Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840

This is a reminder that the attending provider is required on all UB-04 and 837I claims. MaineCare denies UB-04 and 837I claims submitted without an enrolled attending provider.

The attending provider is the individual who has overall responsibility for the patient’s medical care and treatment reported in the claim/encounter. The attending provider requirement includes all claim submission methods (paper, HealthPAS Online Portal, or 837I).

Maine CDC Announces Another Four Measles Cases; No New Exposure Locations Identified

AUGUSTA-- The Maine Department of Health and Human Services' Center for Disease Control and Prevention (Maine CDC) is announcing that four additional cases of measles have been confirmed in Maine. That brings the current total number of lab-confirmed cases in Maine to five, though there are no new exposure locations associated with these diagnoses and no new exposure risks for the public.

Section 43, Hospice Services: Kickoff & Draft Rates Forum, Presented Materials and Comment Deadline

On February 12, 2026, the Office of MaineCare Services (OMS) held a virtual public kickoff meeting for interested parties of hospice services. At this meeting, MaineCare reviewed project goals, a timeline for the *rate determination process, and presented draft rates with rationale and policy revisions under consideration for public comment.

Hospital Days Awaiting Placement (DAP) Budget Reached for State Fiscal Year (SFY) 2025

Pursuant to MaineCare Benefits Manual (MBM), Chapter III, Section 45, the annual maximum amount per SFY that the Department will reimburse in-state acute and critical access hospitals for DAP claims is capped at $1,500,000 (see MBM section 45.02-8). The cap has now been reached for SFY 2025 (July 1, 2024, through June 30, 2025) and no additional payments will be made for DAP claims with Dates of Service (DOS) from July 1, 2024, through June 30, 2025.

Subscribe to