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Nursing Facilities (NF): January Claims Hold and Navigating Rate Reform Billing Changes |
Long Term Care Services |
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Section 28: Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Claim Denials, CR 129350 |
Behavioral Health (BH) |
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Dental Services Forum Registration and Topics |
Dental Services |
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Opioid Health Homes (OHH) Pay-for Performance (P4P) Benchmark Announcement |
Behavioral Health (BH) |
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Microdyn Update for Diagnostic Related Groups (DRG), and Ambulatory Payment Classifications (APC), CRs 127722, 127723, 128406, 128150, & 128151 |
Hospital & Clinic Services |
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Correction to Hospital Psychiatric/Substance Use Disorder (SUD) Fee Tables, CR 128816 |
Hospital & Clinic Services |
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Board Certified Behavior Analyst (BCBA) and Telehealth Guidance for Section 28 Providers |
Behavioral Health (BH) |
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Section 45, Acute & Rehabilitation Hospital Providers: Reminder of Upcoming January 1, 2025, Outlier Methodology Changes |
Hospital & Clinic Services |
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Section 45, Critical Access Hospital (CAH) Providers: Reminder of Upcoming January 1, 2025, Changes |
Hospital & Clinic Services |
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Section 89, MaineMOM Performance-Based Adjustment Withhold |
Behavioral Health (BH) |
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Medicare Standardization Rate Updates for Calendar Year 2025 (CY25) |
General, All Services |
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Section 103: Rural Health Center (RHC) Calendar Year 2025 (CY25) Rate Update, CR 128922 |
Primary Care and Care Coordination |
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Attention Schools Delivering Section 28 Services |
Behavioral Health (BH), School Health Related Services |
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340B Modifier Billing Guidance Update |
General, All Services |
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Home and Community-Based Services (HCBS) Access Rule Town Hall Announcement |
Long Term Services and Supports |
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Taxonomy Code Requested on Claim Submissions – Portal Claims |
General, All Services |
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Rescheduled: Section 107, Psychiatric Residential Treatment Facilities (PRTFs) Revised Draft Rates Public Review and Comment Forum |
Behavioral Health (BH) |
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Rate Determination Initiation Notice for Interpreter Services |
General, All Services |
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Attention Pharmacy Providers Under Title 5 |
General, All Services |
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Provider Responsibility for Managing Users in My HealthPAS Trading Partner Accounts (TPA) |
General, All Services |
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Application Fee for 2025 Reminder, CR 128480 |
General, All Services |
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Prior Authorization (PA) Requests for Dentures |
Dental Services |
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Providers of Section 17 Services - Telehealth Clarification |
Behavioral Health (BH) |
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|
Updates to Service Provider Tax (SPT) Repeal Frequently Asked Questions (FAQ) |
General, All Services |
|
|
Taxonomy Code Requested on Claim Submissions – Portal Claims |
General, All Services |
|
|
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 |
General, All Services |
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Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs |
Long Term Services and Supports |
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|
Rescheduled: Section 107, Psychiatric Residential Treatment Facilities (PRTFs): Revised Draft Rates Public Review and Comment Forum |
Behavioral Health (BH) |
|
|
Revalidate with MaineCare to Avoid Claim Denials |
General, All Services |
|
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MaineCare Cost-of-Living Adjustments and Service Provider Tax (SPT) Repeal Update |
General, All Services |
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Rate Determination Initiation Notice for Section 80, Pharmacy Services : Dispensing Fees |
Retail Pharmacies |
|
|
Attention Pharmacy Providers Under Title 5 |
General, All Services |
|
|
Update to the Biosimilar Preferred Drug List (PDL) |
Hospital & Clinic Services |
|
|
Maine’s Children & Youth with Special Health Care Needs Webinar Learning Series: Childhood Lead Poisoning and Prevention |
Behavioral Health (BH) |
|
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Section 67, Nursing Facility (NF) Services - Final Draft Rates and Methodologies Comment Summary |
Long Term Care Services |
|
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Quarterly Physician Drug Code Update: Quarter 4, CR 128318 |
Hospital & Clinic Services |
|
|
Retro Physician Drug Rate Updates: Effective October 1, 2023, through September 30, 2024, CR 127535 |
Hospital & Clinic Services |
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|
Seasonal Flu Codes Added for Hospitals, CR 127605 |
Hospital & Clinic Services |
|
|
Certified Community Behavioral Health Clinics (CCBHC) Comment Deadline Extension |
Behavioral Health (BH), Specialty Services |
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|
Pharmacy Providers May Not Refuse Services to a MaineCare Member for Failure to Pay a Copayment |
Retail Pharmacies |
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|
Prior Authorization (PA) Requests for Hearing Aids Reminder |
Specialty Services |
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Survey Re-Opened for HCBS Providers and Interested Parties of Clinical, Therapeutic, Supportive Skills Building, Assistive Technology, Care Coordination and Personal Support Services: Section(s) 12, 18, 19, 20, 21, 29, 40, 96, and 102 |
Long Term Services and Supports |
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|
Behavioral Health Section 65 Copays, CR 128193 and CR 127534 |
Behavioral Health (BH), General, All Services |
|
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Certified Community Behavioral Health Clinic (CCBHC) Draft Rate Methodology Presented Materials & Comment Deadline |
Behavioral Health (BH) |
|
|
MaineCare Notice of Agency Rule-making Adoption, Chapter III, Section 45, Principles of Reimbursement for Hospital Services |
Not in use, State & Federal Policy |
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|
Public Forum Postponed: Section 107, Psychiatric Residential Treatment Facilities (PRTFs) Revisions to Previously Proposed Draft Rates |
Behavioral Health (BH) |
|
|
2024 – 2025 Influenza Seasonal and Other Vaccines |
Retail Pharmacies |
|
|
Verify a Code is Reimbursable for Special Population with Limited Benefits (SPLB) |
General, All Services |
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|
Federally Qualified Health Center (FQHC) Providers – Notice of Award (NOA) Update |
General, All Services |
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Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs |
Long Term Services and Supports |