Improving Customer Service Efficiency and Accuracy with Customer/Case Authentication for Behavioral Health Providers

Starting September 4, 2025, Acentra Health is implementing an automated caller authentication system to enhance security and improve customer service efficiency.

When contacting Acentra Health, both member and provider callers are prompted to answer various identifying questions to authenticate and connect the caller to the appropriate member or case record.

Examples of authentication prompts:

MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 45, Principles of Reimbursement for Hospital Services

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.

MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 45, Principles of Reimbursement for Hospital Services 

Notice of Agency Rule-making Adoption

AGENCY: Department of Health and Human Services, Office of MaineCare Services

CHAPTER NUMBER AND TITLE:

10-144 C.M.R. Ch. 101, MaineCare Benefits Manual, Chapter III, Section 45, Principles of Reimbursement for Hospital Services:  EMERGENCY RULE

ADOPTED RULE NUMBER:

Findings of Emergency:

Home and Community Based Supports (HCBS) Sections 18, 20, 21, 29, and New Lifespan Waiver: Review of Final Draft Rates & Models

On September 11, 2025, the Department will present updates to the previously proposed final draft rates and models for Sections 18, 20, 21, 29, and the New Lifespan Waiver. The updates follow comments received from the public on the draft rates and models presented on April 14, 2025. 

Maine CDC Publishes PFAS Modeling Tool to Help Farmers Reduce Contamination in Meat

Aug 8, 2025

The Maine Center for Disease Control and Prevention (Maine CDC), in collaboration with scientists from Maine's Department of Agriculture, Conservation and Forestry and the Environment Protection Authority Victoria (EPA Victoria) in Australia recently published a scientific article in Toxics about per- and polyfluoroalkyl substances (PFAS). This study advances the ability to predict the transfer of PFAS from soil to livestock feed and then to beef cattle.

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).

Provider Responsibility for Managing Users in my Health PAS Trading Partner Accounts (TPA)

It is important for your TPA administrator to actively manage your user accounts for the Health PAS Online Portal. To manage users, log into the administrator TPA and click on “Account Maintenance” and then “Manage Users.” Edit existing, deactivated or reactivated users by clicking on the row of the user you would like to manage. The Administrator of the account and users with a security role of “R7-User Management” are allowed to use these features. 

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