The Office of MaineCare Services (OMS) always looks for new ways to improve how we do our work and creatively address new challenges and opportunities that arise in Maine. Learn more about some of our time-limited projects or initiatives.
OMS continues to track the impacts of the COVID-19 pandemic and is providing ongoing guidance to our members, providers, and uninsured individuals (translated documents are available).
MaineCare rules have changed, and there are free and low-cost health coverage options for more people in Maine. See the MaineCare Expansion webpage for additional information. Visit CoverME.gov to learn more about applying.
MaineMOM - Maternal Opioid Misuse Initiative
The MOM model aims to improve care for pregnant and postpartum women with Opioid Use Disorder (OUD) and their infants.
SUPPORT for ME
Maine was awarded $2.1 million from the federal SUPPORT Act Grant (Support for ME). The key goals of the 18-month grant are to enhance Maine's response to the opioid crisis through increased access to vital services for substance use disorder, and at the same time contribute to its comprehensive rural health transformation efforts.
Electronic Visit Verification
Maine is currently implementing an Electronic Visit Verification system, which is a Federal requirement for all Personal Care Services (PCS) and Home Health Care Services (HHCS) that require an in-home visit by a provider.
Payment Error Rate Measurement
Maine is currently participating in a PERM audit. All claims from all providers are subject to review. Providers will be contacted by NCI, Inc. (formerly Advance Med, Inc.) if a claim they submitted is under review.
MaineCare Dental Reform
- Draft Billing Guidance (PDF) - updated June 17, 2022
- List of Comprehensive Adult Dental Services (PDF) - June 27, 2022
- MaineCare Dental Metrics (PDF) - Historical Baseline Report
- MaineCare Dental Metrics (PDF) - December 2022
For details about sectionn 25 rate reform, see the Rate Reform webpage.
Medical Supplies and Durable Medical Equipment Rate Reform
For details about section 60 rate reform, see the Rate Reform webpage.