MaineCare Bulletins

Date Title Topic
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Rescheduled: Section 107, Psychiatric Residential Treatment Facilities (PRTFs): Revised Draft Rates Public Review and Comment Forum Behavioral Health (BH)
Revalidate with MaineCare to Avoid Claim Denials General, All Services
MaineCare Cost-of-Living Adjustments and Service Provider Tax (SPT) Repeal Update General, All Services
Rate Determination Initiation Notice for Section 80, Pharmacy Services : Dispensing Fees Retail Pharmacies
Attention Pharmacy Providers Under Title 5 General, All Services
Update to the Biosimilar Preferred Drug List (PDL) Hospital & Clinic Services
Maine’s Children & Youth with Special Health Care Needs Webinar Learning Series: Childhood Lead Poisoning and Prevention Behavioral Health (BH)
Section 67, Nursing Facility (NF) Services - Final Draft Rates and Methodologies Comment Summary Long Term Care Services
Quarterly Physician Drug Code Update: Quarter 4, CR 128318 Hospital & Clinic Services
Retro Physician Drug Rate Updates: Effective October 1, 2023, through September 30, 2024, CR 127535 Hospital & Clinic Services
Seasonal Flu Codes Added for Hospitals, CR 127605 Hospital & Clinic Services
Certified Community Behavioral Health Clinics (CCBHC) Comment Deadline Extension Behavioral Health (BH), Specialty Services
Pharmacy Providers May Not Refuse Services to a MaineCare Member for Failure to Pay a Copayment Retail Pharmacies
Prior Authorization (PA) Requests for Hearing Aids Reminder Specialty Services
Survey Re-Opened for HCBS Providers and Interested Parties of Clinical, Therapeutic, Supportive Skills Building, Assistive Technology, Care Coordination and Personal Support Services: Section(s) 12, 18, 19, 20, 21, 29, 40, 96, and 102 Long Term Services and Supports
Behavioral Health Section 65 Copays, CR 128193 and CR 127534 Behavioral Health (BH), General, All Services
Certified Community Behavioral Health Clinic (CCBHC) Draft Rate Methodology Presented Materials & Comment Deadline Behavioral Health (BH)