• Read more about Electronic Visit Verification (EVV) Phase 2 Trainings

The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.

We continue to offer weekly EVV provider and aggregator trainings. All trainings are online via Microsoft Teams.

NOTE: The Absorb training system has been updated to allow providers to register for trainings more than once.

EVV Training Schedule

• Read more about What’s Happening with Housing Webinar: 11:30 AM, Thursday, March 7, 2024

This 30-minute live webinar will cover updates from Maine State Housing Authority and the MaineCare Housing Outreach and Member Engagement (HOME) programs. A recording will be posted on MaineCare’s website. Register for the webinar. We look forward to seeing you there!  

Please contact Emily Bean with questions.

• Read more about EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) App

EVV Providers who are currently using the SMC app through their phone, tablet, or other mobile device should update to the latest version of the app using the Apple Store, or Google Play. The current version of the app is being phased out as of July 1, 2024. To avoid any interruption of visit record keeping, you should now download the app that has a version number of 3.0 or higher. 

Please contact Provider Services with questions:  

• EVV email box  

• 1-866-690-5585, option 3.

• Read more about MaineCare Announces Interim Payments to Local Pharmacies During Vendor Network Disruption

Plans to temporarily pay independent and safety-net pharmacies to support MaineCare members' access to medications in response to Change Healthcare outage

AUGUSTA– The Department of Health and Human Services (DHHS) announced today that it has developed an interim payment system for independent and safety net pharmacies in response to the continued disruption of the pharmacy claims system for MaineCare, Maine’s Medicaid program.

• Read more about Independent and Safety Net Pharmacy Organizations Qualifying for MaineCare Interim Payment

The Department of Health and Human Services (DHHS) will be issuing interim payments for independent and safety net pharmacies in response to the continued disruption of MaineCare’s pharmacy claims due to the cybersecurity issue affecting Change Healthcare. For previous communications about this issue, see the February 27, 2024 e-message here. 

• Read more about Attention Pharmacy Providers: MaineCare Weekend Support on March 2 & 3, 2024

This notice is to alert you that MaineCare will be providing support to help pharmacy providers verify member eligibility over the weekend on March 2 and 3, 2024. You can call Gainwell Provider Services’ Interactive Voice Response (IVR) phone line to verify member eligibility for pharmacy claims.

• Read more about Call the Interactive Voice Response (IVR) to Verify Eligibility  

You can call Gainwell Provider Services’ Interactive Voice Response (IVR) phone line to verify member eligibility for pharmacy claims. You will need your pharmacy’s National Provider Identify (NPI) and the member’s MaineCare ID number. Call 1-866-690-5585 and press or say the number 1. The automated system will prompt you through the call. The system will respond best when responses are keyed into the keypad instead of announced verbally. 

 Instructions 

1. Call 1-866-690-5585. 

2. Select or say 1. 

• Read more about MaineCare Provider Enrollment Progress Update

Gainwell continues to reduce the number of open cases and the time it takes to complete their steps within the enrollment process. Gainwell completed 711 enrollment cases in February and the average turnaround time for case completion was 31.3 days. Case inventory decreased to 537 by the end of February and the average system age of the case in inventory is approximately 20 days old.

• Read more about Attention Providers: Submit Documentation Electronically to Avoid Delays - Clarification*

*Please note bolded text below for clarification of our previous message.  

• Read more about Attention Pharmacy Providers: MaineCare Pharmacy Service Disruption Update Call February 29, 2024

The Office of MaineCare Services is inviting you to join a Zoom webinar today, February 29, 2024. We will use this time is to review current guidance and as an opportunity for sharing questions and concerns with the State. Please register in advance.  

When: Feb 29, 2024 01:00 PM Eastern Time (US and Canada)