MaineCare Bulletins

Date Title Topic
Medicare Standardization Rate Updates for Calendar Year 2024 (CY24) General, All Services
Quarterly Physician Drug Code Update General, All Services
Section 60, Durable Medical Equipment (DME) and Supplies: Annual Rate Adjustment Specialty Services
Attention Providers: Please Respond to Enrollment Cases That Need More Information (NMI) General, All Services
1115 Substance Use Disorder (SUD) Waiver Mid-Point Assessment Stakeholder Listening Session Behavioral Health (BH)
Recoupment of Claim Payments for Non-Covered Services Processed Under the COVID-19 Uninsured Benefit After the End of the Federal Public Health Emergency (PHE) General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Attention Providers: New Ways to Connect Your Patients to Mental Health Care General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 43, Hospice Services, and Chapter III, Section 43, Allowances for Hospice Services (repeal) Not in use, State & Federal Policy
Attention Section 65 Behavioral Health Providers: Draft Service Model and Rates Presented Materials for Mobile Crisis Response Teams Behavioral Health (BH)
Indian Health Services (IHS) Rate Update for Calendar Year 2024 (CY24) Primary Care and Care Coordination
Update to Respiratory Syncytial Virus (RSV) Vaccination Claims Guidance General, All Services
MaineCare Notice of Agency Major Substantive Rulemaking Provisional Adoption, Chapter III, Section 29 Not in use, State & Federal Policy
Section 23, Developmental and Behavioral Evaluation Clinic Services: Foster Care Comprehensive Health Assessment - Comment Summary and Final Draft Rates Behavioral Health (BH)
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Attention Providers: The Most Current Guidelines for Asthma Diagnosis and Management Primary Care and Care Coordination
​Attention Providers: Survey Available on the Correlation Between Alcohol and Cancer General, All Services
Attention Section 67 Providers – Members Coverage Inadvertently End-Dated in MIHMS Long Term Care Services
Help MaineCare Members Avoid a Gap in Health Coverage Retail Pharmacies
Attention Section 65, Behavioral Health Service Providers: Mobile Crisis Response Teams Draft Service Model and Rates, Public Review and Comment Behavioral Health (BH)
Attention Nursing Facilities (NFs) and Residential Care Facilities (PNMI, Appendix C, RCFs) – Rates Effective January 1, 2024 Long Term Care Services
Update to the ​Biosimilar Preferred Drug List​ Hospital & Clinic Services
Impact to MaineCare of Average Manufacturer Price (AMP) Cap Removal Hospital & Clinic Services, Primary Care and Care Coordination, Retail Pharmacies
MaineCare for Kids Communications Toolkit General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
​​EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) App ​ Long Term Services and Supports
​Section 103, Rural Health Center (RHC) Calendar Year 2024 (CY24) Rate Update - CR 121608 Primary Care and Care Coordination
​​Section 50, Intensive Care Facilities (ICF) Rate Letters for Calendar Year (CY) 2024 and Day Habilitation Service Rate Update - CR 121701 Long Term Care Services
CORRECTION: Intermediate Care Facilities (ICF) Rate Letters for CY 2024 and Day Habilitation Service Rate Update – CR 121701 ​ Long Term Care Services
CORRECTION: Non-Billing, Ordering, Prescribing, and Referring (NOPR) Editing Changing from Warn to Deny – CR 121469 General Notifications for All Providers
Rescheduled MaineCare Provider Enrollment Presentation and Listening Session General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Non-Billing, Ordering, Prescribing, and Referring (NOPR) Edits Changing from Warn to Deny – CR 121469 General, All Services
Application Fee for 2024 Reminder, CR 121257 General, All Services
Survey Deadline Extended: Sections 18, 20, 21, 29 Home & Community Based Supports and Proposed Lifespan Waiver Cost Survey Tool Long Term Services and Supports
​​Comment Deadline Extended: Private Non-Medical Institutions (PNMI) Appendix D, Therapeutic Foster Care (TFC) Draft Rate Model Behavioral Health (BH)
Non-Billing, Ordering, Prescribing, and Referring (NOPR) Edits Changing from Warn to Deny – CR 121469 General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Attention MaineCare Section 67, Nursing Facilities (NFs): Extraordinary Circumstance Allowance (ECA) Payments Have Been Released Long Term Care Services
Revalidate with MaineCare to Avoid Claim Denials General, All Services
Certified Community Behavioral Health Clinic (CCBHC) Readiness Assessment - Initial Cohort Due Date of January 19, 2024 Behavioral Health (BH), General, All Services, Not in use, Primary Care and Care Coordination
​Attention Providers of Sections 2, 13, 17, 26, 28, 65 and 92: Cost of Living Adjustment (COLA) Billing Guidance Behavioral Health (BH), Long Term Care Services, Long Term Services and Supports
​Attention Section 5, Ambulance Service Providers: 2024 Rate Updat Specialty Services
Attention Providers of Section 45 Hospital Services: Draft Rate Model Presented Materials Hospital & Clinic Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 45 Not in use, State & Federal Policy
MaineCare Announces Post-Incarcerated Incentive Payment Pilot  General Notifications for All Providers
Attention Providers of Section 18, 20, 21, 29, Home & Community Based Supports and Proposed Lifespan Waiver: Cost Survey Tool Long Term Services and Supports
Attention MaineCare Behavioral Health and Substance Use Disorder Providers, Backdating Policy Update Behavioral Health (BH)
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services