MaineCare Bulletins

Date Title Topic
Payments to Home and Community-Based Services (HCBS) Providers School Health Related Services
Payments to Home and Community-Based Services (HCBS) Providers Behavioral Health (BH)
Payments to Home and Community-Based Services (HCBS) Providers Long Term Services and Supports
Payments to Home and Community-Based Services (HCBS) Providers Primary Care and Care Coordination
System Maintenance from March 19, 2022 to March 20, 2022   General, All Services
Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection  Retail Pharmacies
Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection  Primary Care and Care Coordination
Nursing Facility (NF) and Residential Care Facility (PNMI Appendix C) Rates are Available for Billing  Long Term Care Services
Notice of Agency Rule-making Adoption: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Section 97, Private Non-Medical Institution Services, Ch. III State & Federal Policy
System Maintenance from March 19, 2022 to March 20, 2022    General, All Services
Use of Varenicline and Nicotine Replacement Therapy for Tobacco Cessation  Retail Pharmacies
Use of Varenicline and Nicotine Replacement Therapy for Tobacco Cessation  Hospital & Clinic Services
Use of Varenicline and Nicotine Replacement Therapy for Tobacco Cessation  Primary Care and Care Coordination
No Prior Authorization (PA) Needed for Insulin Used to Treat Gestational Diabetes    Retail Pharmacies
No Prior Authorization (PA) Needed for Insulin Used to Treat Gestational Diabetes   Hospital & Clinic Services
No Prior Authorization (PA) Needed for Insulin Used to Treat Gestational Diabetes Primary Care and Care Coordination
Attention Primary Care Providers: Powdered Infant Formula Recall  Primary Care and Care Coordination
Residential Care Facility (PNMI Appendix C) Rate Letters Long Term Care Services
Attention Sections 67 and 97, Appendix C Providers Long Term Care Services
Primary Care Plus and Health Home Services Implementation Updates Not in use
Primary Care Plus and Health Home Services Implementation Updates Primary Care and Care Coordination
Primary Care Plus and Health Home Services Implementation Updates Behavioral Health (BH)
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F Long Term Care Services
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F School Health Related Services
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F Behavioral Health (BH)
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F Long Term Services and Supports
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F Primary Care and Care Coordination
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F Long Term Services and Supports
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F Behavioral Health (BH)
Attention Home Health and Hospice Services Providers: Take the Electronic Visit Verification (EVV) Provider Survey Today! Not in use
Attention Home Health and Hospice Services Providers: Take the Electronic Visit Verification (EVV) Provider Survey Today! Not in use
Attention Home Health and Hospice Services Providers: Last Chance to Take the Electronic Visit Verification (EVV) Provider Survey Not in use
Supplemental Payments for Providers of Sections 2, 17, 26, 28 and 65 School Health Related Services
Supplemental Payments for Providers of Sections 2, 17, 26, 28 and 65 Long Term Services and Supports
Supplemental Payments for Providers of Sections 2, 17, 26, 28 and 65 Long Term Care Services
Supplemental Payments for Providers of Sections 2, 17, 26, 28 and 65 Behavioral Health (BH)
Delay of 835 Electronic Remittance Advices (RAs) General, All Services
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F  Long Term Services and Supports
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F Primary Care and Care Coordination
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F School Health Related Services
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F  Behavioral Health (BH)
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 40, 65, 92, 93, 96, 97B, 97D, 97E, or 97F  Long Term Care Services
Notice of Agency Rule-making Adoption State & Federal Policy
MaineCare Adds Coverage for Pfizer COVID-19 Ready-To-Use Vaccine Codes and Pediatric Third Dose Code, CR 107547 & CR 107724  General, All Services
MaineCare Job Openings General, All Services
Primary Care Provider Incentive Payment (PCPIP) and Report Schedule  Primary Care and Care Coordination
Attention Home Health and Hospice Services Providers: Electronic Visit Verification (EVV) Provider Survey Long Term Services and Supports
Attention Home Health and Hospice Services Providers: Electronic Visit Verification (EVV) Provider Survey Not in use
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Payment Details for Part II of Recruitment and Retention Payments  School Health Related Services
Attention Providers of MaineCare Home and Community-Based Services (HCBS): Payment Details for Part II of Recruitment and Retention Payments  Long Term Care Services