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CORRECTION: Implementation Date of Section 92, Behavioral Health Homes (BHH) Retroactive COLA, CR 125416 |
Behavioral Health (BH) |
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Rate Determination Kickoff Meeting: Sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, Home & Community Based Services (HCBS) Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, & Assistive Technology Services |
Long Term Services and Supports |
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Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations |
General, All Services |
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Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team |
Retail Pharmacies |
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Sections 2, 13, 17, 26, 28, and 65: Implementation of Cost-of-Living Adjustments (COLAs) Effective January 1, 2024 |
Behavioral Health (BH), Long Term Care Services, Long Term Services and Supports |
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Section 92, Behavioral Health Homes (BHH): Implementation of Cost-of-Living Adjustments (COLAs) Effective December 21, 2023, CR 125416 |
Behavioral Health (BH) |
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Health PAS Online Portal – New: Member Renewal Date Now Available, CR 119276 |
General, All Services |
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Skin Substitutes no Longer Require a Prior Authorization (PA) - CR 126315 |
Hospital & Clinic Services, Specialty Services |
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Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums |
General, All Services |
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Electronic Visit Verification (EVV) Online Training Available |
Long Term Services and Supports |
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Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team |
Retail Pharmacies |
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MaineCare Enrollment Opportunity: MaineCare Benefits Manual (MBM), Chapter II, Section 71: National Diabetes Prevention Program (NDPP) Services |
General, All Services, Hospital & Clinic Services, Primary Care and Care Coordination |
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Hospital Billing Changes for Days Awaiting Placement (DAP) |
Hospital & Clinic Services |
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Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations |
General, All Services |
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Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team |
Retail Pharmacies |
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Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations |
Retail Pharmacies |
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Section 45, Hospital Services Rate Reform: Updates Following June 11, 2024, Forum |
Hospital & Clinic Services |
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Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums |
General, All Services |
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Virtual Forum for Dental Service Providers Next Week |
Dental Services |
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MaineCare as a Secondary Payer |
Dental Services |
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Updated Guidance for Power Mobility Devices (PMD |
Specialty Services |
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Update: Some Claims Payments Delayed Due to Earlier MIHMS Outage |
General, All Services |
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Update: Health PAS Online Portal, Provider Services, Member Services Restored |
General, All Services |
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Section 25, Dental Services: Benchmark Assessment Results Comment Summary with Department Response |
Dental Services |
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Attention MaineCare Providers: HealthPAS Online Portal, Provider Services, Member Services Unavailable |
General, All Services |
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Help MaineCare Members Avoid a Gap in Health Coverage Before the Extended Unwinding Deadline |
General, All Services |
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Health PAS Online Portal – New: Member Renewal Date Now Available, CR 119276 |
General, All Services |
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MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology |
Not in use, State & Federal Policy |
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Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) |
Retail Pharmacies |
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EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) Application: Revised Phase Out Date |
Long Term Services and Supports |
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Attention Providers of MaineCare Benefits Manual (MBM) Section 45, Hospital Services: GME Add-On Amounts by Facility |
Hospital & Clinic Services |
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Virtual Forum for Dental Service Providers |
Dental Services |
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Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour |
Primary Care and Care Coordination |
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State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs) |
Long Term Care Services |
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MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology |
Not in use, State & Federal Policy |
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MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 23, Developmental and Behavioral Health Services and Chapter III, Section 23, Allowances for Developmental and Behavioral Evaluation Services |
Not in use, State & Federal Policy |
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Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs |
Long Term Services and Supports |
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Electronic Visit Verification (EVV) Online Training Available |
Long Term Services and Supports |
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MaineCare Residential Substance Use Disorder (SUD) Treatment Providers – Utilization Management (UM) Process Update |
Behavioral Health (BH) |
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Attention Providers of Section 17 and Section 92 Services |
Behavioral Health (BH) |
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Taxonomy Code Requested on Claim Submissions – Portal Claims |
General, All Services |
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Non-Emergent - Emergency Department Claims Not Pricing Correctly |
Hospital & Clinic Services |
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State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs) |
Long Term Care Services |
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Attention Section 55, Laboratory Services: January 1, 2024, Rate Update, CR 124692 |
Specialty Services |
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Maine Breast & Cervical Health Program (MBCHP) Code & Rate Update for Fiscal Year (FY) 2025 |
General, All Services |
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Section 50, Intermediate Care Facilities (ICF) Rate Letters for Fiscal Year (FY) 2025 Now Available, CR 125576 |
Long Term Care Services |
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Section 97, Private Non-Medical Institutions (PNMI) Appendix F: Rate Letters for Fiscal Year (FY) 2025, CR 125612 |
Long Term Care Services |
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Section 45, Hospital Services: Clarifications from June 11, 2024, Public Rate Forum |
Hospital & Clinic Services |
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MaineCare Issued Annual Hospital Value-Based Purchasing (VBP) Supplemental Payments and Correction to Previous Results |
Hospital & Clinic Services |
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Revalidate with MaineCare to Avoid Claim Denials |
General, All Services |