MaineCare Bulletins

MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapters II and III, Section 43 Policy and State Plan Amendments (SPAs), State & Federal Policy
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Revalidate with MaineCare to Avoid Claim Denials General, All Services
*CORRECTED* State Fiscal Year (SFY) 2024 Rate Letters for Residential Care Facilities (RCFs, PNMI Appendix C), CR 119444 Long Term Care Services
​New: MaineCare New Coverage Groups Communications Toolkit General, All Services
Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour  Primary Care and Care Coordination
The Nicotine Replacement Therapy (NRT) Standing Order National Provider Identifier (NPI) has been Updated Retail Pharmacies
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports Notifications
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)
Safe and Effective Opioid Practices in the Hospital: Pharmacy Perspective Retail Pharmacies
Attention Section 31, Federally Qualified Health Centers (FQHCs): Update on Rate Rebasing Efforts, CR 117105 General, All Services
Critical Access Hospitals and Nursing Facilities Rate Updates, CR 119227 and 119226 Hospital & Clinic Services, Long Term Care Services
​New Chat Feature Available on Kepro Website​ Behavioral Health (BH), MaineCare Initiatives and Special Topics
Sleep Apnea Prior Authorization (PA) Sheet Now Available, CR 117762 General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
REMINDER: Behavioral Health and Targeted Case Management Supplemental Payment Reporting Due by August 4, 2023 Behavioral Health (BH)
State Fiscal Year (SFY) 2024 Rate Letters and Cost of Living Adjustments (COLAs) for Nursing Facilities (NF) and Residential Care Facilities (RCFs, PNMI Appendix C) Long Term Care Services
Section 60 Medical Supplies and Durable Medical Equipment (DME) Update on Pricing and Prior Authorization (PA) Requirements, CR 119002 Specialty Services
Change in Criteria for Adolescent Bariatric Surgeries Hospital & Clinic Services
Public Forum Postponed: Attention Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services: Draft Rate Model Public Review and Comment​ Behavioral Health (BH)