• Read more about Reminder: Primary Care Plus (PCPlus) Providers - Screening, Brief Intervention and Referral to Treatment (SBIRT) Peer Sharing Webinar

MaineCare, in collaboration with the Maine Substance Use Disorder (SUD) Learning Community and Co-Occurring Collaborative Serving Maine (CCSME), is hosting a SBIRT Peer Sharing webinar for our Primary Care Plus (PCPlus) providers. This webinar is facilitated by Eric Haram, LADC, faculty from the ME SUD Learning Community. This is an opportunity for PCPlus providers to: 

• Read more about Attention Section 30, Family Planning Service Providers: Medicare Benchmark Adjustments for January 1, 2023

Effective January 1, 2023, the Department updated reimbursement rates for certain Medicare covered codes and services for section 30, Family Planning services.

• Read more about Add-on Rates for Providers Predominantly Delivering Family Planning Services

Effective July 1, 2022, the Department has implemented new add-on rates in MIHMS for certain Family Planning Services delivered by eligible providers, per Maine P.L. 2021, ch. 738 An Act To Protect the Reproductive Rights and Freedoms of Maine People. In alignment with this statute, only providers engaged primarily in the delivery of sexual and reproductive health care services, as described in 42 United States Code, Section 1396d(a)(4)(C) are eligible to bill for these add-on rates.  

• Read more about Primary Care Plus (PCPlus) Providers - Screening, Brief Intervention and Referral to Treatment (SBIRT) Peer Sharing Webinar

MaineCare, in collaboration with the Maine Substance Use Disorder (SUD) Learning Community and Co-Occurring Collaborative Serving Maine (CCSME), is hosting a SBIRT Peer Sharing webinar for our Primary Care Plus (PCPlus) providers. This webinar is facilitated by Eric Haram, LADC, faculty from the ME SUD Learning Community. This is an opportunity for PCPlus providers to: 

• Read more about Section 60 Medical Supplies and Durable Medical Equipment (DME), Billing Guidance and Corrections

Reimbursement Methodology Changes 

• 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.  Effective April 1, 2023, MaineCare will deny 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 Notice of Privacy Practices

Maine Department of Health and Human Services

MaineCare Services

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

• Read more about Notice of Privacy Practices

Maine Department of Health and Human Services

Riverview Psychiatric Center

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY.

• Read more about Maine Center for Disease Control and Prevention (CDC) Webinar on PrEP (Pre-Exposure Prophylaxis) and nPEP (non-occupational Post Exposure Prophylaxis)

Please save the date for the Maine Center for Disease Control and Prevention (CDC) webinar on PrEP (Pre-Exposure Prophylaxis) and nPEP (non-occupational Post Exposure Prophylaxis) in Maine on April 19, 2023, from 12-1:30 PM.

This session will feature presentations from PrEP207.org and a panel discussion on efforts to help individuals access PrEP and nPEP in Maine. The intended audience for this webinar is non-clinical HIV prevention and care partners in Maine.

• Read more about Denials for JCode/NDC Combination, CR 115839

MaineCare has identified some pharmacy claim lines that denied in error for JCode/NDC missing or invalid due to a delay in the January 1, 2023, quarterly update from the Centers for Medicare & Medicaid Services (CMS). The Claims Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) are as follows.