• Read more about MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities

• Read more about Home and Community Based Supports (HCBS) Sections 18, 20, 21, 29, and New Lifespan Waiver: Presented Materials and Comment Deadline

On April 14, 2025, the Department with its vendor, Burns and Associates, which is a division of Health Management Associates (HMA-Burns), held an online public meeting to present the recommended draft rates and rate models in addition to rationale for Sections 18, 20, 21, 29, and the new Lifespan waiver.  

The following presented materials are available on the *HMA-Burns webpage: 

• Recording of April 14, 2025, Public Forum 

• Read more about Critical Communications: A New E-message Topic List

A new e-message list for critical information

MaineCare created a new e-message topic list called MaineCare - Critical Communications. We will utilize this list solely to share information when circumstances disrupt provider operations. Since you are already subscribed to at least one topic, we will upload your email address and add it to this new listserv option.

Examples of critical information we will send via the new critical topic list include, but are not limited to:

• Read more about Attention Primary Care Plus (PCPlus) Practices: PCPlus Application and Recertification Opening – Required for all PCPlus Practices

We are pleased to announce that the PCPlus application period is now open! The application is open until Friday, May 2, 2025. 

PCPlus is a MaineCare primary care model that gives Primary Care Providers (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes. Participation in PCPlus is voluntary for PCPs, and PCPs must apply to participate.    

Two Types of PCPlus Aplications   

• Read more about Maine CDC Offers Tips for Staying Safe While Traveling

AUGUSTA-- The Maine Center for Disease Control and Prevention (Maine CDC) is encouraging Maine residents to stay safe while traveling this spring. Travel and vacations can promote physical and mental well-being. That said, with school and other spring vacations occurring amid ongoing outbreaks of measles in the U.S., and mosquito-borne diseases like dengue in the Caribbean, and in Central and South America, travelers should plan ahead and take steps to stay healthy, whether traveling in the U.S. or abroad.

• Read more about SNAP E&T Rule #8 - Provider Determination

10-144 C.M.R. Chapter 609; Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) Rules

SNAP E&T Rule #8 – Provider Determination

• Read more about SNAP Rule #227A - Noncitizen Language

10-144 C.M.R. Ch. 301; SUPPLEMENTAL NUTRITION ASSISTANCE Program (SNAP) RULES

ALPHA INDEX, TABLE OF CONTENTS, SECTIONS 1, 111-2, 222-5, 222-6,

444-1, 444-4, 444-8, 555-3, and 999-1

SNAP RULE #227A – NON CITIZEN LANGUAGE

• Read more about Provider Bulletins by Topic

• Read more about MaineCare Provider Training Opportunities

Health PAS Online Portal Training

Gainwell Technologies continues to offer weekly training through Microsoft Teams on the following Health PAS Online Portal topics:

• Read more about Section 30, Family Planning, Updated Base Rates and Resulting Final Rates - CR 130980

Effective January 1, 2025, MaineCare updated the base rates and resulting final rates for certain Family Planning Services delivered by eligible providers. These new rates were implemented for billing on April 2, 2025.

Only providers engaged primarily in the delivery of sexual and reproductive health care services, as described in 42 United States Code, Section 1396d(a)(4)(c), are eligible to bill add-on rates.