MaineCare Bulletins

Date Title Topic
MaineCare Notice of Agency Waiver Renewal-MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury Not in use, State & Federal Policy
Attention Pharmacy Providers: Service Disruption Office Hours with MaineCare Pharmacy Benefit Retail Pharmacies
Attention Providers: Instructions to Change Billing Clearinghouse General, All Services
Attention Licensed Marriage and Family Therapists (LMFTs) and Mental Health Counselors (MHCs) Behavioral Health (BH), Primary Care and Care Coordination
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Revalidate with MaineCare to Avoid Claim Denials General, All Services
Attention Pharmacy Providers: Announcing Expanded Interim Payments for Certain Pharmacies and Continued Response to Change Healthcare Service Disruption Retail Pharmacies
Section 4, Ambulatory Surgical Centers Annual Rate Update for Calendar Year 2024 (CY24) CR 123437 Hospital & Clinic Services
REVISED 2023 Quarterly Physician Drug Code Rate Updates Implemented Primary Care and Care Coordination
Attention Sections 68 & 85, Occupational and Physical Therapy Service Providers: Revised 2023 Rates CR 114862 School Health Related Services, Specialty Services
Attention Section 90, Physician and Primary Care Provider Services: Calendar Year 2024 (CY24) Medicare Standardization Rates Implemented, CR 122982 & 122980 Primary Care and Care Coordination
Attention Section 2, Adult Family Care Homes (AFCHs) Room and Board Rate Update for January 1, 2024, CR 122824 Long Term Care Services
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Section 90, Physician Services: REVISED 2023 Rates Primary Care and Care Coordination
Attention Section 14, Advanced Practice Registered Nursing (APRN) and Section 90, Physician Services: 2024 Anesthesiology Rate Updates, CR 122923 Hospital & Clinic Services, Primary Care and Care Coordination
​Attention Section 25, Dental Service Providers: Benchmarking Results and Draft Rates, Public Review and Comment Dental Services
Attention Providers: Submit Documentation Electronically to Avoid Delays Retail Pharmacies
Provider Enrollment Application (PEA) Supporting Document Process Update, CR 122384 General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Section 67, Nursing Facilities (NFs) Draft Rate Methodology (Part 1 & 2): Presented Materials and Comment Deadline Long Term Care Services
Palliative Care Interdisciplinary Team Services (Section TBD) - Rate Study Kickoff Meeting and Staff Survey Overview General, All Services, Hospital & Clinic Services, Primary Care and Care Coordination
Attention Pharmacy Providers: Service Disruption Office Hours with MaineCare Pharmacy Benefit Retail Pharmacies
Attention Section 45 Hospital Service  Providers: February 26, 2024, Forum Presented Materials Hospital & Clinic Services
Attention Pharmacy Providers: MaineCare Weekend Support on March 9 & 10, 2024 Retail Pharmacies
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Attention Section 18, 21, and 29 Providers: Evergreen Users Billing 837 Claims Long Term Services and Supports
Provider Survey- Attitudes Towards Contingency Management (CM) for Treatment of Substance Use Disorder (SUD) Behavioral Health (BH)
Attention Pharmacy Providers: Service Disruption Office Hours with MaineCare Pharmacy Benefit to Address Retail Pharmacies
Attention Providers: Submit Documentation Electronically to Avoid Delays Retail Pharmacies
What’s Happening with Housing Webinar: 11:30 AM, Thursday, March 7, 2024 General, All Services
Provider Enrollment National Provider Identifier (NPI) Entry Enhancement, CR 122156 General, All Services
Update*: MaineCare Cost of Living/ “Part AAAA” Adjustments General, All Services
EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) App Long Term Services and Supports
Independent and Safety Net Pharmacy Organizations Qualifying for MaineCare Interim Payment Retail Pharmacies
Attention Pharmacy Providers: MaineCare Weekend Support on March 2 & 3, 2024 Retail Pharmacies
Call the Interactive Voice Response (IVR) to Verify Eligibility   Retail Pharmacies
MaineCare Provider Enrollment Progress Update General, All Services
Attention Pharmacy Providers: MaineCare Pharmacy Service Disruption Update Call February 29, 2024 Retail Pharmacies
Attention Providers: Submit Documentation Electronically to Avoid Delays - Clarification* General, All Services
Post Incarceration Incentive Pilot Update General, All Services
Attention Providers: Submit Documentation Electronically to Avoid Delays General, All Services
Attention Pharmacy Providers: 30-Day Prescriptions Authorized in Response to Change Healthcare Network Outage Retail Pharmacies
Attention Providers: UPDATE on Issues Processing MaineCare Pharmacy Claims General, All Services
Attention Providers: Possible Delays in Prior Authorizations Due to Network Interruption General, All Services
Sections 68, Physical Therapy and 85, Occupational Therapy Providers: Medicare Standardization Rates Implemented for Calendar Year 2024 (CY24) CR 122976 Specialty Services
Attention Section 67, Nursing Facilities (NFs): Draft Rate Methodology Public Review and Comment Long Term Care Services
Attention Providers: Network Interruption Resulting in Issues Processing MaineCare Pharmacy Claims General, All Services
Attention Pharmacy Providers: Handling of MaineCare Claims During Change Healthcare Network Outage Retail Pharmacies
Attention Pharmacy Providers: Network Interruption Retail Pharmacies
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports