• Read more about Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums

Registration is now open for MaineCare's DSR Annual Forums for:

• Accountable Communities (AC),
• Behavioral Health Homes (BHH),
• Community Care Teams (CCT) including Housing Outreach and Member Engagement (HOME) providers,
• MaineMOM,
• Opioid Health Homes (OHH), and
• Primary Care Plus (PCPlus) providers.    

MaineCare is offering two venue/date options this year. Both sessions will run from 9:00 AM to 4:00 PM. 

• Read more about Electronic Visit Verification (EVV) Online Training Available

There are no additional live trainings for EVV scheduled after April 25, 2024. Providers can request Ad Hoc EVV Training by emailing MihmsTraining@gainwelltechnologies.com to schedule a training.

Register for online trainings through Absorb: 

• Read more about EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) Application: Revised Phase Out Date

EVV Providers who are currently using the SMC app through their phone, tablet, or other mobile device should update to the latest version of the application using the Apple Store, or Google Play. The current version of the app is now being phased out, effective Wednesday, September 4, 2024. To avoid any interruption of visit record keeping, you should now download the latest version of the app.

Please contact Provider Services with questions: 

• EVV email box 
• 1-866-690-5585, option 3.

• Read more about Kickoff Meeting Presented Materials and Upcoming Provider Engagement Sessions for HCBS Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Support Services

As previously announced in our June 2024, bulletin, the Department has initiated a rate determination process for certain services under Sections 12, 18, 19, 20, 21, 29, 40, 96, and 102.

• Read more about Recoupment of Claim Payments for Non-Covered Services Processed Under the COVID-19 Uninsured Benefit After the End of the Federal Public Health Emergency (PHE)

As explained in the January 17, 2024, e-message, MaineCare’s COVID-19 Uninsured Benefit was available for uninsured individuals through the end of the federal PHE, which ended May 11, 2023. MaineCare will not pay for services for this population for dates of service after May 11, 2023.  

• Read more about Covered Services & Benefits

MaineCare pays for medically necessary services based on your coverage group, which is determined by your income, household size, age, medical needs, and if you need help with Activities of Daily Living. Each coverage group has different covered services and benefits, and there are limits or special rules for most covered services.

This page provides information about:

• Read more about Provider Resources

This webpage contains resources for service providers such as training information and videos, toolkits for communicating with patients, webinar opportunities, and information about how MaineCare communicates with providers.

Provider Training

Training Videos

Billing for Interpreter Services Training Video - This video demonstrates how to bill MaineCare appropriately for interpreter services. 

• Read more about MHBG Public Comment Form

The Community Mental Health Services Block Grant (MHBG) program's objective is to support the grantees in carrying out plans for providing comprehensive community mental health services.

• Read more about SUBG Public Comment Form

• Read more about Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Section 97, Private Non-Medical Institution (PNMI), Appendix C, Residential Care Facilities

Notice of MaineCare Reimbursement Methodology Change

AGENCY:  Department of Health and Human Services, Office of MaineCare Services

SERVICES INCLUDED:  Chapter 101, MaineCare Benefits Manual, Section 97, Private Non-Medical Institution (PNMI), Appendix C, Residential Care Facilities (RCFs)