MaineCare Bulletins

Date Title Topic
Electronic Visit Verification (EVV) Timesheet FAQ Reminder Not in use
Letrozole Use for Treatment of Infertility General Notifications for All Providers
UPDATE for Providers Billing on UB-04 and 837I Claims, CR 110840   General, All Services
Attention Hospice Providers: Electronic Visit Verification (EVV) Soft Launch Implementation Delayed to October 4, 2022  Long Term Services and Supports
November 1, 2022 Suggested Integration Deadline for Alternate or 3rd Party EVV Systems for Home Health and Hospice Providers  Long Term Services and Supports
Claims Export Issue on the Health PAS Portal, CR 108606    General, All Services
Seven Topics Related to COVID-19 Vaccines and Vaccine Counseling General, All Services
Rate Determination Initiation Notice for Section 2, Adult Family Care Services Long Term Care Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 93, Opioid Health Home Services, and Chapter III, Section 93, Reimbursement for Opioid Health Home Services State & Federal Policy
Home and Community Based Services (HCBS) Innovation Grants Funding Opportunity  Long Term Services and Supports
Rate Determination Initiation Notice for Section 26, Day Health Services Long Term Services and Supports
NF and RCF July 1, 2022 Rate Letters Delayed Until October 3, 2022  Long Term Care Services
MaineCare Job Openings General, All Services
Monkeypox Diagnostic Testing and Vaccines: Hold Claims General, All Services
Attention Section 97, Appendix D Children’s Residential Care Facility Services Providers Behavioral Health (BH)
COVID-19 Long Term Care Supplemental Payment Information for Section 2, 67, and 97 Appendix C Providers  Long Term Care Services
CORRECTION: Attention Provider Type 92 Early Childhood Providers, CR 71822 Behavioral Health (BH)
Attention Provider Type 92 Early Childhood Providers, CR 71822  Behavioral Health (BH)
2022 Indian Health Services Rate Update, CR 109733  Primary Care and Care Coordination
Home and Community Based Services (HCBS) Settings Remediation Grants: Registration Opens Monday, August 1, 2022     Long Term Services and Supports
April 2022 Microdyn Updates for Ambulatory Payment Classifications (APC), and Diagnostic Related Group (DRG) CRs 108929, 109194, 109193, & 109516  Hospital & Clinic Services
Section 75 Vision Services Rate Update, CR 109436  Specialty Services
Correction: MaineCare’s HOME Provider Orientation Webinar Dates and Application Opening on July 22, 2022  Behavioral Health (BH)
The Impact of Language and Stigma on Adolescent Mental Health Webinar Behavioral Health (BH)
MaineCare in Education: Instructions for Providers of Section 28 and Section 96 Services Experiencing Difficulties with Modifier Guidance for Education-related Services  School Health Related Services
Attention Section 90 Providers: Upcoming Changes for Billing Topical Fluoride Varnish  Hospital & Clinic Services
MaineCare’s HOME Provider Orientation Webinar Dates and Application Opening on July 22, 2022    Behavioral Health (BH)
Drug Rate Updates General, All Services
Rate Update for 2022 Ambulatory Surgical Centers (ASC) Rates, CR 107519  Hospital & Clinic Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 25 (repeal); Chapter III, Section 25 (repeal) and Chapter II, Section 25, Dental Services and Reimbursement Methodology (replaces the two repealed rules) State & Federal Policy
Office of Aging and Disability Services Virtual Listening Session to Access Technology for Individuals with Intellectual and Developmental Disabilities  Long Term Services and Supports
Alternate Electronic Visit Verification (Alt EVV) Specification Requirement  Long Term Services and Supports
Attention Specialty Providers: Primary Care Plus (PCPlus) Impact on Referrals   General, All Services
Announcement: Seeking provider participants for new telehealth pilot  General, All Services
Reminder: Primary Care Plus (PCPlus) Orientation Events Not in use
Town Hall Sessions to Support Alternate Electronic Visit Verification (Alt EVV) Systems Not in use
Attention All Electronic Visit Verification (EVV) Providers: New Foreign Language Quick Reference Guides Not in use
Attention Section 18, 20, 21, and 29 Providers – Appendix K Retainer Payments for newly eligible service providers Long Term Services and Supports
CORRECTION: Attention Section 60 – Medical Supplies and Durable Medical Equipment Providers: Upcoming Changes - Billing of Infliximab Specialty Services
Attention Section 60 – Medical Supplies and Durable Medical Equipment (DME) Providers: Billing of Infliximab Specialty Services
Attention Children’s Residential Care Facility (CRCF) Providers Behavioral Health (BH)
2022 Podiatry Code Rate Update, CR 109908 Specialty Services
2022 Rate Update for Section 2 Adult Family Care Home and Remote Island Facility, CR 110467 Long Term Services and Supports
2022 Rate Update for Section 26 Day Health Services, CR 110465 Long Term Services and Supports
Section 60 DME Cures Act Codes, CR 109579  Specialty Services
MaineCare Pediatric COVID-19 Vaccine Administration and Vaccine Counseling: Please Hold Claims Pending Further Billing Guidance General, All Services
New MaineCare Coverage for Federally Non-Qualified Children Under 21 and Pregnant People  General, All Services
Updated Payment Rate Details for Substance Use Disorder (SUD) Intensive Outpatient Program (IOP) Service Providers, CR 110559  Behavioral Health (BH)
Primary Care Plus (PCPlus) Orientation Events  Dental Services
Dental Prior Authorization (PA) Forms, CR 110373  Dental Services