MaineCare Bulletins

Date Title Topic
Link to HCBS Compliance Form for Waiver Services Providers, CR 99064 General Notifications for All Providers
Clarification of Biosimilar Ocular Use  Specialty Services
Atrezzo Upgrade General Notifications for All Providers
Re-Opening of PCPlus Application General Notifications for All Providers
MaineCare Rate Reform Technical Advisory Panel (TAP) Meeting and Public Stakeholder Forum on Draft Rate Determination Schedule General Notifications for All Providers
NF and RCF Letters Are Available Long Term Care Services
MaineCare Benefits Manual, Chapter II, Section 25, Dental Services (repeal); Chapter III, Section 25, Allowances for Dental Services (repeal); Chapter II, Section 25, Dental Services and Reimbursement Methodology (this rule replaces the two repealed rules State & Federal Policy
Dental Changes Effective September 28, 2022 Dental Services
Attention Providers of Sections 13, 17, 28, 65, 92 Draft Rate Model(s) Public Comment Period Behavioral Health (BH)
Health Equity and Social Determinants of Health Behavioral Health (BH)
Rate Determination Initiation Notice for Section 60, Medical Supplies and Durable Equipment    Specialty Services
Rate Determination Initiation Notice for Section 31: Federally Qualified Health Center Services Primary Care and Care Coordination
HCBS Compliance Form for Waiver Services Providers, CR 99064 General, All Services
Electronic Visit Verification (EVV) Place of Service Reminders Long Term Services and Supports
Attention Hospice Providers: Electronic Visit Verification (EVV) Soft Launch October 4, 2022 Implementation Reminder Long Term Services and Supports
Pfizer and Moderna Bivalent COVID-19 Vaccines Authorized to use as Booster Doses-Update General Notifications for All Providers
Monkeypox Diagnostic Testing Update General Notifications for All Providers
CORRECTION: UPDATED CONTACT INFORMATION - Attention Section 21 Per Diem Home Support and Home Support – Residential Habilitation – Family Centered Support Providers – American Rescue Plan HCBS Designated Payments Long Term Services and Supports
Attention Section 21 Per Diem Home Support and Home Support – Residential Habilitation – Family Centered Support Providers – American Rescue Plan HCBS  Designated Payments Long Term Services and Supports
Attention Providers of Section 18, 19, 20, 21, and 29 Services: Appendix K to Maine’s Home and Community Based Waivers Continues to Provide Temporary Flexibilities on Service Caps, Staffing Long Term Services and Supports
Section 97 Appendix F Rate Updates, CR 112461 Long Term Care Services
Electronic Visit Verification (EVV) Events Long Term Services and Supports
Attention Providers of Sections 93, 92, 13, and 17 Services: Passthrough process now required if organizations jointly serve an Opioid Health Home Member General Notifications for All Providers
Attention MaineCare Members and Families, Healthcare Providers, Clinicians, Consumer Advocates, and Healthcare Professional Associations: CMS’ Make Your Voice Heard RFI  General, All Services
Maine Department of Health and Human Services Certified Community Behavioral Health Clinic Stakeholder Meeting  Behavioral Health (BH)
Attention Section 43 Hospice Providers Using the State Sandata Solution for Electronic Visit Verification (EVV)  Long Term Services and Supports
Attention Section 97, Private Non-Medical Institutions Appendix D, Children’s Residential Care Facilities Providers  Behavioral Health (BH)
Transition of Monoclonal Antibody Bebtelovimab, 175mg from Government Supplied to the Commercial Market General, All Services
Home and Community Based Settings (HCBS) Lifespan Project Listening Sessions  Long Term Services and Supports
ATTENTION Correction to Section 92, Section 13, and Section 17 message to Providers: Passthrough process now required if organizations jointly serve an Opioid Health Home (OHH) Member    General, All Services
835 and RA Delays General, All Services
CLARIFICATION regarding Sections 13, 17, 28, 65, 92 Draft Rate Model(s) Public Review and Comment message Behavioral Health (BH)
Pfizer and Moderna Bivalent COVID-19 Vaccines Authorized to use as Booster Doses General, All Services
Tribal Self-Attestation, CR 108474  General, All Services
ATTENTION Section 92, Section 13, and Section 17 Providers: Passthrough process now required if organizations jointly serve an Opioid Health Home (OHH) Member    General, All Services
Attention Providers of Sections 13, 17, 28, 65, 92 Draft Rate Model(s) Public Review and Comment Behavioral Health (BH)
MaineCare Notice of Second Public Comment Period for Home and Community-Based Services (HCBS) Settings State & Federal Policy
Rate Determination Initiation Notice for Section 28 Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations     Behavioral Health (BH)
Rate Determination Initiation Notice for Section 17 Community Support Services Behavioral Health (BH)
Rate Determination Initiation Notice for Section 13 Targeted Case Management Behavioral Health (BH)
Rate Determination Initiation Notice for Section 92 Behavioral Health Home Services   Behavioral Health (BH)
Rate Determination Initiation Notice for Section 65 Behavioral Health Services      Behavioral Health (BH)
Update on NF and RCF Rate Letters Long Term Care Services
Attention Section 28 Providers: Update on Type 92 Early Childhood Provider Certification Letters, CR 71822   Behavioral Health (BH)
2022 Section 90 Rate Update, CR 108737 and CR 109095 General, All Services
Monkeypox Diagnostic Testing and Vaccines Update and Information, CR 112045  General, All Services
Children’s Behavioral Health Services 101 Webinar Behavioral Health (BH)
Attention All Providers: Payment Error Rate Measurement (PERM) Audit Update General Notifications for All Providers
July 2022 Microdyn Update for Ambulatory Payment Classifications (APC), CRs 111465 & 111466 Hospital & Clinic Services
Novavax COVID-19 Vaccine Update General Notifications for All Providers