MaineCare Bulletins

Date Title Topic
Update to the Biosimilar Preferred Drug List-Correction Hospital & Clinic Services
Attention EVV Providers: Inactive Client (Member) Status Long Term Services and Supports
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
Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) – Presented Materials and Comment Period Behavioral Health (BH)
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
Rate Determination Initiation Notice for Section 3, Primary Care Plus (PCPlus) Phase Two Not in use
Attention Providers of Section 25, Dental Services: Kickoff Meeting Presented Materials Dental Services
MaineCare Gender Affirming Care Coverage Guide Now Available General, All Services
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
Attention Section 43 Hospice Services Providers: Anticipated Electronic Visit Verification (EVV) Implementation Delayed Until July 1, 2024 Long Term Services and Supports
Update to the ​Biosimilar Preferred Drug List (PDL)​ Hospital & Clinic Services
REMINDER: Behavioral Health and Targeted Case Management Supplemental Payment Reporting Due by December 8, 2023 Behavioral Health (BH)
SUBJECT: MaineCare Cost of Living/ “Part AAAA” Adjustments General, All Services
Attention Section 45, Hospital Service Providers: Draft Rate Model Public Forum Hospital & Clinic Services
​​MaineCare Eligibility Reinstatement for MaineCare Members​ General, All Services
Family Planning New Alternative Payment Model (APM) Public Rate Forum Presented Materials and Comment Deadline Hospital & Clinic Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter III, Section 67 Not in use, State & Federal Policy
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Secondary Billing Instructions Updated General, All Services
Deadline Extended for Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Submissions Behavioral Health (BH)
RESCHEDULED: Draft Rate Model Public Review and Comment for Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services Behavioral Health (BH)
COVID-19 Therapeutics Transition to Commercial Market, and UPDATE on COVID-19 Vaccine Coverage General, All Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 94, EPSDT Not in use, State & Federal Policy
Interprofessional Codes for Medication Management Providers Behavioral Health (BH)
​Attention Providers: Survey to Help Identify Programs that Support Children and Families in Maine General, All Services
Payment Error Rate Measurement (PERM) Audit General, All Services
Attention Providers of Section 65: Behavioral Health Rate FAQs Update General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Training: Presented Materials Behavioral Health (BH)
Post Exposure HIV Prophylaxis Hotline General, All Services
​Reminder: State Funded Abortion General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter I, Section 4, Telehealth Services Not in use, State & Federal Policy
​MaineCare Provider Enrollment Update General, All Services
Important Changes to COVID Vaccine Administration Fee for Pharmacies Retail Pharmacies
Mental Health First Aid Training Opportunity for Caregivers of Section 19 Members Long Term Services and Supports
Fiscal Year (​FY)24 Hospice Rate Update, October 1, 2023​ Long Term Services and Supports
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Section 1915(c) Waiver Appendix K Updates​ General, All Services