• Read more about Application Fee for 2022 Reminder, CR 114074

Effective January 1, 2023, in accordance with the Centers for Medicare & Medicaid Services (CMS) application fee requirements, MaineCare’s provider enrollment application fee will increase to $688 per enrollment application. This increase will apply to new, reactivating, or revalidating providers, or when adding new service locations to an existing enrollment. You can pay the application fee by credit or debit card at the time of application submission.     

• Read more about Attention Section 97, Appendix D Children’s Residential Care Facility Providers - Supplemental Payment Information

Per PL 2021, ch. 635, Sec.

• Read more about Attention Section 67, Nursing Facility Maine Veterans Home Providers - Supplemental Payment Information

Per PL 2021, ch.

• Read more about Section 30, Family Planning Services – Reimbursement Model and Rate Study Kickoff Meeting

As previously shared in our November 17, 2022, bulletin, the Department initiated a rate determination for Section 30, Family Planning Services. As a result of that process, we are now conducting a rate study.  

• Read more about MaineCare Rate System Reform

Our Goal

To provide a clear and transparent process for MaineCare rate determinations, with opportunities for robust participation from all interested stakeholders. 

We will be updating this page with important dates and progress made on past, current, and future rate determination work. Please check in often, as this site is a work in progress. 

• Read more about (Corrected Effective Date) Pfizer and Moderna COVID-19 Bivalent Vaccine Authorized for use in individuals aged Six Months to Five Years

This message corrects an earlier message that listed an incorrect to the effective date in the table. All correct dates are now listed. 

• Read more about Rate Determination Initiation Notice: National Diabetes Prevention Program 

This bulletin provides notice that the Department initiated a Rate Determination Process* for the National Diabetes Prevention Program (NDPP) in the Spring of 2022, prior to P.L. 2021 Ch. 639 becoming effective. This is a new service that is under development, with the service’s placement within the appropriate section of the MaineCare Benefits Manual still to be determined. The Department will conduct this determination. This initiative is pursuant to P.L. 2021, Ch. 398, Sec.

• Read more about Pfizer and Moderna COVID-19 Bivalent Vaccine Authorized for use in individuals aged Six Months to Five Years

In a December 8, 2022, announcement, the Food and Drug Administration (FDA) issued Emergency Use Authorization (EUA) for the use of Bivalent COVID-19 Vaccines from Pfizer BioN-Tech to be used as the third dose of the

• Read more about Home Health and Hospice Providers: Deadline for Electronic Visit Verification (EVV) Implementation is January 1, 2023

Federal Deadlines     

The federal deadline to implement the EVV requirement for providers delivering Home Health services under Section 40 and Hospice Services under Section 43 is January 1, 2023.     

Resources     

• Read more about Clone of Division of Licensing and Certification

The Division of Licensing & Certification (DLC) provides regulatory oversight of medical and long-term care facilities in Maine. This includes oversight of the CNA registry, criminal background checks for employers to ensure staff are safe to care for our vulnerable citizens, and investigations into allegations of unsafe practices/events in facilities as diverse as hospitals, nursing homes, assisted living facilities, and group homes.