MaineCare Bulletins

Date Title Topic
Attention Providers of Section 25, Dental Services: Kickoff Meeting Presented Materials Dental Services
MaineCare Gender Affirming Care Coverage Guide Now Available General, All Services
COVID-19 Therapeutics Transition to Commercial Market, and UPDATE on COVID-19 Vaccine Coverage General, All Services
Update to the ​Biosimilar Preferred Drug List (PDL)​ Hospital & Clinic Services
REMINDER: Behavioral Health and Targeted Case Management Supplemental Payment Reporting Due by December 8, 2023 Behavioral Health (BH)
SUBJECT: MaineCare Cost of Living/ “Part AAAA” Adjustments General, All Services
Attention Section 43 Hospice Services Providers: Anticipated Electronic Visit Verification (EVV) Implementation Delayed Until July 1, 2024 Long Term Services and Supports
Attention Section 45, Hospital Service Providers: Draft Rate Model Public Forum Hospital & Clinic Services
​​MaineCare Eligibility Reinstatement for MaineCare Members​ General, All Services
Family Planning New Alternative Payment Model (APM) Public Rate Forum Presented Materials and Comment Deadline Hospital & Clinic Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter III, Section 67 Not in use, State & Federal Policy
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Secondary Billing Instructions Updated General, All Services
RESCHEDULED: Draft Rate Model Public Review and Comment for Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services Behavioral Health (BH)
COVID-19 Therapeutics Transition to Commercial Market, and UPDATE on COVID-19 Vaccine Coverage General, All Services
Deadline Extended for Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Submissions Behavioral Health (BH)
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 94, EPSDT Not in use, State & Federal Policy
Interprofessional Codes for Medication Management Providers Behavioral Health (BH)
​Attention Providers: Survey to Help Identify Programs that Support Children and Families in Maine General, All Services
Payment Error Rate Measurement (PERM) Audit General, All Services
Attention Providers of Section 65: Behavioral Health Rate FAQs Update General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Post Exposure HIV Prophylaxis Hotline General, All Services
​Reminder: State Funded Abortion General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter I, Section 4, Telehealth Services Not in use, State & Federal Policy
Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Training: Presented Materials Behavioral Health (BH)
​MaineCare Provider Enrollment Update General, All Services
Important Changes to COVID Vaccine Administration Fee for Pharmacies Retail Pharmacies
Mental Health First Aid Training Opportunity for Caregivers of Section 19 Members Long Term Services and Supports
Fiscal Year (​FY)24 Hospice Rate Update, October 1, 2023​ Long Term Services and Supports
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Section 1915(c) Waiver Appendix K Updates​ General, All Services
COVID-19 Vaccines for Fall 2023 Claim Submission Update General, All Services
​COVID-19 Vaccines for Fall 2023​ Claim Submission Update General, All Services
​Attention Section 67, Nursing Facilities (NFs): Extension of Extraordinary Circumstance Allowance (ECA) Application Deadline Long Term Care Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 60, Medical Supplies and Durable Medical Equipment Not in use, State & Federal Policy
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Attention Primary Care Plus (PCPlus) Providers: Reminder - PCPlus Open Office Hour Primary Care and Care Coordination
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Use of Nirsevimab and Palivizumab to Prevent Hospitalizations from Severe Respiratory Syncytial Virus (RSV) in High Risk Infants​ Hospital & Clinic Services, Primary Care and Care Coordination
Clubhouse Services Staff Requirements Behavioral Health (BH)
Attention Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
Attention Section 25, Dental Service Providers: Rate Determination Kickoff Meeting Dental Services
Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
​COVID-19 Vaccine Updates for Fall 2023 General, All Services
End of Section 1915(c) Waiver Appendix K Flexibilities General, All Services, General Notifications for All Providers