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Update to Electronic Visit Verification (EVV) Missing Clients in Sandata |
General, All Services |
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Revision of Medicare Standardization Rates |
General, All Services |
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Final Draft Rates for Certain Medicare Covered Family Planning Services and Long-Acting Reversible Contraception (LARCs): Sections 14, 30, 31, 45, 90 & 103 |
Hospital & Clinic Services, Primary Care and Care Coordination |
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Missing Clients in Sandata |
General, All Services |
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Section 97, Private Non-Medical Institutions (PNMI) Appendices E & F: Rate Letter Update |
Behavioral Health (BH), Long Term Care Services |
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Section 40, Home Health Services: Reimbursing Parents Providing Home Health Aide (HHA) Services |
Long Term Services and Supports |
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Reminder for all Providers: A 30-Day Notice is Required Prior to Closure |
General, All Services |
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Section 50, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Rate Letters for Calendar Year (CY) 2025 |
Long Term Care Services |
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Nursing Facilities (NF): January Claims Hold and Navigating Rate Reform Billing Changes |
Long Term Care Services |
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Section 28: Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Claim Denials, CR 129350 |
Behavioral Health (BH) |
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Psychiatric Residential Treatment Facilities (PRTFs) Revised Draft Rates: Presented Materials & Comment Deadline |
Behavioral Health (BH) |
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Dental Services Forum Registration and Topics |
Dental Services |
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Opioid Health Homes (OHH) Pay-for Performance (P4P) Benchmark Announcement |
Behavioral Health (BH) |
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Correction to Hospital Psychiatric/Substance Use Disorder (SUD) Fee Tables, CR 128816 |
Hospital & Clinic Services |
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Microdyn Update for Diagnostic Related Groups (DRG), and Ambulatory Payment Classifications (APC), CRs 127722, 127723, 128406, 128150, & 128151 |
Hospital & Clinic Services |
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Board Certified Behavior Analyst (BCBA) and Telehealth Guidance for Section 28 Providers |
Behavioral Health (BH) |
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Section 45, Acute & Rehabilitation Hospital Providers: Reminder of Upcoming January 1, 2025, Outlier Methodology Changes |
Hospital & Clinic Services |
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Section 45, Critical Access Hospital (CAH) Providers: Reminder of Upcoming January 1, 2025, Changes |
Hospital & Clinic Services |
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Section 89, MaineMOM Performance-Based Adjustment Withhold |
Behavioral Health (BH) |
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340B Modifier Billing Guidance Update |
General, All Services |
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Home and Community-Based Services (HCBS) Access Rule Town Hall Announcement |
Long Term Services and Supports |
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Medicare Standardization Rate Updates for Calendar Year 2025 (CY25) |
General, All Services |
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Section 103: Rural Health Center (RHC) Calendar Year 2025 (CY25) Rate Update, CR 128922 |
Primary Care and Care Coordination |
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Attention Schools Delivering Section 28 Services |
Behavioral Health (BH), School Health Related Services |
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Taxonomy Code Requested on Claim Submissions – Portal Claims |
General, All Services |
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Rescheduled: Section 107, Psychiatric Residential Treatment Facilities (PRTFs) Revised Draft Rates Public Review and Comment Forum |
Behavioral Health (BH) |
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Rate Determination Initiation Notice for Interpreter Services |
General, All Services |
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Attention Pharmacy Providers Under Title 5 |
General, All Services |
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Provider Responsibility for Managing Users in My HealthPAS Trading Partner Accounts (TPA) |
General, All Services |
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Application Fee for 2025 Reminder, CR 128480 |
General, All Services |
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Prior Authorization (PA) Requests for Dentures |
Dental Services |
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Providers of Section 17 Services - Telehealth Clarification |
Behavioral Health (BH) |
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Updates to Service Provider Tax (SPT) Repeal Frequently Asked Questions (FAQ) |
General, All Services |
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Rescheduled: Section 107, Psychiatric Residential Treatment Facilities (PRTFs): Revised Draft Rates Public Review and Comment Forum |
Behavioral Health (BH) |
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Revalidate with MaineCare to Avoid Claim Denials |
General, All Services |
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Taxonomy Code Requested on Claim Submissions – Portal Claims |
General, All Services |
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Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 |
General, All Services |
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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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MaineCare Cost-of-Living Adjustments and Service Provider Tax (SPT) Repeal Update |
General, All Services |
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Attention Pharmacy Providers Under Title 5 |
General, All Services |
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Update to the Biosimilar Preferred Drug List (PDL) |
Hospital & Clinic Services |
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Maine’s Children & Youth with Special Health Care Needs Webinar Learning Series: Childhood Lead Poisoning and Prevention |
Behavioral Health (BH) |
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Rate Determination Initiation Notice for Section 80, Pharmacy Services : Dispensing Fees |
Retail Pharmacies |
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Section 67, Nursing Facility (NF) Services - Final Draft Rates and Methodologies Comment Summary |
Long Term Care Services |
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Quarterly Physician Drug Code Update: Quarter 4, CR 128318 |
Hospital & Clinic Services |
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Retro Physician Drug Rate Updates: Effective October 1, 2023, through September 30, 2024, CR 127535 |
Hospital & Clinic Services |
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Seasonal Flu Codes Added for Hospitals, CR 127605 |
Hospital & Clinic Services |
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Certified Community Behavioral Health Clinics (CCBHC) Comment Deadline Extension |
Behavioral Health (BH), Specialty Services |
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Pharmacy Providers May Not Refuse Services to a MaineCare Member for Failure to Pay a Copayment |
Retail Pharmacies |
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Prior Authorization (PA) Requests for Hearing Aids Reminder |
Specialty Services |