MaineCare Bulletins

Date Title Topic
Attention Providers of Section 107, Psychiatric Residential Treatment Facilities (PRTFs) – Presented Materials and Comment Period  Behavioral Health (BH)
Attention Section 45 Hospitals, Distinct Psychiatric and Substance Use Disorder (SUD) Units: Rate Determination Update Hospital & Clinic Services
Extended Release Buprenorphine (XRB) Clinical Use Criteria Hospital & Clinic Services, Primary Care and Care Coordination
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
Guidance for Psychiatric Hospitals Seeking Prior Authorization (PA) for Mental Health Intensive Outpatient Services​ Behavioral Health (BH), Hospital & Clinic Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter I, Section 4, Telehealth Services Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials Long Term Care Services
Johnson & Johnson/Janssen COVID-19 Vaccine No Longer Authorized for Use, CR 118354 General, All Services
Attention Section 97, Appendix D, Private Non-Medical Institutions (PNMI): Rate Determination Initiation Notice for Therapeutic Foster Care Services Behavioral Health (BH)
Announcing Acentra Health: A New Era for Client Network Services, Inc (CNSI) and Kepro General, All Services
Microdyn Update for Ambulatory Payment Classifications (APCs), and Diagnostic Related Groups (DRGs), CRs 116565, 117447, & 117448 Hospital & Clinic Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
​Attention Section 25 Providers: Learn How to Bill for Interpreter Services Dental Services
Attention Providers: Ages & Stages Questionnaire (ASQ) Online Portal Training General, All Services
Assessment and Access to Lethal Means Counseling Webinar, Maine Pediatric and Behavioral Health Partnership Behavioral Health (BH)
​​MaineCare Issuing First Hospital Value-Based Purchasing (VBP) Supplemental Payments​ Hospital & Clinic Services, Not in use
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Issue Correction: Delay of Remittance Advice (RAs) on the HealthPAS Portal General, All Services
​Discontinued Laboratory Codes Related to COVID-19​, CR 117890 General, All Services
​New Codes for Pfizer and Moderna Bivalent COVID-19 Vaccines, CR 118032 General, All Services
Section 97, Private Non-Medical Institutions (​PNMI) Appendix F: Rate Letters for Fiscal Year (FY) 2024, CR 117697 Long Term Care Services
Section 107, Psychiatric Residential Treatment Facility (PRTF) Providers and Interested Stakeholders: Draft Rate Model Public Review and Comment Behavioral Health (BH)
Update on Verbal Consent in Place of Signatures: End of Public Health Emergency (PHE) General, All Services
Delay of Remittance Advice (RAs) on the HealthPAS Portal General, All Services
Attention: Section 28 Electronic Visit Verification (EVV) Providers, CR 117818 Not in use
MaineCare Cost of Living Adjustments General, All Services
Attention Section 25 Providers: Learn How to Bill for Interpreter Services Dental Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Register for Webinar: HIV Treatment Guidelines Update General, All Services
2023 Revised Rates for Speech and Hearing Services, CR 115541 General, All Services
2023 Rates for COVID-19 Codes, CR 114822  General, All Services
Hospital Billing Guidance for Donor Breast Milk  Hospital & Clinic Services
Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials   Long Term Care Services
Sections 13, 17, 28, 65, and 92, Targeted Case Management and Behavioral Health Services – Rate Studies Comment Summary with Department Response Behavioral Health (BH)
Service Locator Tool – Invitation to Behavioral Health Providers  Behavioral Health (BH)
Updated Billing Instructions: UB-04, CMS 1500, & Dental  General, All Services
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE)  General, All Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE) General, All Services
Delivery System Reform Unit (DSRU) Annual Forums Behavioral Health (BH), Not in use, Primary Care and Care Coordination
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE)  General, All Services
Attention Section 31, Federally Qualified Health Centers (FQHCs): New Rates Implemented General, All Services
Delivery System Reform Unit (DSRU) Virtual Update Session General Notifications for All Providers
​Pfizer-BioNTech COVID-19 Bivalent Vaccine Booster Authorized for Use in Individuals Aged Six Months to Four Years, CR 116564 General Notifications for All Providers
Attention all Providers: Payment Error Rate Measurement (PERM) Audit  General Notifications for All Providers
Update to the ​Biosimilar Preferred Drug List Hospital & Clinic Services
Removing Custom Fee Schedules from the HealthPAS Online Portal, CR 115784 Long Term Services and Supports, Specialty Services
​Billing Guidance to Include National Drug Codes (NDCs) in Drug Claim Lines​ General Notifications for All Providers
Attention Section 19 Providers: Home and Community Based Services for Older and Disabled Adult Caregivers Training is Available Long Term Services and Supports