MaineCare Bulletins

Date Title Topic
Primary Care Plus (PCPlus) Quality Webinar: Lead Screening in Children Primary Care and Care Coordination
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities Policy and State Plan Amendments (SPAs), State & Federal Policy
REVISED Medicare Standardization Rates Effective January 1, 2025: Sections 15, 75, & 95 - CRs 129368, 129491, 129354 Specialty Services
Section 97, Private Non-Medical Institutions, (PNMI) Appendix D, Temporary High Intensity Services Rate Determination: Presented Materials and Comment Deadline Behavioral Health (BH)
Correction to MaineCare Dental Metrics Reporting Dental Services
MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation on Draft CY2025 Rate Determination Schedule General, All Services
Attention Nursing Facility (NF) Administrators and Directors of Nursing: NF Quality Partnership Call Related to Quality Payment in the New NF Rate Model Long Term Care Services
Disclosures of Organizational Change Reminder General, All Services
Payment Error Rate Measurement (PERM) Reporting Year (RY) 2024 Errors General, All Services
Attention Providers: Update on FY25 Supplemental Budget 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, Long Term Services and Supports Notifications, MaineCare Initiatives and Special Topics, Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services
Attention Providers: Potential Capping of MaineCare Payment Cycles Behavioral Health (BH), Dental Services, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Long Term Care Services, Long Term Services and Supports, Long Term Services and Supports Notifications, MaineCare Initiatives and Special Topics, Policy and State Plan Amendments (SPAs), Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy
340B Modifier Billing Reminder Extension – CR 129740 Hospital & Clinic Services
Residential Private Non-Medical Institution (PNMI) Appendix C Updated Rates for 2025 Long Term Care Services
Attention Providers: Potential Capping of MaineCare Payment Cycles General, All Services
Attention Providers: AIDS Drug Assistance Program (ADAP) 101 Webinar Available General, All Services
Survey for Providers of Personal Care and Home Health Services: Home and Community Based Services (HCBS) & Access Rule Long Term Services and Supports
MaineCare Notice of Agency Waiver Renewal, MaineCare Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder Policy and State Plan Amendments (SPAs), State & Federal Policy
Section 67, Nursing Facility (NF) Providers MAY NOW SUBMIT JANUARY CLAIMS Long Term Care Services
Providers of Section 17 Services – Telehealth Clarification Behavioral Health (BH)
Attention Section 67, Nursing Facility (NF) Providers: Implementation of NF Reform Billing Changes Long Term Services and Supports