MaineCare Bulletins

Date Title Topic
Update on Verbal Consent in Place of Signatures: End of Public Health Emergency (PHE) General, All Services
Delay of Remittance Advice (RAs) on the HealthPAS Portal General, All Services
​Discontinued Laboratory Codes Related to COVID-19​, CR 117890 General, All Services
​New Codes for Pfizer and Moderna Bivalent COVID-19 Vaccines, CR 118032 General, All Services
Section 97, Private Non-Medical Institutions (​PNMI) Appendix F: Rate Letters for Fiscal Year (FY) 2024, CR 117697 Long Term Care Services
Section 107, Psychiatric Residential Treatment Facility (PRTF) Providers and Interested Stakeholders: Draft Rate Model Public Review and Comment Behavioral Health (BH)
Attention: Section 28 Electronic Visit Verification (EVV) Providers, CR 117818 Not in use
MaineCare Cost of Living Adjustments General, All Services
Attention Section 25 Providers: Learn How to Bill for Interpreter Services Dental Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Register for Webinar: HIV Treatment Guidelines Update General, All Services
2023 Revised Rates for Speech and Hearing Services, CR 115541 General, All Services
2023 Rates for COVID-19 Codes, CR 114822  General, All Services
Hospital Billing Guidance for Donor Breast Milk  Hospital & Clinic Services
Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials   Long Term Care Services
Sections 13, 17, 28, 65, and 92, Targeted Case Management and Behavioral Health Services – Rate Studies Comment Summary with Department Response Behavioral Health (BH)
Service Locator Tool – Invitation to Behavioral Health Providers  Behavioral Health (BH)
Updated Billing Instructions: UB-04, CMS 1500, & Dental  General, All Services
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE)  General, All Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE) General, All Services
Delivery System Reform Unit (DSRU) Annual Forums Behavioral Health (BH), Not in use, Primary Care and Care Coordination
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE)  General, All Services
Attention Section 31, Federally Qualified Health Centers (FQHCs): New Rates Implemented General, All Services
​Pfizer-BioNTech COVID-19 Bivalent Vaccine Booster Authorized for Use in Individuals Aged Six Months to Four Years, CR 116564 General Notifications for All Providers
Attention all Providers: Payment Error Rate Measurement (PERM) Audit  General Notifications for All Providers
Update to the ​Biosimilar Preferred Drug List Hospital & Clinic Services
Removing Custom Fee Schedules from the HealthPAS Online Portal, CR 115784 Long Term Services and Supports, Specialty Services
​Billing Guidance to Include National Drug Codes (NDCs) in Drug Claim Lines​ General Notifications for All Providers
Attention Section 19 Providers: Home and Community Based Services for Older and Disabled Adult Caregivers Training is Available Long Term Services and Supports
Delivery System Reform Unit (DSRU) Virtual Update Session General Notifications for All Providers
Delivery System Reform Unit (DSRU) Annual Forums Behavioral Health (BH), Not in use, Primary Care and Care Coordination
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE) General Notifications for All Providers
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Maine Pediatric & Behavioral Health Partnership Webinar Fostering Resilience Behavioral Health (BH)
Attention Dental Providers: How to Add Coordination of Benefits (COB) Information for Medicare C Primary Dental Claims, CR 117131 Dental Services
Section 25 Dental Providers: Health PAS Online Portal Direct Data Entry (DDE) Claims Submission Issue, TR 116587 Dental Services
Delivery System Reform Unit (DSRU) Annual Forums Behavioral Health (BH), Not in use, Primary Care and Care Coordination
Billing Guidance and Implementation Timing for the Updated Payment Methodology for Section 31, Federally Qualified Health Centers (FQHCs), Including Changes When Providing Services Now Outside the Encounter Rate Primary Care and Care Coordination
National Diabetes Prevention Program (NDPP): Rate Determination Comment & Response Summary Hospital & Clinic Services, Primary Care and Care Coordination
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE) General Notifications for All Providers
Attention Section 65, Behavioral Health Providers: Clubhouse Services Revised Rate, CR 117161 Behavioral Health (BH)
Update to the Rounding Rule Enforcement Date  General, All Services
COVID-19 Long Term Care Supplemental Payment Information for Section 2, 67, and 97 Appendix C Providers  Long Term Care Services
Update to Prior Authorizations (PA) for Gender Affirming Medical and Surgical Treatment​ General Notifications for All Providers
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Information for Providers Regarding the End of the Public Health Emergency (PHE) General Notifications for All Providers
Information for Providers Regarding the End of the Public Health Emergency (PHE) General Notifications for All Providers
​Kepro Behavioral Health Authorizations and Early and Periodic Screening, Diagnostic, and Treatments (EPSDT) Services Awareness​ Behavioral Health (BH), School Health Related Services
Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials Long Term Care Services