MaineCare Bulletins

Date Title Topic
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE) General Notifications for All Providers
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention Dental Providers: How to Add Coordination of Benefits (COB) Information for Medicare C Primary Dental Claims, CR 117131 Dental Services
Section 25 Dental Providers: Health PAS Online Portal Direct Data Entry (DDE) Claims Submission Issue, TR 116587 Dental Services
Delivery System Reform Unit (DSRU) Annual Forums Behavioral Health (BH), Not in use, Primary Care and Care Coordination
Maine Pediatric & Behavioral Health Partnership Webinar Fostering Resilience Behavioral Health (BH)
Billing Guidance and Implementation Timing for the Updated Payment Methodology for Section 31, Federally Qualified Health Centers (FQHCs), Including Changes When Providing Services Now Outside the Encounter Rate Primary Care and Care Coordination
MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE) General Notifications for All Providers
Attention Section 65, Behavioral Health Providers: Clubhouse Services Revised Rate, CR 117161 Behavioral Health (BH)
National Diabetes Prevention Program (NDPP): Rate Determination Comment & Response Summary Hospital & Clinic Services, Primary Care and Care Coordination
Update to the Rounding Rule Enforcement Date  General, All Services
COVID-19 Long Term Care Supplemental Payment Information for Section 2, 67, and 97 Appendix C Providers  Long Term Care Services
Update to Prior Authorizations (PA) for Gender Affirming Medical and Surgical Treatment​ General Notifications for All Providers
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Information for Providers Regarding the End of the Public Health Emergency (PHE) General Notifications for All Providers
Information for Providers Regarding the End of the Public Health Emergency (PHE) General Notifications for All Providers
​Pfizer and Moderna Monovalent COVID-19 Vaccines No Longer Authorized for Use, CR 116981 General Notifications for All Providers
Attention Providers of Sections 17, 65, and 92 Adult Behavioral Health Services: Service Termination Approval Requirements Behavioral Health (BH)
​Kepro Behavioral Health Authorizations and Early and Periodic Screening, Diagnostic, and Treatments (EPSDT) Services Awareness​ Behavioral Health (BH), School Health Related 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
Updated FAQ Regarding MaineCare Guidance on Reimbursement when Restraint is Utilized in Outpatient Behavioral Health Settings, Including Schools Behavioral Health (BH), Hospital & Clinic Services, School Health Related Services
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
​Implementation of January 1, 2023, Rate Study Increases for Section 2, Adult Family Care Homes (AFCH), CR 116777​ Long Term Care Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention Primary Care Plus (PCPlus) Practices - PCPlus Application and Recertification Opening – Required for all PCPlus Practices Primary Care and Care Coordination
Section 2, Adult Family Care Homes (AFCH) – Public Comment Summary with Department Response and Final Draft Rates, CR 116777 Long Term Care Services
Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs Update Behavioral Health (BH)
Revalidate with MaineCare to Avoid Claim Denials General Notifications for All Providers
​Microdyn Update for Ambulatory Payment Classifications (APCs), CRs 115172, 115173, 115447, 115619 Hospital & Clinic Services
MaineCare Notice of Agency Waiver Amendment-ME.0467, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.1082: Home and Community Based Services for Members with Brain Injury State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.0159, Intellectual Disabilities or Autism Spectrum Disorder Waiver State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.0467, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.0159, Intellectual Disabilities or Autism Spectrum Disorder Waiver State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.1082: Home and Community Based Services for Members with Brain Injury State & Federal Policy
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention: Issue Corrected - Section 28 Electronic Visit Verification (EVV) Providers, CR 116442 Long Term Care Services
Attention Section 25 Dental Providers: HealthPAS Online Portal Direct Data Entry (DDE) Claims Submission Issue, TR 116587 Dental Services
Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers, Training Opportunity Available Long Term Services and Supports
A Brief Discussion of Mental Health First Aid Long Term Services and Supports
Public Health Emergency (PHE) Unwinding Toolkit Translations General Notifications for All Providers
2022 Rate Updates for Drug Codes General Notifications for All Providers
End of the Federal Public Health Emergency (PHE) Provider Mailbox General Notifications for All Providers
Attention Providers of Section 50, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Services: Implementation of January 1, 2023, Rate Increases Long Term Care Services
Primary Care Plus (PCPlus) Update on Quality Measures and Performance-Based Adjustments Primary Care and Care Coordination
Attention Section 28 Electronic Visit Verification (EVV) Providers, CR 116442 Long Term Care Services
Attention Providers of Section 31, Federally Qualified Health Centers (FQHC): Draft Rate Methodology Public Review Presented Materials and Comments   Primary Care and Care Coordination
Attention Providers of Section 18, 19, 20, 21, and 29 Services: Appendix K to Maine’s Home and Community Based Services (HCBS) Waivers Continues to Provide Temporary Flexibilities on Service Caps and Staffing Long Term Services and Supports
Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs Update  Behavioral Health (BH)
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports