MaineCare Bulletins

MaineCare Updates: Preparing for the End of the Public Health Emergency (PHE) General Notifications for All Providers
Attention Section 65, Behavioral Health Providers: Clubhouse Services Revised Rate, CR 117161 Behavioral Health (BH)
National Diabetes Prevention Program (NDPP): Rate Determination Comment & Response Summary Hospital & Clinic Services, Primary Care and Care Coordination
Update to the Rounding Rule Enforcement Date  General, All Services
COVID-19 Long Term Care Supplemental Payment Information for Section 2, 67, and 97 Appendix C Providers  Long Term Care Services
Update to Prior Authorizations (PA) for Gender Affirming Medical and Surgical Treatment​ General Notifications for All Providers
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Information for Providers Regarding the End of the Public Health Emergency (PHE) General Notifications for All Providers
Information for Providers Regarding the End of the Public Health Emergency (PHE) General Notifications for All Providers
​Pfizer and Moderna Monovalent COVID-19 Vaccines No Longer Authorized for Use, CR 116981 General Notifications for All Providers
Attention Providers of Sections 17, 65, and 92 Adult Behavioral Health Services: Service Termination Approval Requirements Behavioral Health (BH)
​Kepro Behavioral Health Authorizations and Early and Periodic Screening, Diagnostic, and Treatments (EPSDT) Services Awareness​ Behavioral Health (BH), School Health Related Services
Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials Long Term Care Services
Updated FAQ Regarding MaineCare Guidance on Reimbursement when Restraint is Utilized in Outpatient Behavioral Health Settings, Including Schools Behavioral Health (BH), Hospital & Clinic Services, School Health Related Services
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
​Implementation of January 1, 2023, Rate Study Increases for Section 2, Adult Family Care Homes (AFCH), CR 116777​ Long Term Care Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention Primary Care Plus (PCPlus) Practices - PCPlus Application and Recertification Opening – Required for all PCPlus Practices Primary Care and Care Coordination
Section 2, Adult Family Care Homes (AFCH) – Public Comment Summary with Department Response and Final Draft Rates, CR 116777 Long Term Care Services
Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs Update Behavioral Health (BH)