OMS Provider Bulletins

Date Title Topic
MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapter II, Section 97 State & Federal Policy
MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapters II and III, Section 28 State & Federal Policy
MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapters II and III, Section 13 State & Federal Policy
Single Assessment Launch on Feb. 2 - Referral Link for Non-BH Providers Behavioral Health (BH), General, All Services, Hospital & Clinic Services
Section 60, Durable Medical Equipment (DME) and Supplies: Annual Rate Adjustment - CR 137488 Specialty Services
Coverage Clarification for Pyzchiva General, All Services
MaineCare Notice of Agency Rule-making Emergency Adoption, MaineCare Benefits Manual, Chapter II, Section 92, Behavioral Health Home Services and Chapter III, Section 92, Principles of Reimbursement for Behavioral Health Home Services State & Federal Policy
MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter II, Section 13 State & Federal Policy
MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter II, Section 97, Private Non-Medical Institution Services State & Federal Policy
MaineCare Notice of Agency Emergency Rulemaking Adoption: MaineCare Benefits Manual, Chapter II, Section 65 and Repeal: Chapter III, Section 65 State & Federal Policy
MaineCare Notice of Agency Emergency Rule-making Adoption: Chapter II, Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations State & Federal Policy
MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter I, Section 7, Children’s Behavioral Health Services Global Rule State & Federal Policy
Telehealth Service Reminder General, All Services
Section 43, Hospice Services: Rate Determination Kickoff & Draft Rates Public Review and Comment Long Term Services and Supports
Section 50, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Rate Letters for Calendar Year (CY) 2026 Long Term Care Services
Maine CDC Children & Youth with Special Health Care Needs Webinar Behavioral Health (BH)
Important Reminder About Accessing Maine DHHS Services Critical Communications
Final Rate Determination Schedule for Calendar Year 2026 (CY26) and Comment Summary General, All Services
Maine CDC Children & Youth with Special Health Care Needs Webinar Behavioral Health (BH)
Reminder – Primary Care Plus (PCPlus) Open Office Hour for PCPlus Practices Primary Care and Care Coordination
Section 65 Cost-of-Living Adjustments: Rates Corrected & Implemented Behavioral Health (BH)
Section 67, Nursing Facility (NF) - Quality Bonus Pool (QBP) Payments Long Term Care Services
Updated MaineCare Orthodontia Pro-Rate Request Form Dental Services
Revalidate with MaineCare to Avoid Claim Denials General, All Services
CORRECTION to Section 65 Rates for January 1, 2026 Behavioral Health (BH)
CORRECTION to Section 67, Nursing Facility (NF) Rate Letters Published on December 31, 2025 Long Term Care Services
Updated MaineCare Orthodontia Pro-Rate Request Form Dental Services
Section 97, Appendix C, Residential Care Facilities (RCFs) Cost-of-Living Adjustments (COLAs) & Rate Letters Long Term Care Services
Section 103: Rural Health Center (RHC) Calendar Year 2026 (CY26) Rate Update Primary Care and Care Coordination
Section 67, Nursing Facilities (NFs) Cost-of-Living Adjustments (COLAs) & Rate Letters Long Term Care Services
Microdyn Update for Ambulatory Payment Classification (APC) and Diagnostic Related Groups (DRG) – CRs 135015, 135189, 135705, 135712 Hospital & Clinic Services
Children’s Single Assessment Referral Training for Pediatricians, Family Medicine Providers, and Emergency Department (ED) Providers Behavioral Health (BH)
Rate Determination Initiation Notice for Section 43, Hospice Services Long Term Services and Supports
Rate Determination Initiation Notice for Doula Services Hospital & Clinic Services, Primary Care and Care Coordination
Medicare Standardization Rate Updates for Calendar Year 2026 (CY26) General, All Services
Children’s Single Assessment Referral Training for Behavioral Health Home (BHH) and Targeted Case Management (TCM) Care Coordinators Behavioral Health (BH)
Retroactive Rate Update: Section 65, Opioid Treatment Program (OTP) Services, CR 136636 Behavioral Health (BH)
Medicare Standardization Rate Updates for Calendar Year 2025 (CY25) General, All Services
Section 60, Durable Medical Equipment (DME) and Supplies: Annual Rate Adjustment Specialty Services
Section 5, Ambulance Services: January 1, 2026, Rate Update – CR 136854 Specialty Services
Section 4, Ambulatory Surgical Center (ASC): Annual Rate Adjustment Hospital & Clinic Services
Attention Section 60 and Section 109 Hearing Aid Providers: Binaural Hearing Billing and Prior Authorization (PA) Guidance Update Specialty Services
Disclosures of Organizational Change Reminder General, All Services
Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 General, All Services
Updated Guidance: Provider Responsibility Regarding Third Party Liability and Secondary Billing General, All Services
Follow up Training Requirements for Children’s Behavioral Health Homes (BHHs) Coordinators and Children’s Targeted Case Managers Behavioral Health (BH)
Updated Shell Case Guidance for Behavioral Health Providers Behavioral Health (BH)
Application Fee for 2026 Reminder, CR 136579 General, All Services
Section 90, Physicians Quarter 4 (QTR 4) Drug Rate Update, CR 136143 Hospital & Clinic Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 66, Crisis Services State & Federal Policy