MaineCare Cost-of-Living Adjustments
MaineCare is increasing reimbursement rates for certain services through a cost-of-living adjustment (COLA) as directed by Maine PL 2021, ch 635, Part A.
Please Hold Claims for Pfizer Pediatric COVID-19 Booster Vaccine Administration Services
Effective May 17, 2022, the United States Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for the Pfizer pediatric COVID-19 vaccine booster for children ages five to eleven years old.
Please Hold Claims for Pfizer Pediatric COVID-19 Booster Vaccine Administration Services
Effective May 17, 2022, the United States Food and Drug Administration (FDA) issued an Emergency Use Authorization (EUA) for the Pfizer pediatric COVID-19 vaccine booster for children ages five to eleven years old.
Re-entry Update #4
May 31, 2022
Good Morning,
In addition to being the unofficial start to summer, today is the beginning of the next phase of the Maine Department of Health and Human Services (DHHS) Re-Entry (see our DHHS Calendar of Important Dates).
Claim Denials for No Attending Provider on UB-04 and 837I Claims Reminder, CR 107682
- Read more about Claim Denials for No Attending Provider on UB-04 and 837I Claims Reminder, CR 107682
Effective June 30, 2022, UB-04 and 837I claims submitted without an attending provider will deny.
Secure Fax Number Required for Provider Enrollment Process CR 102235
In an effort to maintain more accurate data in the MIHMS system, provider enrollment is now requiring you to enter a Secure Fax number for each service location during any new, revalidating, or reactivating enrollment case. Prescribing providers are strongly encouraged to open a maintenance case to add a Secure Fax number prior to their revalidation.
MaineCare Updated COVID-19 Vaccine Coverage, CR 109200
On March 29, 2022, the Office of MaineCare Services (OMS) updated COVID-19 vaccine product and administration coverage by adding codes 91309 and 0094A for Moderna COVID-19 vaccine boosters for ages 18 and up in bold in the following table:
COVID-19 Vaccine and Therapies Webinars for Clinicians
The Maine Center for Disease Control and Prevention (Maine CDC) offers monthly webinars titled COVID-19 vaccines and therapies. The sessions are offered the second Tuesday of the month at noon. The next session is June 14, 2022.
Enteral Nutrition and Supply Codes Have been Added to the Diabetic Supply Service Group, CR 107707
Enteral nutrition and supply codes that were submitted with overlapping dates, paid by Medicare, and crossed over to MaineCare in the Medicare claim file were denying as duplicates. We have corrected this issue by adding the codes to the Diabetic Supply Service Group. We will adjust affected claims, and no provider action is necessary.
Attention Children’s Services Providers: COVID-19 Provider Survey
The Maine Pediatric & Behavioral Health Partnership (MPBHP) is looking for your feedback regarding how the Covid-19 pandemic has affected your practice with children and adolescents. If you provide care to this age group, please consider completing this four-question survey. The survey will help us better understand the impact of COVID-19 on providers.