MaineCare Bulletins

Date Title Topic
Section 92, Behavioral Health Home Services - Guidance on In-Person Contact Requirements Behavioral Health (BH)
Survey Deadline Extension: School Health-Related Services Rate Determination School Health Related Services
Section 55, Laboratory Services: Kickoff & Draft Rates Public Review & Comment Specialty Services
Section 67, Nursing Facilities (NF) – Revised Rates Implemented Effective January 1, 2026, CR-140499 Long Term Care Services
Community Health Worker (CHW) Certification update for Primary Care Plus Practices (PCPlus) Primary Care and Care Coordination
Provider Update: Federally Required MaineCare Off-Cycle Provider Revalidation Plan Critical Communications
Primary Care Plus (PCPlus) Quality Webinar: Developmental Screening Primary Care and Care Coordination
Reminder: Apply to be a Presenter at the first MaineCare Provider Conference Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
Disclosures of Organizational Change Reminder General, All Services
School Health-Related Services, June 4, 2026, Kickoff Meeting Presented Materials and Survey School Health Related Services
Apply to be a Presenter at the first MaineCare Provider Conference Dental Services, Hospital & Clinic Services, School Health Related Services
CORRECTION: School Health-Related Services, June 4, Kickoff Meeting and Survey Overview  School Health Related Services
Section 55, Laboratory Services - Rate Update for Select Codes CR-140135 Specialty Services
Microdyn Update for Ambulatory Payment Classification (APC) and Diagnostic Related Group (DRG) – CRs 139419, 139806, 139807, & 139840 Hospital & Clinic Services
Section 97, Private Non-Medical Institutions (PNMI), Appendix B and D: MaineCare Cost of Living Adjustments (COLAs) Behavioral Health (BH)
Attention Trading Partners: What You Need to Know and Do Before MaineCare’s New Online Portal General, All Services
Functional Family Therapy (FFT) and Multisystemic Therapy (MST) Therapist Qualification Exception School Health-Related Services, Kickoff Meeting Presented Materials and Survey School Health Related Services
TITLE CORRECTION: School Health-Related Services, Kickoff Meeting Presented Materials and Survey School Health Related Services
Section 80, Pharmacy Dispensing Fee: Draft Rates Presented Materials and Comment Deadline Retail Pharmacies
Functional Family Therapy (FFT) and Multisystemic Therapy (MST) Therapist Qualification Exception Behavioral Health (BH)
RESCHEDULED: Home and Community Based Service (HCBS) Providers of Clinical, Clinical Therapy, Care Coordination, Supportive Skills Building, Therapeutic Interventions, Assistive Technology & Personal Support Services: Draft Rates Public Review & Comment Long Term Services and Supports
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Apply to be a Presenter at the First MaineCare Provider Conference Primary Care and Care Coordination, Specialty Services
MaineCare Provider Training Opportunities General, All Services
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
REVISED Rate Letters: Section 67, Nursing Facilities (NF) Long Term Care Services
Attention Trading Partners: What You Need to Know and Do Before MaineCare’s New Online Portal General, All Services
Provider Type Reminder for School Health Related and Home and Community Services Behavioral Health (BH), School Health Related Services, Specialty Services
New Section: 106, School Health-Related Services – Rate Determination Kickoff Meetings & Survey Overview School Health Related Services
Section 90, Physician Services Rate Update - CR 139686 Hospital & Clinic Services
Single Assessment Q&A Sessions for Children’s Behavioral Health Services (CBHS) Providers Behavioral Health (BH)
Section 80 Pharmacy Dispensing Fee Kickoff & Draft Rates Public Review & Comment Retail Pharmacies
Attention Providers: Capping of MaineCare Payment Cycles – May 2026 Critical Communications
Apply to be a Presenter at the First MaineCare Provider Conference Behavioral Health (BH), General, All Services
Single Assessment Q&A Sessions for Children’s Behavioral Health Services (CBHS) Providers Behavioral Health (BH)
MaineCare Telehealth Services Provider Licensure Requirements General, All Services
Federally Qualified Health Center (FQHC) Services Providers: Code G0108 System Correction Primary Care and Care Coordination, School Health Related Services
Save the Date for MaineCare’s First Provider Conference Dental Services, Long Term Services and Supports, Retail Pharmacies, School Health Related Services, Specialty Services
MaineCare Notice of Agency Rulemaking Adoption: MaineCare Benefits Manual, Chapter II, Section 28 State & Federal Policy
MaineCare Notice of Agency Rulemaking Adoption: MaineCare Benefits Manual, Chapter II, Section 92 State & Federal Policy
Rate Determination Initiation Notice for Coordinated Specialty Care Behavioral Health (BH)
Save the Date for MaineCare’s First Provider Conference Hospital & Clinic Services, Primary Care and Care Coordination
MaineCare Notice of Agency Rulemaking Adoption: MaineCare Benefits Manual Chapter II, Section 66, Crisis Services State & Federal Policy
MaineCare Notice of Agency Rulemaking Adoption: MaineCare Benefits Manual, Chapter II, Section 97 Private Non-Medical Institution Services State & Federal Policy
MaineCare Notice of Agency Rulemaking Adoption: MaineCare Benefits Manual Chapter II, Section 65, Behavioral Health Services State & Federal Policy
MaineCare Notice of Agency Rulemaking Adoption: MaineCare Benefits Manual, Chapter II, Section 13, Targeted Case Management Services State & Federal Policy
MaineCare Special Benefit Waiver Program for People Living with HIV/AIDS Primary Care and Care Coordination
Attention Pharmacy Providers: Temporary MaineCare Payment Holds Retail Pharmacies
Primary Care Plus (PCPlus) Application and Recertification Now Open: Action Required for All PCPlus Practices[ General, All Services, Primary Care and Care Coordination
MaineCare on Social Media General, All Services