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Please note: Links in the forum attendees section are now updated.
Presenters needed for the Forum Dates & Locations:
MaineCare is once again inviting you to submit presentation proposals this year!
Presenters needed for the Forum Dates & Locations:
MaineCare is once again inviting you to submit presentation proposals this year!
Per the Affordable Care Act (ACA), Section 6401, all providers need to revalidate with all states they are enrolled with.
Durable Medical Equipment (DME) providers are required to revalidate their information with MaineCare every three years. The current round of revalidation began in January 2022.
The Department updated multiple physician drug codes retroactively due to a rate update from the Centers for Medicare & Medicaid Services (CMS). These new rates were implemented on July 30, 2025.
See the table below for the revised rates and their effective dates.
|
Procedure Code |
Start Date |
End Date |
Revised Rate |
Original Rate |
Join the Office of MaineCare Services, along with Maine CDC’s Cardiovascular Health Program and HealthInfoNet to learn more about the Controlling High Blood Pressure quality measure. We will discuss measure specifications, billing practices, measure dashboards, and methods for improvement.
Webinar Date & Time: August 25, 2025, 12:00 PM – 1:00 PM
Webinar registration
Bait distribution aims to reduce the spread of the rabies virus
AUGUSTA-- In cooperation with the Maine Center for Disease Control and Prevention (Maine CDC), officials from the U.S. Department of Agriculture's (USDA) Wildlife Services will distribute oral rabies vaccine (ORV) baits in Aroostook County from August 13 through August 22. This annual late-summer ORV bait distribution is in addition to the spring distribution that occurred this year.
As previously communicated in the Department’s March 4, 2025, notice, PNMI Appendix E providers are required to submit clinical documentation supporting medical necessity every 90 days as part of each member’s CSR.
Required Documentation
Clinical documentation must be submitted through the Atrezzo system and must include the following member-specific information:
This is an update to the notice we sent on July 24, 2025,, about Health PAS Online Portal downtimes.
The portal will continue to remain down Monday through Friday from 7:00 PM to 7:00 AM and all weekend hours as Gainwell continues to address technical issues.
All errors found during a PERM audit are considered improper payments. Maine is required to reimburse the federal government for all improper payments and has the right to seek recoupment from providers for improper payments resulting from provider error.
The most common errors found in the RY 2024 PERM Audit cycle are listed below. The most common errors from the previous two PERM cycles are also included in the list. Before submitting a claim, check that the information for the member and the services provided are accurate and complete.
AUGUSTA-- The Maine Center for Disease Control and Prevention (Maine CDC) urges Maine residents and visitors to take steps to prevent rabies exposure by limiting contact with bats. Bats are most active in Maine from midsummer to early September, though bat exposures can happen at any time of year. The Maine CDC encourages people to be cautious around bats, keep a safe distance, and know what to do after exposure to a bat.