• Read more about Attention: MaineCare Provider Enrollment Updates

The Office of MaineCare Service (OMS) is providing the following information about the status of provider enrollment case processing timeframes. MaineCare is experiencing a high volume of enrollment cases. In addition, our provider enrollment credentialling vendor, Gainwell Technologies, is experiencing staffing shortages. These challenges are causing provider enrollment cases to take much longer to process than normal, resulting in many pending enrollment cases. Currently, some enrollment cases are taking over 60 days to complete. 

• Read more about Respiratory Syncytial Virus (RSV) Vaccination: Hold Claims

On August 14, 2023, the American Medical Association (AMA) updated the CPT® Category I New Immunization Vaccine Codes Long Descriptors to include CPT codes related to RSV vaccines. At this time, rates have not yet been established for these codes. We will communicate rates to providers once they are available.     

• Read more about New Search Feature and E-Bulletins Webpage

Search archived notices       

You can now search all e-messages by subject/title and topic list on the improved MaineCare Bulletin webpage.  We were hearing that the search feature wasn’t user friendly, so we made some updates to make it easier to search archived e-messages.     

• Read more about CORRECTION TO REGISTRATION LINK Section TBD, Certified Community Behavioral Health Clinics (CCBHC) – Rate Study Kickoff Meeting

The original registration link and calendar event for this kickoff meeting displayed an incorrect date.  

• Read more about Accordion test

Sep 9, 2023

The Maine Department of Health and Human Services (DHHS) announced today that it has distributed over $166 million in food assistance to the families of more than 150,000 Maine children through the Pandemic Electronic Benefit Transfer (P-EBT) program.

This month, the Department issued the final round of federally funded benefits through the program, which began in May 2020 as part of the Families First Coronavirus Response Act of 2020.

• Read more about More than 150,000 Maine Children Benefit from Pandemic Food Assistance

• Read more about Commissioner Lambrew Announces Director for Office of the Health Insurance Marketplace

Hilary Schneider to assume leadership as CoverME.gov open enrollment approaches on Nov. 1, 2023

• Read more about Electronic Visit Verification (EVV) Phase 2 Trainings

The EVV requirements for Home Health providers delivering services under Section 40 were implemented on January 1, 2023.

We continue to offer weekly provider and aggregator trainings. All trainings are online via Microsoft Teams.

NOTE:  The Absorb training system has been updated to allow providers to register for trainings more than once.

EVV Training Schedule

• Read more about Accordion test

• Read more about Section TBD, Certified Community Behavioral Health Clinics (CCBHC) – Rate Study Kickoff Meeting

As previously shared in our June 20, 2023, bulletin, the Department initiated a rate determination process* for CCBHC (Section TBD). As a result of that process, we are now conducting a rate study.