MaineCare Bulletins

Provider Enrollment Application (PEA) Outage General, All Services
System Maintenance from April 23, 2022 to April 24, 2022     General, All Services
Attention Providers of Sections 31 Federally Qualified Health Center (FQHC) Services and 103 Rural Health Clinic (RHC) Services: National Correct Coding Initiative (NCCI) Change of Edit 6075 from Warn to Deny, CR 106771 and 108825 Primary Care and Care Coordination
Pharmacy Point of Sale (POS) Blackout Period April 20, 2022 Retail Pharmacies
Primary Care Plus (PCPlus) Year One Final Application Period Now Open   MaineCare Initiatives and Special Topics
Primary Care Plus (PCPlus) Year One Final Application Period Now Open   Primary Care and Care Coordination
2022 Rate Updates for Medical Imaging Codes, CR 107225  General, All Services
Dental Problems with Buprenorphine Dissolved in The Mouth to Treat Opioid Use Disorder (OUD) and Pain Behavioral Health (BH)
Dental Problems with Buprenorphine Dissolved in The Mouth to Treat Opioid Use Disorder (OUD) and Pain Primary Care and Care Coordination
Dental Problems with Buprenorphine Dissolved in The Mouth to Treat Opioid Use Disorder (OUD) and Pain Hospital & Clinic Services
Dental Problems with Buprenorphine Dissolved in The Mouth to Treat Opioid Use Disorder (OUD) and Pain Dental Services
No Prior Authorization (PA) Needed for Insulin Used During Pregnancy Retail Pharmacies
No Prior Authorization (PA) Needed for Insulin Used During Pregnancy  Hospital & Clinic Services
No Prior Authorization (PA) Needed for Insulin Used During Pregnancy Primary Care and Care Coordination
Electronic Visit Verification (EVV) Frequently Asked Questions (FAQs) Long Term Services and Supports
Electronic Visit Verification (EVV) Frequently Asked Questions (FAQs) MaineCare Initiatives and Special Topics
Rate Updates General, All Services
System Maintenance from April 9, 2022 to April 10, 2022    General, All Services
MaineCare Updated COVID-19 Vaccine Administration Rate, CR 107185  General, All Services
Microdyn Updates for Ambulatory Payment Classifications (APC), CRs 107154 & 107155  Hospital & Clinic Services