• Read more about Secondary Billing Instructions Updated

MaineCare’s Secondary Billing Instructions have been updated to reflect the following.

When billing MaineCare secondary claims, you must attach an Explanation of Benefits (EOB) to all claims regardless of submission type:

• Direct Data Entry (DDE)
• Paper
• Electronic Data Interchange (EDI)

When submitting electronically, you will need to upload the EOB once the claim is in MIHMS. The charges billed on claim lines must match the charges billed on the EOB, or the claim will be denied.

• Read more about Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers

The Office of Aging and Disability Services is excited to announce a virtual training opportunity entitled Mental Health First Aid, scheduled for Monday, December 11, 2023. This training is provided under collaboration with the National Alliance on Mental Illness (NAMI) Maine and is available for caregivers providing care to Section 19 members. Caregivers can include personal support staff, attendants, home health aides, nurses or other natural and family supports.

• Read more about Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840

This is a reminder that the attending provider is required on all UB-04 and 837I claims. MaineCare denies UB-04 and 837I claims submitted without an enrolled attending provider. 

• Read more about COVID-19 Therapeutics Transition to Commercial Market, and UPDATE on COVID-19 Vaccine Coverage

In a letter released October 27, 2023, the U.S.

• Read more about RESCHEDULED: Draft Rate Model Public Review and Comment for Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services

MaineCare has identified a new date and time for the Section 97, App D, TFC, Draft Rate Model Public Review and Comment forum.  

PUBLIC REVIEW AND COMMENT 

• Read more about Deadline Extended for Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Submissions

The deadline for cost report submissions has been extended from December 1, 2023, to December 15, 2023, for providers interested in being considered for the CCBHC Demonstration Program. Cost reports should be submitted to CCBHC_DHHS@maine.gov.     

• Read more about Maine DHHS Recognizes Maine Adoptive Families During National Adoption Month

AUGUSTA— The Maine Department of Health and Human Services’ (DHHS) Office of Child and Family Services (OCFS) is recognizing November as National Adoption Month by highlighting the vital role that adoptive parents play in creating safe and stable homes for Maine children. In 2022, 413 children in Maine were adopted and provided permanency by resource (foster), kin and adoptive parents.

• Read more about MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 94, EPSDT

Notice of Agency Rule-making Proposal

• Read more about Maine CDC Announces Possible Hepatitis A Exposure at Falmouth Restaurant

Potentially exposed patrons and staff are encouraged to contact a health care provider

AUGUSTA — The Maine Center for Disease Control and Prevention (Maine CDC) has identified a case of hepatitis A in a Falmouth food service worker. Hepatitis A is a contagious liver disease caused by the hepatitis A virus. It can spread through person-to-person contact or by consuming contaminated food or water.

• Read more about Child Safety and Family Well-Being

Together, we can keep children safe by keeping families strong.

The Department of Health and Human Services and the Maine Child Welfare Action Network have partnered on Maine's Child Safety and Family Well-Being Plan.