Non-Billing, Ordering, Prescribing, and Referring (NOPR) Edits Changing from Warn to Deny – CR 121469

Billing providers must include the National Provider Identifier (NPI) of an enrolled MaineCare practitioner who is ordering, prescribing, or referring on their claims to receive reimbursement for the categories of services listed below. These practitioners are known as NOPRs and must enroll in MaineCare independently or as part of an organization. 

This requirement is for all prescription claims (including Point of Sale claims) as well as claims for the following: 

Early Childhood Educator Workforce Salary Supplement System Rules FAQs

Maine’s Department of Health and Human Services (DHHS) Office of Child and Family Services (OCFS) Early Childhood Educator Workforce Salary Supplement System Rules went into effect on December 1, 2023. The following Frequently Asked Questions (FAQ) will be helpful in the understanding the changes made to the Registration Portal and processes based on the new rule.

Attention MaineCare Behavioral Health and Substance Use Disorder Providers, Backdating Policy Update

Effective January 1, 2024, Acentra Health and the Office of MaineCare Services will reinstate the original submission window for all requests in the Atrezzo portal.

Due to the end of the Public Health Emergency (PHE), the Atrezzo portal submission window will be updated to accept service requests for ten (10) calendar days before entry into service or a maximum backdate of five (5) calendar days after entry into service, consistent with the original requirements prior to the PHE.

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