• Read more about EPSDT Coverage for Children’s Residential Care Facility Level of Care​

In certain exceptional and high-risk situations for youth under the age of 21, the Office of MaineCare Services (OMS) will approve a MaineCare member’s clinical eligibility for services in a Children’s Residential Care Facility (CRCF) under the Early Periodic Screening Diagnostic and Treatment (EPSDT) benefit, MaineCare Benefits Manual (MBM) Chapter II, Section 94, without requiring an attempt to use a lower level of care. 

• Read more about Reminder for Providers Billing on UB-04 and 837I Claims, CR 107682

Effective June 30, 2022, UB-04 and 837I claims submitted without an attending provider will be denied.

• Read more about Electronic Visit Verification (EVV) Web Browser Notice

Effective Monday, July, 18, 2022, Sandata will update their web browser security requirements. Users accessing the Sandata EVV and Aggregator portal on or after July 18^th must use up-to-date web browsers to access these tools.

• Read more about CORRECTION: COVID-19 Vaccine Counseling Under the American Rescue Plan, CR 109388 – PLEASE HOLD ON SUBMITTING CODES

This is a follow-up to the message we sent on June 13, 2022. Please hold on submitting claims for COVID-19 vaccine counseling until further notice. 

• Read more about MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the propose

• Read more about MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 21, Allowances for Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the propose

• Read more about COVID Vaccine Counseling Under the American Rescue Plan, CR 109388

Retroactive to the effective date of April 1, 2021, COVID-19 vaccine counseling is now a MaineCare-covered service for providers of MaineCare Benefits Manual Sections 3, 7, 14, 40, 45, and 90.  

• Read more about COVID Vaccine Counseling Under the American Rescue Plan, CR 109388 

Retroactive to the effective date of April 1, 2021, COVID-19 vaccine counseling is now a MaineCare-covered service for providers of MaineCare Benefits Manual Sections 3, 7, 14, 40, 45, and 90.  

• 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 MaineCare Cost-of-Living Adjustments (COLA) and Medicare Standardization Adjustments: Corrected Link and Fee Schedules Update 

This is a follow-up to the message we sent on June 3, 2022. Under Section 90, we published a link to the Usual and Customary Rate (UCR), while we should have linked to the Section 90 fee schedule. Please see the corrected link below.