, Care, and Treatment Training for Providers attending MaineCare Delivery System Reform (DSR) Regional Forums Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
HIV Prevention for Medical Practitioners General, All Services
Registration is Open for the MaineCare 2025 Delivery System Reform Forums Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 General, All Services