MaineCare Bulletins

Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Attention EVV Providers: Inactive Client (Member) Status Long Term Services and Supports
Attention Hospitals: Instructions for Distinct Psychiatric or Substance Use Disorder (SUD) Billing Now Available, CR 120732 Hospital & Clinic Services
MaineCare Benefits Manual (MBM), Chapter II, Section 71: National Diabetes Prevention Program (NDPP) Services Provider Enrollment Now Open General, All Services
Attention: New Email Address for Adult Family Care Homes and Private Non-Medical Institutions (PNMI), Level IV, Appendix C Long Term Care Services
Update to the Biosimilar Preferred Drug List-Correction Hospital & Clinic Services
Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) – Presented Materials and Comment Period Behavioral Health (BH)
Rate Determination Initiation Notice for Community Paramedicine Services to be Incorporated Into MaineCare Benefits Manual, Section 5, Ambulance Services Primary Care and Care Coordination, Specialty Services
Rate Determination Initiation Notice for Section 93, Opioid Health Homes (OHH) and new Health Home Model for Other Substance Use Disorders (SUDs) Behavioral Health (BH)
Final Rate Determination Schedule for CY24 and Comment Summary General, All Services
MaineCare Provider Enrollment Presentation and Listening Session General, All Services
​​Microdyn Update for Ambulatory Payment Classifications (APCs), and Diagnostic Related Groups (DRG’s), CRs 120481, 120482, 120475, 120743​ Hospital & Clinic Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Attention Providers: MaineCare Logo Survey Now Available General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 89 Policy and State Plan Amendments (SPAs), State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 89 Policy and State Plan Amendments (SPAs), State & Federal Policy
Application Fee for 2024 Reminder, CR 121257 General, All Services
Non-Billing, Ordering, Prescribing, and Referring (NOPR) Edits Changing from Warn to Deny – CR 121469 General, All Services
Rate Determination Initiation Notice for Section 3, Primary Care Plus (PCPlus) Phase Two MaineCare Initiatives and Special Topics
Attention Providers of Section 25, Dental Services: Kickoff Meeting Presented Materials Dental Services