OMS Provider Bulletins

Date Title Topic
Apply to Exhibit at the 2026 MaineCare Provider Conference Behavioral Health (BH), Hospital & Clinic Services, Long Term Services and Supports
Sections 14, 30, 31, 45, 90 & 103: Certain Medicare Covered Family Planning & Long-Acting Reversible Contraceptives (LARC), Rate Update Hospital & Clinic Services, Primary Care and Care Coordination
Section 97 Appendix C Residential Care Facilities (RCFs): New Rates Effective July 1, 2026 Long Term Care Services
Attention Trading Partners: What You Need to Know and Do Before MaineCare’s New Online Portal General, All Services
Updated Breast and Cervical Codes & Rates General, All Services, Hospital & Clinic Services
Binaural Hearing Aid Billing and Prior Authorization (PA) Form Now Available for Hearing Aid Providers Specialty Services
Maine Center for Disease Control and Prevention (CDC) is expanding Maine’s Universal Immunization Program General, All Services
New Modifier for Section 65 Outpatient Services for Individuals who are Deaf in Office Settin Behavioral Health (BH)
Sections 19, 20, 21, 40, 96, and 102- Clinical and Clinical Therapy Services: Recommended Draft Rates, Presented Materials, and Comment Deadline Long Term Services and Supports
Apply to Exhibit at the 2026 MaineCare Provider Conference General, All Services, Primary Care and Care Coordination, Specialty Services
Billing Guidance for Comprehensive Assessments Behavioral Health (BH)
Sections 12, 18, 19, 20, 29, and 96 - Care Coordination, Personal Support and Support Skills Building Services: Recommended Draft Rates, Presented Materials, and Comment Deadline Long Term Services and Supports
Section 55, Laboratory Services: Kickoff & Draft Rates Forum, Presented Materials, and Comment Deadline Specialty Services
Change of Non-Emergency Transportation (NET) Broker in the Mid-coast Maine Region General, All Services, Hospital & Clinic Services, Primary Care and Care Coordination
Three Days Left to Apply to be a Presenter at the First MaineCare Provider Conference Dental Services, Hospital & Clinic Services, Specialty Services
Plans to Release Payments Pended During Temporary 2026 MaineCare Payment Holds Critical Communications
Revalidate with MaineCare to Avoid Claim Denials General, All Services
Binaural Hearing Aid Billing and Prior Authorization (PA) Guidance Update for Hearing Aid Providers Specialty Services
Four Day Left to Apply to be a Presenter at the First MaineCare Provider Conference Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
New Modifier for Section 65 Outpatient Services for Individuals Who are Deaf in Office Setting Behavioral Health (BH)
Binaural Hearing Aid Billing and Prior Authorization (PA) Guidance Update for Hearing Aid Providers Specialty Services
Quarter One Physician Drug Retroactive 2025-2026 Rate Update, CR 140104 Hospital & Clinic Services
Important Reminder for MaineCare Benefits Manual (MBM), Chapter II, Section 46: Psychiatric Hospitals on Observation Stays Claims Adjustments Hospital & Clinic Services
MaineCare Issued Annual Hospital Value-Based Purchasing (VBP) Supplemental Payments Hospital & Clinic Services
Attention Trading Partners: What You Need to Know and Do Before MaineCare’s New Online Portal General, All Services
Reminder: Primary Care Plus (PCPlus) Quality Webinar: Developmental Screening Primary Care and Care Coordination
Section 92, Behavioral Health Home Services - Guidance on In-Person Contact Requirements Behavioral Health (BH)
Survey Deadline Extension: School Health-Related Services Rate Determination School Health Related Services
Section 67, Nursing Facilities (NF) – Revised Rates Implemented Effective January 1, 2026, CR-140499 Long Term Care Services
Section 55, Laboratory Services: Kickoff & Draft Rates Public Review & Comment Specialty Services
Community Health Worker (CHW) Certification update for Primary Care Plus Practices (PCPlus) Primary Care and Care Coordination
Provider Update: Federally Required MaineCare Off-Cycle Provider Revalidation Plan Critical Communications
Primary Care Plus (PCPlus) Quality Webinar: Developmental Screening Primary Care and Care Coordination
Reminder: Apply to be a Presenter at the first MaineCare Provider Conference Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
Disclosures of Organizational Change Reminder General, All Services
School Health-Related Services, June 4, 2026, Kickoff Meeting Presented Materials and Survey School Health Related Services
Apply to be a Presenter at the first MaineCare Provider Conference Dental Services, Hospital & Clinic Services, School Health Related Services
CORRECTION: School Health-Related Services, June 4, Kickoff Meeting and Survey Overview  School Health Related Services
Microdyn Update for Ambulatory Payment Classification (APC) and Diagnostic Related Group (DRG) – CRs 139419, 139806, 139807, & 139840 Hospital & Clinic Services
Section 55, Laboratory Services - Rate Update for Select Codes CR-140135 Specialty Services
Section 97, Private Non-Medical Institutions (PNMI), Appendix B and D: MaineCare Cost of Living Adjustments (COLAs) Behavioral Health (BH)
Attention Trading Partners: What You Need to Know and Do Before MaineCare’s New Online Portal General, All Services
Functional Family Therapy (FFT) and Multisystemic Therapy (MST) Therapist Qualification Exception School Health-Related Services, Kickoff Meeting Presented Materials and Survey School Health Related Services
TITLE CORRECTION: School Health-Related Services, Kickoff Meeting Presented Materials and Survey School Health Related Services
Section 80, Pharmacy Dispensing Fee: Draft Rates Presented Materials and Comment Deadline Retail Pharmacies
Functional Family Therapy (FFT) and Multisystemic Therapy (MST) Therapist Qualification Exception Behavioral Health (BH)
RESCHEDULED: Home and Community Based Service (HCBS) Providers of Clinical, Clinical Therapy, Care Coordination, Supportive Skills Building, Therapeutic Interventions, Assistive Technology & Personal Support Services: Draft Rates Public Review & Comment Long Term Services and Supports
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Apply to be a Presenter at the First MaineCare Provider Conference Primary Care and Care Coordination, Specialty Services
MaineCare Provider Training Opportunities General, All Services