• Read more about ​Attention Section 5, Ambulance Service Providers: 2024 Rate Updat

Effective January 1, 2024, MaineCare Benefits Manual, Section 5, Ambulance Service rates have been updated in MIHMS to reflect 100% of the most current Maine Medicare area 99 urban, rural, or super rural rate.

• Read more about ​Attention Providers of Sections 2, 13, 17, 26, 28, 65 and 92: Cost of Living Adjustment (COLA) Billing Guidance

MaineCare is providing the following billing guidance for sections that are eligible to receive a COLA but for which appropriations are pending. Please see our earlier December 1, 2023 notice for more details.  

• Read more about Certified Community Behavioral Health Clinic (CCBHC) Readiness Assessment - Initial Cohort Due Date of January 19, 2024

A goal of the Department of Health and Human Services (DHHS) is to identify a Maine model for CCBHC, reflecting the Department’s commitment to improving health care access and outcomes for people living in Maine, demonstrating cost-effective use of resources, and creating an environment where providers can innovate to deliver high-value care.

• Read more about Revalidate with MaineCare to Avoid Claim Denials

Per the Affordable Care Act (ACA), Section 6401, Durable Medical Equipment (DME) providers are required to revalidate your information with MaineCare every three years. The current round of revalidation began in January 2022.  

• Read more about Attention MaineCare Section 67, Nursing Facilities (NFs): Extraordinary Circumstance Allowance (ECA) Payments Have Been Released

As noted in today’s press release from the Department, this message is to inform you that the Department has issued supplemental payments to Nursing Facilities (NFs) that qualify for an Extraordinary Circumstances Allowance (ECA), as authorized by P.L. 2023, Ch. 412, Part NNNNN.

• Read more about DHHS Issues $19 Million to Maine Nursing Facilities

Payments to approximately 80 facilities to support direct care staff

AUGUSTA— The Maine Department of Health and Human Services (DHHS) announced today that it has issued $19 million in one-time Medicaid (MaineCare) payments to Maine nursing facilities to support their continued recovery from the pandemic, particularly for direct care staff who tend to the health and wellbeing of residents.

• Read more about Electronic Visit Verification (EVV) Phase 2 Trainings

The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.

We continue to offer weekly provider and aggregator trainings. All trainings are online via Microsoft Teams.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings more than once.

EVV Training Schedule

• Read more about Non-Billing, Ordering, Prescribing, and Referring (NOPR) Edits Changing from Warn to Deny – CR 121469

Billing providers must include the National Provider Identifier (NPI) of an enrolled MaineCare practitioner who is ordering, prescribing, or referring on their claims to receive reimbursement for the categories of services listed below. These practitioners are known as NOPRs and must enroll in MaineCare independently or as part of an organization. 

This requirement is for all prescription claims (including Point of Sale claims) as well as claims for the following: 

• Read more about Early Childhood Educator Workforce Salary Supplement System Rules FAQs

Maine’s Department of Health and Human Services (DHHS) Office of Child and Family Services (OCFS) Early Childhood Educator Workforce Salary Supplement System Rules went into effect on December 1, 2023. The following Frequently Asked Questions (FAQ) will be helpful in the understanding the changes made to the Registration Portal and processes based on the new rule.

• Read more about Attention Providers of Section 45 Hospital Services: Draft Rate Model Presented Materials

As previously shared in our June 2023 bulletin, the Department has initiated a rate determination process for Hospital Services in accordance with Title 22, §3173-J.