Jul 29, 2025
RESCHEDULED: Primary Care Plus (PCPlus) Model Advancement Kickoff Meeting and PCPlus Phase II Alternative Payment Model (APM) Design Kick-off Meeting
Primary Care and Care Coordination
Jul 29, 2025
MaineCare Benefits Manual (MBM), Chapter VI, Section 3, Primary Care Plus (PCPlus) – Rate Determination Kickoff Meeting & Primary Care Utilization Review Meeting
General, All Services, Primary Care and Care Coordination
Jul 29, 2025
MaineCare Notice of Agency Waiver Renewal
State & Federal Policy
Jul 28, 2025
Tips and Tricks for Password and Username Resets on the Health PAS Online Portal, CR 131667
General, All Services
Jul 25, 2025
Guidance for Section 65 Medication Management Code Changes and Duplication with Intensive Outpatient Programs (IOP)
Behavioral Health (BH)
Jul 24, 2025
New Health PAS Online Portal Downtimes
Critical Communications
Jul 24, 2025
Section 65, Mobile Crisis Intervention Response Services – Final Draft Rate Model Presented Materials, Comment Summary with Department Response, and Final Draft Rates
Behavioral Health (BH)
Jul 21, 2025
Billing Requirement for the Emergency Services Limited Benefit Package
Hospital & Clinic Services
Jul 18, 2025
Prescribing Providers Must Enroll in MaineCare
Dental Services, General, All Services
Jul 16, 2025
Section 97, Appendix C, Residential Care Facilities (RCFs): Implementation of Part AAAA Adjustment
Long Term Care Services
Jul 16, 2025
Section 50, Intermediate Care Facilities (ICF) Rate Letters for Fiscal Year 2026 (FY26) and Day Habilitation Service Rate Update – CR 133180
Long Term Care Services
Jul 16, 2025
Sections 21 & 29: July 1, 2025, Cost-of-Living Adjustments (COLAs) Implemented
Long Term Services and Supports
Jul 14, 2025
Primary Care Plus (PCPlus) Model Advancement Meeting
Primary Care and Care Coordination
Jul 10, 2025
Attention Providers: System Maintenance Disrupting Provider Maintenance Cases
General, All Services
Jul 10, 2025
Sections 18, 20 & 65: July 1, 2025, Cost-of-Living Adjustments (COLAs) Implemented
Behavioral Health (BH), Long Term Services and Supports
Jul 10, 2025
System Maintenance Complete and Provider Maintenance Cases Resume
General, All Services
Jul 08, 2025
MaineCare Provider Training Opportunities
General, All Services
Jul 08, 2025
Disclosures of Organizational Change Reminder
General, All Services
Jul 03, 2025
Section 31, Federally Qualified Health Centers (FQHCs) Retroactive Cost-of-Living Adjustment (COLA)
Primary Care and Care Coordination
Jul 03, 2025
Sections 91 & 93: Health Home Services - Community Care Teams (91) and Opioid Health Home Services (93) – Cost-of Living Adjustments (COLAs)
Behavioral Health (BH)
Jul 03, 2025
Section 45 Hospitals: Cost-of-Living Adjustments (COLAs)
Hospital & Clinic Services
Jul 03, 2025
Section 97, Appendix C, Residential Care Facilities (RCFs) Cost-of-Living (COLA) & AAAA Adjustments
Long Term Care Services
Jul 03, 2025
Sections 23, 25, 30, 40, 89, 91, 93, 97 B & D, 102: July Cost-of-Living Adjustments (COLAs)
General, All Services
Jul 02, 2025
Status of 1.95% Cost-of-Living Adjustments (COLAs) for Sections 2,12,13,17,18,19, 20, 21, 26, 28, 29, 65, 96, 97C
General, All Services
Jul 02, 2025
Final Rate Model: Section 65, Mobile Crisis Intervention Response Service
Behavioral Health (BH)
Jul 02, 2025
Rate Determination Initiation Notice: New Section, 106 School Health-Related Services and New Service, Section 65 Multi-Dimensional Family Therapy (MDFT)
General, All Services
Jun 30, 2025
Primary Care Plus (PCPlus) Model Advancement Meeting
Primary Care and Care Coordination
Jun 17, 2025
Final Rate Determination Schedule Calendar Year 2025 (CY25) and Comment Summary
General, All Services
Jun 16, 2025
Section 97, Private Non-Medical Institutions, Appendix F (PNMI-F): Rate Letters for Fiscal Year (FY) 2026, CR,132604
Long Term Care Services
Jun 16, 2025
Rounding Rule Clarification
General, All Services
Jun 16, 2025
MaineCare Issued Annual Hospital Value-Based Purchasing (VBP) Supplemental Payments
Hospital & Clinic Services
Jun 16, 2025
Attention MaineCare Providers: Plans to Release Payments Pended During Temporary MaineCare Payment Holds – June 16, 2025
Critical Communications
Jun 09, 2025
Billing Reminder: When Services are Rendered Via Telehealth
Critical Communications, Behavioral Health (BH), Dental Services, General, All Services, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Long Term Care Services, Long Term Services and Supports, Primary Care and Care Coordination, School Health Related Services, Specialty Services
Jun 06, 2025
Licensing Requirements for Intensive Outpatient Program (IOP) Providers
Behavioral Health (BH)
Jun 06, 2025
Section 92, Behavioral Health Homes (BHH) Cost-of-Living Adjustments (COLA)
Behavioral Health (BH)
Jun 06, 2025
2025 Home and Community Based Services (HCBS) Consumer Assessment of Healthcare Providers & Systems (CAHPS®) Survey
Long Term Services and Supports
Jun 05, 2025
MaineCare Cost of Living Adjustments (COLAs) for Sections 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 65, 92, 96, and 97C
General, All Services
Jun 03, 2025
Prescribing Providers Must Enroll in MaineCare
Dental Services, General, All Services
Jun 03, 2025
Provider Responsibility for Managing Users in my Health PAS Trading Partner Accounts (TPA)
General, All Services
Jun 03, 2025
Taxonomy Code Requested on Claim Submissions – Portal Claims
General, All Services
Jun 03, 2025
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840
General, All Services
May 27, 2025
Prescribing Providers Must Enroll in MaineCare
General, All Services
May 22, 2025
Clarifications to Section 65 Medication Management Code Changes
Behavioral Health (BH)
May 21, 2025
Revalidate with MaineCare to Avoid Claim Denials
General, All Services
May 21, 2025
Microdyn Update for Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) - CRs 131553, 131554, & 131582
Hospital & Clinic Services
May 19, 2025
Quarterly Physician Drug Code and Rate Update: QTR 2, CR 131894
Hospital & Clinic Services
May 16, 2025
Section 65 Medication Management Code Changes
Behavioral Health (BH)
May 05, 2025
Updated Secondary Billing Instructions
General, All Services
May 05, 2025
Reminder: Providers Delivering Services Via Telehealth
General, All Services, Retail Pharmacies
May 01, 2025
Payment Error Rate Measurement (PERM) Reporting Year (RY) 2024 Errors
General, All Services