MaineCare Bulletins

Date Title Topic
Survey Re-Opened for HCBS Providers and Interested Parties of Clinical, Therapeutic, Supportive Skills Building, Assistive Technology, Care Coordination and Personal Support Services: Section(s) 12, 18, 19, 20, 21, 29, 40, 96, and 102 Long Term Services and Supports
Behavioral Health Section 65 Copays, CR 128193 and CR 127534 Behavioral Health (BH), General, All Services
Certified Community Behavioral Health Clinic (CCBHC) Draft Rate Methodology Presented Materials & Comment Deadline Behavioral Health (BH)
MaineCare Notice of Agency Rule-making Adoption, Chapter III, Section 45, Principles of Reimbursement for Hospital Services Not in use, State & Federal Policy
Public Forum Postponed: Section 107, Psychiatric Residential Treatment Facilities (PRTFs) Revisions to Previously Proposed Draft Rates Behavioral Health (BH)
2024 – 2025 Influenza Seasonal and Other Vaccines Retail Pharmacies
Verify a Code is Reimbursable for Special Population with Limited Benefits (SPLB) General, All Services
Federally Qualified Health Center (FQHC) Providers – Notice of Award (NOA) Update General, All Services
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Rescheduling the Dental Services Forum Dental Services
Fiscal Year 2024 (FY24) Section 43, Hospice Rate Update, CR 127533 Long Term Services and Supports
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Section 67, Nursing Facility Reimbursement Reform: March 2024 Comment Summary with Department Response Long Term Care Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 43, Hospice Services Not in use, State & Federal Policy
Survey Deadline Reminder and Updated Questions & Answers for HCBS: Specific to Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Support Services Long Term Services and Supports
RESCHEDULED: Public Forum for Providers Interested in the Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration Behavioral Health (BH)
Corrected Title for Section 67, Nursing Facility Reform: Revised Draft Rates and Methodologies Presented Materials & Comment Deadline Long Term Services and Supports
Section 67, Nursing Facility Reform: Revised Draft Rates and Methodologies Presented Materials & Comment Deadline Long Term Services and Supports
Section 107, Psychiatric Residential Treatment Facilities (PRTFs): Revised Draft Rates Public Review and Comment Public Forum Behavioral Health (BH)
Survey for HCBS Providers and Interested Parties of Clinical, Therapeutic, Supportive Skills Building, Assistive Technology, Care Coordination and Personal Support Services Long Term Services and Supports
Section 98, Therapeutic Foster Care (TFC), Final Draft Rates and Summary of Comments with Department Response Behavioral Health (BH)
Facility Licenses Under Title 5 General, All Services
MaineCare 2024-25 Respiratory Syncytial Virus (RSV) Update Retail Pharmacies
MaineCare 2024-25 Respiratory Syncytial Virus (RSV) Update Hospital & Clinic Services
Attention Providers Interested in the Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration Behavioral Health (BH)
Attention HCBS Providers of Rehabilitative Services for Sections 19, 20, 21, 40, & 102: Interested Parties Engagement Session Presented Materials  Long Term Services and Supports
Section 90, Physician Drug Rate Updates, CRs 127124 & 127125 Hospital & Clinic Services
Attention HCBS Providers of Personal Support Services for Section 12, 19, & 96: Interested Parties Engagement Session Presented Materials Long Term Services and Supports
Section 67, Nursing Facility Reform: Revised Draft Rates and Methodologies Public Forum Long Term Care Services
Attention HCBS Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology Services, & Personal Support Services: Engagement Session Questions and Answers (Q&A) Long Term Services and Supports
Pharmacy Copayments Return with the End of the American Rescue Plan (ARP) Act on September 30, 2024 Retail Pharmacies
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Attention HCBS Providers of Therapeutic Intervention Services for Sections 19, 20, 21, & 40: Interested Parties Engagement Session Presented Materials Long Term Services and Supports
Sections 14, 30, 31, 45, 90 & 103, Certain Medicare Covered Family Planning Services and Long-Acting Reversible Contraception (LARCs): Draft Rates Public Review & Comment Deadline Hospital & Clinic Services, Primary Care and Care Coordination
Important Copayment Information: End of the American Rescue Plan Act (ARPA) Exemption on Copays General, All Services
Important Coverage Information: End of the American Rescue Plan Act (ARPA) Period General, All Services
Attention HCBS Providers of Supportive Skills Building Services for Sections 12, 18, 19, 20, 29, & 96: Interested Parties Engagement Session Presented Materials Long Term Services and Supports
MaineCare Notice of Agency Rule-making Adoption, Chapter II, Section 25, Dental Services and Reimbursement Methodology Not in use, State & Federal Policy
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
Microdyn Update for Ambulatory Payment Classifications (APC) - CRs 126318 & 126319 Hospital & Clinic Services
Provider Responsibility for Managing Users in My HealthPAS Trading Partner Accounts (TPA) General, All Services
Notice Regarding Electronic Signatures General, All Services
Attention: Providers of Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations General, All Services
Attention Providers of Sections 14, 30, 31, 45, 90, & 103: Draft Rates Public Review & Comment: Certain Medicare Covered Family Planning Services and Long-Acting Reversible Contraception (LARCs) Hospital & Clinic Services, Primary Care and Care Coordination
Attention HCBS Providers of Clinical Therapy Services for Sections 19, 20, 21, 40, & 102: Interested Parties Engagement Session Presented Materials Long Term Services and Supports
Important COVID-19 Vaccine Coverage Information: End of Coverage for Limited Family Planning Benefit Hospital & Clinic Services
Maine’s Children and Youth with Special Health Care Needs Monthly Learning Series Behavioral Health (BH)
Pharmacy Copayments Return with the End of the American Rescue Plan (ARP) Act on September 30, 2024 Retail Pharmacies
Attention HCBS Providers of Clinical Nursing Services for Sections 19, 20, 21, 40, 96, & 102: Interested Parties Engagement Session Presented Materials Long Term Services and Supports
MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Not in use, State & Federal Policy