MaineCare Bulletins

Date Title Topic
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention Section 97, Appendix B Residential Substance Use Providers: Webinar Offering  Behavioral Health (BH)
Rounding Rule Information for Providers of Section 25, Dental Services Dental Services
Update to the Rounding Rule Enforcement Date General, All Services
Correction: Section 26 Day Health Services: Rate Study Comment Summary Long Term Services and Supports
Correction: Section 26 Day Health Services: Rate Study Comment Summary Not in use
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Pfizer-BioNTech COVID-19 Bivalent Vaccine Booster Authorized for Use in Individuals Aged Six Months to Four Years General Notifications for All Providers
Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Presented Materials from Provider Rate Methodology Workgroup Long Term Care Services
Section 26 Day Health Services: Rate Study Comment Summary Long Term Services and Supports
Attention Providers of Section 31, Federally Qualified Health Centers (FQHC): Draft Rate Model Public Review and Comment​  Primary Care and Care Coordination
Add-on Rates for Providers Predominantly Delivering Family Planning Services General Notifications for All Providers
Attention Section 30, Family Planning Service Providers: Medicare Benchmark Adjustments for January 1, 2023 General Notifications for All Providers
Reminder: Primary Care Plus (PCPlus) Providers - Screening, Brief Intervention and Referral to Treatment (SBIRT) Peer Sharing Webinar Primary Care and Care Coordination
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General Notifications for All Providers
Section 60 Medical Supplies and Durable Medical Equipment (DME), Billing Guidance and Corrections Specialty Services
Primary Care Plus (PCPlus) Providers - Screening, Brief Intervention and Referral to Treatment (SBIRT) Peer Sharing Webinar Primary Care and Care Coordination
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Vision Service Codes 92250 and 92341, CR 112321 Specialty Services
2023 Indian Health Services (IHS) Rate Update, CR 115822 General Notifications for All Providers
Denials for JCode/NDC Combination, CR 115839 Hospital & Clinic Services
Maine Center for Disease Control and Prevention (CDC) Webinar on PrEP (Pre-Exposure Prophylaxis) and nPEP (non-occupational Post Exposure Prophylaxis) General Notifications for All Providers
Attention Section 43 Hospice Providers: Electronic Visit Verification (EVV) Implementation Temporarily Suspended  Long Term Services and Supports
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention Providers of Section 17 Community Integration Services (CIS), Assertive Community Treatment (ACT) and Section 92 Adult Behavioral Health Homes (BHH) Hold for Service Requirements Behavioral Health (BH)
Facility License Renewal Reminder General Notifications for All Providers
2023 Indian Health Services (IHS) Rate Update, CR 118522 General Notifications for All Providers
Fiscal Year 2023, Swing Bed and Days Awaiting Placement Rate Updates Hospital & Clinic Services
Update to the ​Biosimilar Preferred Drug List Hospital & Clinic Services
CORRECTION: End of the 2022-2023 Seasonal Coverage for Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection Hospital & Clinic Services, Primary Care and Care Coordination, Retail Pharmacies
End of the 2022-2023 Seasonal Coverage for Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection Primary Care and Care Coordination
End of the 2022-2023 Seasonal Coverage for Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection Hospital & Clinic Services
End of the 2022-2023 Seasonal Coverage for Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection Retail Pharmacies
Additional Drug Rate Updates, CR 106867 General Notifications for All Providers
Attention Providers of Section 65, Behavioral Health Services, Crisis Resolution and Response: Draft Service Model and Provider Survey Tool Presented Materials ​  Behavioral Health (BH)
MaineCare Unwinding Partner Information and Communications Toolkit  General, All Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs  Behavioral Health (BH)
Notice to MaineCare Providers Regarding MaineCare Reimbursement when Restraint is Utilized in Outpatient Behavioral Health Settings, Including Schools General, All Services
Notice to MaineCare Providers Regarding MaineCare Reimbursement when Restraint is Utilized in Outpatient Behavioral Health Settings, Including Schools School Health Related Services
Attention Providers of Section 31, Federally Qualified Health Centers (FQHC): Rebasing Stakeholder Informational Session Presented Materials  Primary Care and Care Coordination
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Electronic Visit Verification (EVV) Notice to Home Health Providers for Certification Requirements Long Term Services and Supports
Attention Providers of Sections 17, 28, and 65: Kepro/Atrezzo Prior Authorization Backdate Extension for Services Impacted by January 1st Rate Study Increases Primary Care and Care Coordination
Implementation of January 1, 2023 Rate Study Increases for Sections 28 and 65  Behavioral Health (BH)
Implementation of January 1, 2023 Rate Study Increases for Sections 28 and 65  Primary Care and Care Coordination
Billing Guidance for Prolonged Services  General, All Services
Trauma Informed Care IS Healthcare  Webinar Behavioral Health (BH)
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General Notifications for All Providers