MaineCare Bulletins

Date Title Topic
COVID-19 Vaccines, Pre-Exposure Prophylaxis, and Treatment for Non-Hospitalized Patients General, All Services
Psychiatric Residential Treatment Facility (PRTF) Information Request Behavioral Health (BH)
​Health PAS Online Portal Intermittent Issues General, All Services
Notice of Agency Rule-making Adoption: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder State & Federal Policy
Attention Providers of Section 21 Agency Home Support: Adjusting Past Claims for Part AAAA HCBS Agency Per Diem (T2016 and T2016 SC) Rate Increases Long Term Services and Supports
MaineCare in Education: New Modifier Guidance for Sections 28 and 96  School Health Related Services
Biosimilar Preferred Drug List (PDL)  General, All Services
Updated MaineCare in Education 2022 Guide School Health Related Services
Enteral Nutrition and Supply Codes Added to the Diabetic Supply Service Group, CR 107707  Specialty Services
Attention All Providers: Payment Error Rate Measurement (PERM) Audit General, All Services
Status of Home and Community Based Services (HCBS) Settings Rule Requirements  Long Term Services and Supports
Reminder: Primary Care Plus (PCPlus) Application Closes Today  Behavioral Health (BH)
Reminder: Primary Care Plus (PCPlus) Application Closes Today  Primary Care and Care Coordination
Instructions to Apply for Retainer Payments for Providers of MaineCare Benefits Manual (MBM), Sections 18, 20, 21, and 29 Services  Long Term Services and Supports
Attention All MaineCare Providers: Updated Alternative Settings Guidance   General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter VI, Section 3, Primary Care Plus State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 90, Physician Services State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapters II and III, Section 91, Health Home Services State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, REPEAL of MaineCare Benefits Manual, MaineCare Benefits Manual, Chapter VI, Section 1, Primary Care Case Management (PCCM) State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapters II and III, Section 91, Health Home Services Not in use
Electronic Visit Verification (EVV) Place of Service (POS) Update Long Term Services and Supports
Electronic Visit Verification (EVV) Place of Service Update Behavioral Health (BH)
MaineCare’s Secondary Billing Instructions Update, CR 106251   General, All Services
Updated Payment Rates and Prior Authorization (PA) Details for Long-Term Services and Supports and Home and Community-Based Service Providers Behavioral Health (BH)
Updated Payment Rates and Prior Authorization (PA) Details for Long-Term Services and Supports and Home and Community-Based Service Providers Long Term Services and Supports
MaineCare Provider Forum – New Dental Policy Dental Services
Primary Care Plus (PCPlus) Application Open Office Hours General Notifications for All Providers
Primary Care Plus (PCPlus) Application Open Office Hours Not in use
Primary Care Plus (PCPlus) Application Open Office Hours Primary Care and Care Coordination
Attention Providers of Sections 12, 18, 19, 20, 21, 29, and 96 Services: Part AAAA Long-Term Services and Supports and HCBS Rate Increases Behavioral Health (BH)
Attention Providers of Sections 12, 18, 19, 20, 21, 29, and 96 Services: Part AAAA Long-Term Services and Supports and HCBS Rate Increases Long Term Services and Supports
Attention Providers of Sections 12, 18, 19, 20, 21, 29, and 96 Services: Part AAAA Long-Term Services and Supports and HCBS Rate Increases Not in use
Stakeholders Meeting on American Rescue Plan (ARP) Home and Community Based Services (HCBS) Improvement Plan Long Term Services and Supports
MaineCare Job Openings General, All Services
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD)   Retail Pharmacies
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD)   Retail Pharmacies
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD) Behavioral Health (BH)
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD)  Behavioral Health (BH)
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD)  Behavioral Health (BH)
Provider Enrollment Application (PEA) Corrected  General, All Services
MaineCare Job Openings General, All Services
MaineCare Dental Rate Reform Materials Primary Care and Care Coordination
MaineCare Dental Rate Reform Materials Dental Services
MaineCare Dental Rate Reform Materials Dental Services
Attention Providers of Sections 13, 17, 28, 65, and 92  School Health Related Services
Attention Providers of Sections 13, 17, 28, 65, and 92  Primary Care and Care Coordination
Attention Providers of Sections 13, 17, 28, 65, and 92  Behavioral Health (BH)
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Primary Care Plus (PCPlus) Applicants: Community Health Worker Environmental Scan Template Now Available  Behavioral Health (BH)
Primary Care Plus (PCPlus) Applicants: Community Health Worker Environmental Scan Template Now Available  Primary Care and Care Coordination