|
|
MaineCare for Kids Communications Toolkit |
General, All Services |
|
|
Electronic Visit Verification (EVV) Phase 2 Trainings |
Long Term Services and Supports |
|
|
Help MaineCare Members Avoid a Gap in Health Coverage |
Retail Pharmacies |
|
|
Attention Section 65, Behavioral Health Service Providers: Mobile Crisis Response Teams Draft Service Model and Rates, Public Review and Comment |
Behavioral Health (BH) |
|
|
Attention Nursing Facilities (NFs) and Residential Care Facilities (PNMI, Appendix C, RCFs) – Rates Effective January 1, 2024 |
Long Term Care Services |
|
|
Update to the Biosimilar Preferred Drug List |
Hospital & Clinic Services |
|
|
Impact to MaineCare of Average Manufacturer Price (AMP) Cap Removal |
Hospital & Clinic Services, Primary Care and Care Coordination, Retail Pharmacies |
|
|
EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) App |
Long Term Services and Supports |
|
|
Section 103, Rural Health Center (RHC) Calendar Year 2024 (CY24) Rate Update - CR 121608 |
Primary Care and Care Coordination |
|
|
Section 50, Intensive Care Facilities (ICF) Rate Letters for Calendar Year (CY) 2024 and Day Habilitation Service Rate Update - CR 121701 |
Long Term Care Services |
|
|
CORRECTION: Intermediate Care Facilities (ICF) Rate Letters for CY 2024 and Day Habilitation Service Rate Update – CR 121701 |
Long Term Care Services |
|
|
CORRECTION: Non-Billing, Ordering, Prescribing, and Referring (NOPR) Editing Changing from Warn to Deny – CR 121469 |
General Notifications for All Providers |
|
|
Rescheduled MaineCare Provider Enrollment Presentation and Listening Session |
General, All Services |
|
|
Non-Billing, Ordering, Prescribing, and Referring (NOPR) Edits Changing from Warn to Deny – CR 121469 |
General, All Services |
|
|
Application Fee for 2024 Reminder, CR 121257 |
General, All Services |
|
|
Electronic Visit Verification (EVV) Phase 2 Trainings |
Long Term Services and Supports |
|
|
Survey Deadline Extended: Sections 18, 20, 21, 29 Home & Community Based Supports and Proposed Lifespan Waiver Cost Survey Tool |
Long Term Services and Supports |
|
|
Comment Deadline Extended: Private Non-Medical Institutions (PNMI) Appendix D, Therapeutic Foster Care (TFC) Draft Rate Model |
Behavioral Health (BH) |
|
|
Non-Billing, Ordering, Prescribing, and Referring (NOPR) Edits Changing from Warn to Deny – CR 121469 |
General, All Services |
|
|
Electronic Visit Verification (EVV) Phase 2 Trainings |
Long Term Services and Supports |
|
|
Attention MaineCare Section 67, Nursing Facilities (NFs): Extraordinary Circumstance Allowance (ECA) Payments Have Been Released |
Long Term Care Services |
|
|
Revalidate with MaineCare to Avoid Claim Denials |
General, All Services |
|
|
Certified Community Behavioral Health Clinic (CCBHC) Readiness Assessment - Initial Cohort Due Date of January 19, 2024 |
Behavioral Health (BH), General, All Services, Not in use, Primary Care and Care Coordination |
|
|
Attention Providers of Sections 2, 13, 17, 26, 28, 65 and 92: Cost of Living Adjustment (COLA) Billing Guidance |
Behavioral Health (BH), Long Term Care Services, Long Term Services and Supports |
|
|
Attention Section 5, Ambulance Service Providers: 2024 Rate Updat |
Specialty Services |
|
|
Attention Providers of Section 45 Hospital Services: Draft Rate Model Presented Materials |
Hospital & Clinic Services |
|
|
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 45 |
Not in use, State & Federal Policy |
|
|
MaineCare Announces Post-Incarcerated Incentive Payment Pilot |
General Notifications for All Providers |
|
|
Attention Providers of Section 18, 20, 21, 29, Home & Community Based Supports and Proposed Lifespan Waiver: Cost Survey Tool |
Long Term Services and Supports |
|
|
Attention MaineCare Behavioral Health and Substance Use Disorder Providers, Backdating Policy Update |
Behavioral Health (BH) |
|
|
Electronic Visit Verification (EVV) Phase 2 Trainings |
Long Term Services and Supports |
|
|
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 |
General, All Services |
|
|
Attention Hospitals: Instructions for Distinct Psychiatric or Substance Use Disorder (SUD) Billing Now Available, CR 120732 |
Hospital & Clinic Services |
|
|
MaineCare Benefits Manual (MBM), Chapter II, Section 71: National Diabetes Prevention Program (NDPP) Services Provider Enrollment Now Open |
General, All Services |
|
|
Attention: New Email Address for Adult Family Care Homes and Private Non-Medical Institutions (PNMI), Level IV, Appendix C |
Long Term Care Services |
|
|
Update to the Biosimilar Preferred Drug List-Correction |
Hospital & Clinic Services |
|
|
Attention EVV Providers: Inactive Client (Member) Status |
Long Term Services and Supports |
|
|
Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) – Presented Materials and Comment Period |
Behavioral Health (BH) |
|
|
Rate Determination Initiation Notice for Community Paramedicine Services to be Incorporated Into MaineCare Benefits Manual, Section 5, Ambulance Services |
Primary Care and Care Coordination, Specialty Services |
|
|
Rate Determination Initiation Notice for Section 93, Opioid Health Homes (OHH) and new Health Home Model for Other Substance Use Disorders (SUDs) |
Behavioral Health (BH) |
|
|
Final Rate Determination Schedule for CY24 and Comment Summary |
General, All Services |
|
|
MaineCare Provider Enrollment Presentation and Listening Session |
General, All Services |
|
|
Microdyn Update for Ambulatory Payment Classifications (APCs), and Diagnostic Related Groups (DRG’s), CRs 120481, 120482, 120475, 120743 |
Hospital & Clinic Services |
|
|
Electronic Visit Verification (EVV) Phase 2 Trainings |
Long Term Services and Supports |
|
|
Attention Providers: MaineCare Logo Survey Now Available |
General, All Services |
|
|
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 89 |
Not in use, State & Federal Policy |
|
|
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 89 |
Not in use, State & Federal Policy |
|
|
COVID-19 Therapeutics Transition to Commercial Market, and UPDATE on COVID-19 Vaccine Coverage |
General, All Services |
|
|
Application Fee for 2024 Reminder, CR 121257 |
General, All Services |
|
|
Non-Billing, Ordering, Prescribing, and Referring (NOPR) Edits Changing from Warn to Deny – CR 121469 |
General, All Services |