MaineCare Bulletins

Date Title Topic
Critical Access Hospitals and Nursing Facilities Rate Updates, CR 119227 and 119226 Hospital & Clinic Services, Long Term Care Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
REMINDER: Behavioral Health and Targeted Case Management Supplemental Payment Reporting Due by August 4, 2023 Behavioral Health (BH)
State Fiscal Year (SFY) 2024 Rate Letters and Cost of Living Adjustments (COLAs) for Nursing Facilities (NF) and Residential Care Facilities (RCFs, PNMI Appendix C) Long Term Care Services
Section 60 Medical Supplies and Durable Medical Equipment (DME) Update on Pricing and Prior Authorization (PA) Requirements, CR 119002 Specialty Services
Change in Criteria for Adolescent Bariatric Surgeries Hospital & Clinic 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)
New Compliance Report Available to Electronic Visit Verification (EVV) Providers, CR 117048 Long Term Services and Supports
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
Behavioral Health and Targeted Case Management Supplemental Payment Reporting Deadline Extended Behavioral Health (BH)
CORRECTION TO REPORTING FORM LINK: Behavioral Health and Targeted Case Management Supplemental Payment Reporting Deadline Extended Behavioral Health (BH)
Attention All Providers: Payment Error Rate Measurement (PERM) Audit General, All Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter Chapter III, Section 45, Hospital Services Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Attention Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services: Draft Rate Model Public Review and Comment Behavioral Health (BH)
340B Modifier Billing Guidance Update Hospital & Clinic Services, Primary Care and Care Coordination
De-escalation Training Opportunity Available for Caregivers of Section 19 Home and Community Benefits for Elderly and Adults with Disabilities  Not in use
​​Attention Section 45 Hospitals with Distinct Psychiatric and Substance Use Disorder (SUD) Units: Proposed Rates​ Hospital & Clinic Services
Training for Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 60, Medical Supplies and Durable Medical Equipment Not in use, State & Federal Policy
State Fiscal Year (SFY) 2024 Rate Letters for Nursing Facilities (NFs) and Residential Care Facilities (RCFs) Long Term Care Services
Upcoming Coverage Reinstatement for MaineCare Members​ General, All Services
Community Action Program Training for Providers: Corrected Registration Link General, All Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 89, MaineMOM Services and Reimbursement Not in use, State & Federal Policy
CORRECTION to July 27, 2023 Training Time - Training for Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
​Section 75, Vision Services Rate Updates​, CR 116892 General, All Services
Assistive Technology Professional (ATP) Certification Grants Specialty 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
​CORRECTION to Reporting Link: Attention Behavioral Health and Targeted Case Management Providers - Behavioral Health and Targeted Case Management Supplemental Payment Reporting​ Behavioral Health (BH), Primary Care and Care Coordination
Training for Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
CORRECTION: Attention Providers of Section 107, Psychiatric Residential Treatment Facilities (PRTFs) – Presented Materials and Comment Period ​ Behavioral Health (BH)
Community Action Program Training for Providers General, All Services
​​Attention Section 45, Hospital Services Providers​ Hospital & Clinic Services
​​MaineCare Issuing Second Hospital Value-Based Purchasing (VBP) Supplemental Payments​​ Hospital & Clinic Services, Not in use
Attention Behavioral Health and Targeted Case Management Providers - Behavioral Health and Targeted Case Management Supplemental Payment Reporting Behavioral Health (BH), Primary Care and Care Coordination
Attention Section 45, Hospital Services: Rate Determination Initiation Notice  Hospital & Clinic Services
Extended-Release Buprenorphine Clinical Use Criteria Hospital & Clinic Services, Primary Care and Care Coordination
Section 50, Intensive Care Facilities (ICF) Rate Letters for Fiscal Year (FY) 2024 Now Available Long Term Care Services
CORRECTION: 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
Attention Providers: Updating Your Facility License Under Title 5 General, All Services
Annual 1115 Substance Use Disorder (SUD) Waiver Post Award Forum Behavioral Health (BH)
Coverage of Medications for Treatment of Opioid Use Disorder in Pregnancy Retail Pharmacies
Maine Point of Purchase System (MEPOPS) Blackout Period  Retail Pharmacies
Roster Billing Hepatitis A Vaccination Codes – CR 116982 Hospital & Clinic Services
Training for Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Ch. III, Section 67, Principles of Reimbursement for Nursing Facilities Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Rate Determination Initiation Notice for Certified Community Behavioral Health Clinics (CCBHC): MaineCare Benefits Manual (MBM) Section to Be Determined  Behavioral Health (BH)
Attention Providers of Section 107, Psychiatric Residential Treatment Facilities (PRTFs) – Presented Materials and Comment Period  Behavioral Health (BH)