Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team

The Office of MaineCare Services continues a phased recovery following the outage that occurred from February 21, 2024, through March 26, 2024, due to the national cyber security issue affecting Change Healthcare.

Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations

The Office of MaineCare Services continues a phased recovery following the outage that occurred from February 21, 2024, through March 26, 2024, due to the national cyber security issue affecting Change Healthcare.

During the outage, limitations were waived regarding medications that were refilled too soon. On May 1, 2024, Reject–79 Refill Too Soon and Reject-79 Refill Too Soon Carryover were returned to normal functioning.

Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team

The Office of MaineCare Services continues a phased recovery following the outage that occurred from February 21, 2024 through March 26, 2024, due to the national cyber security issue affecting Change Healthcare. 

We are entering the next phase of the recovery and are continuing to restore waived edits.  On May 1, 2024, Reject – 79 Refill Too Soon and Reject-79 Refill Too Soon Carryover were returned to normal functioning.  On July 17, 2024,  Reject-76 Plan Limitations Exceeded, returned to normal functioning.   

Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations

The Office of MaineCare Services continues a phased recovery following the outage that occurred from February 21, 2024, through March 26, 2024, due to the national cyber security issue affecting Change Healthcare.

During the outage, limitations were waived regarding medications that were refilled too soon. On May 1, 2024, Reject–79 Refill Too Soon and Reject-79 Refill Too Soon Carryover were returned to normal functioning.

Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums

Registration is now open for MaineCare's DSR Annual Forums for:

  • Accountable Communities (AC),
  • Behavioral Health Homes (BHH),
  • Community Care Teams (CCT) including Housing Outreach and Member Engagement (HOME) providers,
  • MaineMOM,
  • Opioid Health Homes (OHH), and
  • Primary Care Plus (PCPlus) providers.    

MaineCare is offering two venue/date options this year. Both sessions will run from 9:00 AM to 4:00 PM. 

Auburn   

Virtual Forum for Dental Service Providers Next Week

MaineCare is hosting a dental forum on July 30, 2024, 12:00PM – 1:00PM.       

The first 30 minutes will include updates and clarification from MaineCare about the following topics:   

  • Services covered and underutilized   

  • Claims and billing updates   

  • Who to contact and when 

  • Early and Periodic Screening, Diagnosis, and Treatment services (EPSDT) resources now available     

  • Addressing challenges and barriers to accessing dental services    

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