• Read more about RESCHEDULED: Service Disruption Office Hours with MaineCare Pharmacy Benefit

By order of Governor Mills State Offices will be closed Thursday, April 4, 2024 due to severe weather conditions. The MaineCare Service Disruption Office Hours with MaineCare Pharmacy Benefit scheduled for this day has been rescheduled.

• Read more about Public Forum Rescheduled: Section 45, Hospital Service Providers Draft Reimbursement Methodologies

The Department has rescheduled the public review and comment forum that was scheduled for April 9, 2024, to May 7, 2024, due to unforeseen circumstances. We appreciate your patience and apologize for any inconvenience.

• Read more about 10-144 CMR Ch 111, Temporary Nurse Agency Registration Rule

This new rule operationalizes the changes made to 22 MRS § 2313 under PL 2023 Ch 434. The rule reflects the following requirements of statute:

• Increases the registration fee;
• Places requirements for annual reporting on registered Temporary Nurse Agencies (TNAs);
• Authorizes the Department to issue financial penalties to TNAs in certain circumstances;
• Places record-keeping and access to records requirements on TNAs; and
• Establishes employee quality assurance measures for TNAs.

• Read more about Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour 

The Delivery System Reform Unit (DSRU) will be holding a PCPlus Open Office Hour on Friday April 5th , 2024 from 12 – 1pm. The purpose of the Open Office Hour is to provide an accessible online venue for PCPlus providers to come and ask MaineCare questions you might have regarding the PCPlus program. If you have any questions about the PCPlus application process, this also a great opportunity to ask those questions. 

• Read more about Attention Primary Care Plus (PCPlus) Practices - PCPlus Application and Recertification Opening – Required for all PCPlus Practices

MaineCare Services is pleased to announce that the PCPlus application period is now open. The open application period runs through Friday, May 3, 2024. 

PCPlus is a MaineCare primary care model that gives Primary Care Provider (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes. Participation in PCPlus is voluntary for PCPs, and PCPs must apply to participate.    

• Read more about Attention Pharmacy Providers: Service Disruption Office Hours with MaineCare Pharmacy Benefit

MaineCare is inviting you to join the next Office Hours call with the MaineCare Pharmacy team on Thursday, April 04, 2024, from 3:30 PM – 4:15 PM related to the current service disruption. We will use this time as an opportunity for sharing questions and concerns and providing technical support from the State. 

Please register in advance for this meeting:

• Read more about MaineCare Launches Initial Restoration of Pharmacy Claims System

Pharmacies resume billing for MaineCare members' prescriptions, following vendor disruption

AUGUSTA– The Maine Department of Health and Human Services (DHHS) announced today that pharmacies have resumed billing MaineCare for members' prescriptions, following the disruption to its pharmacy claims system due to the national cyber security issue affecting Change Healthcare.

• Read more about Attention Providers: Update on Phased Restoration of Change Healthcare Systems

MaineCare continues to advise providers to submit documentation electronically to avoid delays in items submitted by mail and/or fax, following the disruption related to the national cyber security issue with Change Healthcare.

• Read more about Attention Pharmacy Providers: Confirmed Initial Restoration of Maine Point of Purchase System (MEPOPS) on March 27, 2024

MaineCare successfully initiated the first phase of restoration of MEPOPS today, March 27, 2024. This follows the disruption that occurred on February 21, 2024, due to the national cyber security issue affecting Change Healthcare.

• Read more about ​Public Review Rescheduled: Section 25, Dental Service Providers Benchmarking Results and Draft Rates​​

The public review and comment forum that was scheduled for March 29, 2023, has been rescheduled to April 12, 2024. The Department requires additional time to ensure a clear and transparent presentation of the draft rates and methods. We appreciate your patience and apologize for any inconvenience.