• Read more about MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder 

Notice of Agency Waiver Amendment

AGENCY:  Department of Health and Human Services, MaineCare Services

RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder. 

WAIVER: ME.0159, Intellectual Disabilities or Autism Spectrum Disorder Waiver

• Read more about MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury

Notice of Agency Waiver Amendment

AGENCY:  Department of Health and Human Services, MaineCare Services

RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury

WAIVER: ME.1082, Home and Community Based Services for Members with Brain Injury Waiver

• Read more about MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder

Notice of Agency Waiver Amendment

AGENCY:  Department of Health and Human Services, MaineCare Services

RULE TITLE OR SUBJECT: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder

WAIVER: ME.0467, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver

• Read more about Maine Department of Health and Human Services Issues $30 Million to Maine Nursing Facilities

Payments will help facilities address rising costs and workforce challenges

AUGUSTA – The Maine Department of Health and Human Services (DHHS) announced today that it has issued $30 million in one-time Medicaid (MaineCare) payments to Maine nursing facilities to help them address unforeseen increases in staffing and other operating expenses in the wake of the pandemic.

• Read more about 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).

• Read more about MaineCare Communications Materials Library

The materials on this page were developed by the Office of MaineCare Services for anyone who wishes to give out information about MaineCare. Materials may be downloaded and many are available in several languages. If you have any questions, please reach out to the MaineCare Communications Team at Communications.MaineCare@maine.gov.

• Read more about Revalidate with MaineCare to Avoid Claim Denials

Per the Affordable Care Act (ACA), Section 6401, all providers need to revalidate with all states they are enrolled with.

Durable Medical Equipment (DME) providers are required to revalidate their information with MaineCare every three years. The current round of revalidation began in January 2022.  

• Read more about Taxonomy Code Requested on Claim Submissions – Portal Claims

The Office of MaineCare Services (OMS) is requesting that providers include the taxonomy code on all claims. The taxonomy code is necessary for the Centers for Medicaid and Medicare Services (CMS) to collect data for Transformed Medicaid Statistical Information System (T-MSIS) reporting. This data helps to inform states of their current standing in data quality as compared to other states and is crucial for research and policy on Medicaid and CHIP. The taxonomy is also used by  CMS to conduct program oversight, administration, and integrity.  

• Read more about Service Provider Tax (SPT) Repeal: Affected Service Codes and Frequently Asked Questions (FAQ)

As previously announced, and in alignment with the SPT repeal enacted in P.L. 2023, Chapter 412, Part XXX, (PDF), the Department will remove all documented add-on amounts associated with the service provider tax for MaineCare reimbursements, effective January 1, 2025.   

• Read more about MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 20, Home and Community Based Services for Adults with Other Related Conditions

Notice of Agency Waiver Amendment

AGENCY:  Department of Health and Human Services, MaineCare Services

RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 20, Home and Community Based Services for Adults with Other Related Conditions

WAIVER:  ME.0995: Home and Community Based Services for Adults with Other Related Conditions