No Prior Authorization (PA) Needed for Insulin Used During Pregnancy
Effective February 21, 2022, no PA is needed for insulin used during pregnancy.
MaineCare will reimburse for Humulin and Novolin Neutral Protamine Hagedorn (NPH) insulin for pregnant patients without a PA when pregnancy is indicated on the prescription.
If you receive a denial of a prescription for Humulin or Novolin NPH insulin for prior authorization and pregnancy is indicated on the prescription, please contact the Change Healthcare Pharmacy Helpdesk at 1-888-420-9711 for a pregnancy override.
No Prior Authorization (PA) Needed for Insulin Used During Pregnancy
Effective February 21, 2022, no PA is needed for insulin used during pregnancy.
MaineCare will reimburse for Humulin and Novolin Neutral Protamine Hagedorn (NPH) insulin for pregnant patients without a PA when pregnancy is indicated on the prescription.
If you prescribe Humulin or Novolin NHP insulin to a patient who is pregnant, and the pharmacy refuses to fill the prescription or says that a PA is required, please call the Change Healthcare Provider Helpdesk at 1-888-420-9711.
No Prior Authorization (PA) Needed for Insulin Used During Pregnancy
Effective February 21, 2022, no PA is needed for insulin used during pregnancy.
Alert samples
Info alert
The PI Program has ended
The information below is archived information about the program.
Warning alert
The PI Program has ended
The information below is archived information about the program.
Electronic Visit Verification (EVV) Frequently Asked Questions (FAQs)
We have updated the EVV FAQs with a new question.
Electronic Visit Verification (EVV) Frequently Asked Questions (FAQs)
We have updated the EVV FAQs with a new question.
Rate Updates
Rate Update for 2022 Ambulatory Surgical Centers (ASC) Rates, CR 107519
System Maintenance from April 9, 2022 to April 10, 2022
MIHMS and the Health PAS Online Portal will be unavailable from 12:00 pm on Saturday, April 9, 2022 to 12:00 pm Sunday, April 10, 2022 for scheduled system maintenance and upgrades.
MaineCare Updated COVID-19 Vaccine Administration Rate, CR 107185
On February 17, 2022, the Office of MaineCare Services (OMS) updated the COVID-19 vaccine administration reimbursement rate retroactively to January 1, 2022 in accordance with the update to 100% of the Medicare regional rate for Maine, as previously announced.