MaineCare Bulletins

​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
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
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 Policy and State Plan Amendments (SPAs), 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)
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
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