MaineCare Bulletins

Date Title Topic
Billing Guidance and Claims Reimbursement for Distinct Psychiatric and Substance Use Disorder Units Hospital & Clinic Services
MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation on Draft CY2024 Rate Determination Schedule General, All Services, General Notifications for All Providers
Attention: MaineCare Provider Enrollment Updates General, All Services, General Notifications for All Providers
New Search Feature and E-Bulletins Webpage General, All Services
Respiratory Syncytial Virus (RSV) Vaccination: Hold Claims General, All Services
CORRECTION TO REGISTRATION LINK Section TBD, Certified Community Behavioral Health Clinics (CCBHC) – Rate Study Kickoff Meeting Behavioral Health (BH)
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Section TBD, Certified Community Behavioral Health Clinics (CCBHC) – Rate Study Kickoff Meeting Behavioral Health (BH)
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)
New Place of Service (POS) Code 27: Outreach Site/Street General, All Services
Public Forum Postponed: Attention Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services: Draft Rate Model Public Review and Comment​ Behavioral Health (BH)
Rate Determination Initiation and Rate Study Kickoff Meeting Notice for Home and Community Based Supports for Individuals with Intellectual and Developmental Disabilities or Autism, Sections 21 and 29, and Proposed Lifespan Waiver Long Term Services and Supports
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Add Codes to the TPL Vision Services Group, CR 119556 Specialty Services
​​Free Asthma Education Sessions for Maine Healthcare Professionals Primary Care and Care Coordination
Microdyn Update for Ambulatory Payment Classifications (APCs), and Diagnostic Related Groups (DRG’s), CRs 119337, 119338, & 119340 Hospital & Clinic Services
Rate Update for the Proposed MaineCare Benefits Manual (MBM), Chapter II, Section 71: National Diabetes Prevention Program (NDPP) Services Hospital & Clinic Services, Primary Care and Care Coordination
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Services Not in use, State & Federal Policy
Durable Medical Equipment (DME) Codes Removed from the Usual, Customary and Reasonable (UCR) Fee Schedule, CR 116322 Specialty Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Correction to Zoom Link - Attention: Listening Session for MaineCare Residential Substance Use Disorder (SUD) Providers Behavioral Health (BH)
Correction: Guidance for Psychiatric Hospitals Seeking Prior Authorization (PA) for Mental Health Intensive Outpatient (IOP) Services Hospital & Clinic Services
Bright Futures Health Assessment Visits for Individuals Under 21 Years   Primary Care and Care Coordination
New Chat Feature Available on Kepro Website QualityCareforMe.com​ Behavioral Health (BH)
Pharmacies, ​Help Your Patients Act Now to Avoid a Gap in Their Health Coverage​  Retail Pharmacies
Attention: Listening Session for MaineCare Residential Substance Use Disorder (SUD) Providers  Behavioral Health (BH)
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Not in use, State & Federal Policy
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
​Reminder: Please Use Correct DEA Number During Enrollment Process General, All Services
MaineCare Job Openings General, All Services
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Free Asthma Education Sessions for Maine Healthcare Professionals Primary Care and Care Coordination
MaineCare in Education: New Resources and Updated MaineCare in Education 2023 Guide​ School Health Related Services
E-Bulletins Webpage Update: How to Sign up, and New Formatting General, All Services
Update: Guidance for Psychiatric Hospitals Seeking Prior Authorization (PA) for Mental Health Intensive Outpatient (IOP) Services Hospital & Clinic Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapters II and III, Section 43 Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Revalidate with MaineCare to Avoid Claim Denials General, All Services
*CORRECTED* State Fiscal Year (SFY) 2024 Rate Letters for Residential Care Facilities (RCFs, PNMI Appendix C), CR 119444 Long Term Care Services
​New: MaineCare New Coverage Groups Communications Toolkit General, All Services
Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour  Primary Care and Care Coordination
The Nicotine Replacement Therapy (NRT) Standing Order National Provider Identifier (NPI) has been Updated Retail Pharmacies
Electronic Visit Verification (EVV) Phase 2 Trainings Not in use
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)
Attention Section 31, Federally Qualified Health Centers (FQHCs): Update on Rate Rebasing Efforts, CR 117105 General, All Services
Critical Access Hospitals and Nursing Facilities Rate Updates, CR 119227 and 119226 Hospital & Clinic Services, Long Term Care Services
​New Chat Feature Available on Kepro Website​ Behavioral Health (BH), Not in use
Sleep Apnea Prior Authorization (PA) Sheet Now Available, CR 117762 General, All Services