MaineCare Bulletins

Date Title Topic
Hospital Billing Changes for Days Awaiting Placement (DAP) Hospital & Clinic Services
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team Retail Pharmacies
Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations General, All Services
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team Retail Pharmacies
Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations Retail Pharmacies
Section 45, Hospital Services Rate Reform: Updates Following June 11, 2024, Forum Hospital & Clinic Services
Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums General, All Services
Virtual Forum for Dental Service Providers Next Week Dental Services
MaineCare as a Secondary Payer Dental Services
Updated Guidance for Power Mobility Devices (PMD Specialty Services
Update: Some Claims Payments Delayed Due to Earlier MIHMS Outage General, All Services
Update: Health PAS Online Portal, Provider Services, Member Services Restored General, All Services
Section 25, Dental Services: Benchmark Assessment Results Comment Summary with Department Response Dental Services
Attention MaineCare Providers: HealthPAS Online Portal, Provider Services, Member Services Unavailable General, All Services
Help MaineCare Members Avoid a Gap in Health Coverage Before the Extended Unwinding Deadline General, All Services
Health PAS Online Portal – New: Member Renewal Date Now Available, CR 119276 General, All Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology Not in use, State & Federal Policy
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) Retail Pharmacies
Attention Providers of MaineCare Benefits Manual (MBM) Section 45, Hospital Services: GME Add-On Amounts by Facility Hospital & Clinic Services
Virtual Forum for Dental Service Providers Dental Services
EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) Application: Revised Phase Out Date Long Term Services and Supports
Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour  Primary Care and Care Coordination
State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs) Long Term Care Services
MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology Not in use, State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 23, Developmental and Behavioral Health Services and Chapter III, Section 23, Allowances for Developmental and Behavioral Evaluation Services Not in use, State & Federal Policy
​MaineCare Residential Substance Use Disorder (SUD) Treatment Providers – Utilization Management (UM) Process Update Behavioral Health (BH)
Attention Providers of Section 17 and Section 92 Services Behavioral Health (BH)
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
Non-Emergent - Emergency Department Claims Not Pricing Correctly Hospital & Clinic Services
State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs) Long Term Care Services
Section 97, Private Non-Medical Institutions (PNMI) Appendix F: Rate Letters for Fiscal Year (FY) 2025, CR 125612 Long Term Care Services
Attention Section 55, Laboratory Services: January 1, 2024, Rate Update, CR 124692 Specialty Services
Maine Breast & Cervical Health Program (MBCHP) Code & Rate Update for Fiscal Year (FY) 2025 General, All Services
Section 50, Intermediate Care Facilities (ICF) Rate Letters for Fiscal Year (FY) 2025 Now Available, CR 125576 Long Term Care Services
Revalidate with MaineCare to Avoid Claim Denials General, All Services
Deadline Extended to Apply to be a Presenter at the 2024 MaineCare Delivery System Reform Forums Behavioral Health (BH), General, All Services, Hospital & Clinic Services, Long Term Services and Supports, Not in use, Primary Care and Care Coordination
Section 45, Hospital Services: Clarifications from June 11, 2024, Public Rate Forum Hospital & Clinic Services
MaineCare Issued Annual Hospital Value-Based Purchasing (VBP) Supplemental Payments and Correction to Previous Results Hospital & Clinic Services
Deadline Extended: Apply to be a Presenter at the 2024 MaineCare Delivery System Reform Forums General, All Services, General Notifications for All Providers
CMV (cytomegalovirus) Toolkit General, All Services
Attention Providers: Changes are Happening on the MaineCare Website General, All Services
Department of Health and Human Services (DHHS) Partner Briefing: MaineCare Unwinding and CoverME.gov Update General, All Services
Section 45, Hospital Service Providers: Draft Rate Determination Public Forum Presented Materials and Comment Deadline Hospital & Clinic Services
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) General, All Services
MaineCare Rate Setting and Reform: Did You Know? General, All Services
Apply to Present at the 2024 MaineCare Delivery System Reform Forums Behavioral Health (BH), General, All Services, Hospital & Clinic Services, Long Term Services and Supports, Not in use, Primary Care and Care Coordination
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services