Jul 03, 2025
Sections 91 & 93: Health Home Services - Community Care Teams (91) and Opioid Health Home Services (93) – Cost-of Living Adjustments (COLAs)
Behavioral Health (BH)
Jul 03, 2025
Section 45 Hospitals: Cost-of-Living Adjustments (COLAs)
Hospital & Clinic Services
Jul 03, 2025
Section 97, Appendix C, Residential Care Facilities (RCFs) Cost-of-Living (COLA) & AAAA Adjustments
Long Term Care Services
Jul 03, 2025
Sections 23, 25, 30, 40, 89, 91, 93, 97 B & D, 102: July Cost-of-Living Adjustments (COLAs)
General, All Services
Jul 02, 2025
Status of 1.95% Cost-of-Living Adjustments (COLAs) for Sections 2,12,13,17,18,19, 20, 21, 26, 28, 29, 65, 96, 97C
General, All Services
Jul 02, 2025
Rate Determination Initiation Notice: New Section, 106 School Health-Related Services and New Service, Section 65 Multi-Dimensional Family Therapy (MDFT)
General, All Services
Jul 02, 2025
Final Rate Model: Section 65, Mobile Crisis Intervention Response Service
Behavioral Health (BH)
Jun 30, 2025
Primary Care Plus (PCPlus) Model Advancement Meeting
Primary Care and Care Coordination
Jun 17, 2025
Final Rate Determination Schedule Calendar Year 2025 (CY25) and Comment Summary
General, All Services
Jun 16, 2025
Section 97, Private Non-Medical Institutions, Appendix F (PNMI-F): Rate Letters for Fiscal Year (FY) 2026, CR,132604
Long Term Care Services
Jun 16, 2025
Rounding Rule Clarification
General, All Services
Jun 16, 2025
MaineCare Issued Annual Hospital Value-Based Purchasing (VBP) Supplemental Payments
Hospital & Clinic Services
Jun 16, 2025
Attention MaineCare Providers: Plans to Release Payments Pended During Temporary MaineCare Payment Holds – June 16, 2025
Critical Communications
Jun 09, 2025
Billing Reminder: When Services are Rendered Via Telehealth
Critical Communications, Behavioral Health (BH), Dental Services, General, All Services, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Long Term Care Services, Long Term Services and Supports, Primary Care and Care Coordination, School Health Related Services, Specialty Services
Jun 06, 2025
Licensing Requirements for Intensive Outpatient Program (IOP) Providers
Behavioral Health (BH)
Jun 06, 2025
Section 92, Behavioral Health Homes (BHH) Cost-of-Living Adjustments (COLA)
Behavioral Health (BH)
Jun 06, 2025
2025 Home and Community Based Services (HCBS) Consumer Assessment of Healthcare Providers & Systems (CAHPS®) Survey
Long Term Services and Supports
Jun 05, 2025
MaineCare Cost of Living Adjustments (COLAs) for Sections 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 65, 92, 96, and 97C
General, All Services
Jun 03, 2025
Prescribing Providers Must Enroll in MaineCare
Dental Services, General, All Services
Jun 03, 2025
Provider Responsibility for Managing Users in my Health PAS Trading Partner Accounts (TPA)
General, All Services
Jun 03, 2025
Taxonomy Code Requested on Claim Submissions – Portal Claims
General, All Services
Jun 03, 2025
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840
General, All Services
May 27, 2025
Prescribing Providers Must Enroll in MaineCare
General, All Services
May 22, 2025
Clarifications to Section 65 Medication Management Code Changes
Behavioral Health (BH)
May 21, 2025
Revalidate with MaineCare to Avoid Claim Denials
General, All Services
May 21, 2025
Microdyn Update for Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) - CRs 131553, 131554, & 131582
Hospital & Clinic Services
May 19, 2025
Quarterly Physician Drug Code and Rate Update: QTR 2, CR 131894
Hospital & Clinic Services
May 16, 2025
Section 65 Medication Management Code Changes
Behavioral Health (BH)
May 05, 2025
Updated Secondary Billing Instructions
General, All Services
May 05, 2025
Reminder: Providers Delivering Services Via Telehealth
General, All Services, Retail Pharmacies
May 01, 2025
Payment Error Rate Measurement (PERM) Reporting Year (RY) 2024 Errors
General, All Services
Apr 28, 2025
Nursing Facility (NF) Listening Session on Rates for Individuals with Brain Injury or Medical-Psychiatric Needs
Long Term Care Services
Apr 28, 2025
Comment Deadline Extended: Home and Community Based Supports (HCBS) Sections 18, 20, 21, 29, and New Lifespan Waiver
Long Term Services and Supports
Apr 28, 2025
Section 60, Durable Medical Equipment (DME) and Supplies: Annual Rate Adjustment - CR 130241
Specialty Services
Apr 24, 2025
Announcing an Exciting Change to MaineCare’s Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program for Children and Youth
General, All Services
Apr 22, 2025
Nursing Facility (NF) Bariatric Care Document Available
Long Term Care Services, Long Term Services and Supports
Apr 22, 2025
Section 55, Laboratory Services: January 1, 2025, Rate Update, CR 129908
Specialty Services
Apr 22, 2025
Attention Providers: Transforming Maternal Health (TMaH) Model & Maternal Health Rural Regional Planning Webinar
General, All Services
Apr 22, 2025
Attention Providers: Important Update to Preferred Diabetic Supply List (PDSL)
Retail Pharmacies
Apr 18, 2025
Section 45, Hospitals & Section 90, Physicians: 2024 & 2025 Drug Rate Updates
Hospital & Clinic Services
Apr 18, 2025
Sections 18 and 20, Home and Community Based Services for Adults with Brain Injury or other Related Conditions: Rate Correction - CR 130249
Long Term Services and Supports
Apr 18, 2025
MaineCare Notice of Agency Rulemaking Adoption, MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities
State & Federal Policy
Apr 15, 2025
Critical Communications: A New E-message Topic List
Behavioral Health (BH), Dental Services, General, All Services, General Notifications for All Providers, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Long Term Care Services, Long Term Services and Supports, Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy
Apr 15, 2025
Home and Community Based Supports (HCBS) Sections 18, 20, 21, 29, and New Lifespan Waiver: Presented Materials and Comment Deadline
Long Term Services and Supports
Apr 15, 2025
CORRECTION: Home and Community Based Supports (HCBS) Sections 18, 20, 21, 29, and New Lifespan Waiver: Presented Materials and Comment Deadline
Long Term Services and Supports
Apr 10, 2025
Attention Primary Care Plus (PCPlus) Practices: PCPlus Application and Recertification Opening – Required for all PCPlus Practices
General, All Services, Primary Care and Care Coordination
Apr 07, 2025
MaineCare Provider Training Opportunities
General, All Services
Apr 07, 2025
Section 30, Family Planning, Updated Base Rates and Resulting Final Rates - CR 130980
Hospital & Clinic Services
Apr 03, 2025
Attention Primary Care Plus (PCPlus) Practices: PCPlus Application and Recertification Opening – Required for all PCPlus Practices
General, All Services, Primary Care and Care Coordination
Apr 03, 2025
Linkages of Care for Substance Use Disorder (SUD) Services Survey
Behavioral Health (BH)