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MaineCare Bulletins
Date | Title | Topic |
---|---|---|
Critical Communications: A New E-message Topic List | Behavioral Health (BH), Dental Services, General, All Services, General Notifications for All Providers, 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, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy | |
Home and Community Based Supports (HCBS) Sections 18, 20, 21, 29, and New Lifespan Waiver: Presented Materials and Comment Deadline | Long Term Services and Supports | |
CORRECTION: Home and Community Based Supports (HCBS) Sections 18, 20, 21, 29, and New Lifespan Waiver: Presented Materials and Comment Deadline | Long Term Services and Supports | |
Attention Primary Care Plus (PCPlus) Practices: PCPlus Application and Recertification Opening – Required for all PCPlus Practices | General, All Services, Primary Care and Care Coordination | |
Section 30, Family Planning, Updated Base Rates and Resulting Final Rates - CR 130980 | Hospital & Clinic Services | |
MaineCare Provider Training Opportunities | General, All Services | |
Attention Primary Care Plus (PCPlus) Practices: PCPlus Application and Recertification Opening – Required for all PCPlus Practices | General, All Services, Primary Care and Care Coordination | |
Linkages of Care for Substance Use Disorder (SUD) Services Survey | Behavioral Health (BH) | |
Attention MaineCare Providers: Status of Temporary MaineCare Payment Holds – April 3, 2025 | Behavioral Health (BH), Dental Services, General, All Services, General Notifications for All Providers, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Long Term Care Services, Long Term Services and Supports, Not in use, Not in use, Not in use, Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy | |
Attention Providers: HCV and HIV Clinical Guidance Package Webinar | General, All Services, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Primary Care and Care Coordination | |
Reminder: Blood Lead Testing Requirements and MaineCare Reimbursement | Primary Care and Care Coordination | |
Attention MaineCare Providers: MaineCare E-message Issues | 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, Not in use, Not in use, Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy | |
Kickoff Meeting Presented Materials for Interpreter Services | General, All Services | |
The Department of Health and Human Services Introduces Maine's Whole Person Care Waiver | General, All Services | |
CORRECTION: Home and Community Based Supports (HCBS) Sections 18, 20, 21 and 29, and New Lifespan Waiver: Draft Rate Public Review and Comment | Long Term Services and Supports | |
Attention MaineCare Providers: Status of Temporary MaineCare Payment Holds | 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, Retail Pharmacies, School Health Related Services, Specialty Services | |
CORRECTION: Home and Community Based Supports (HCBS) Sections 18, 20, 21 and 29, and New Lifespan Waiver: Draft Rate Public Review and Comment | Long Term Services and Supports | |
Home and Community Based Supports (HCBS) Sections 18, 20, 21 and 29, and New Lifespan Waiver: Draft Rate Public Review and Comment | Long Term Services and Supports | |
CORRECTION: Home and Community Based Supports (HCBS) Sections 18, 20, 21 and 29, and New Lifespan Waiver: Draft Rate Public Review and Comment | Long Term Services and Supports | |
Attention Primary Care Practices: Primary Care Plus (PCPlus) Program Reorientation Meeting | Primary Care and Care Coordination | |
Attention Primary Care Plus (PCPlus) Practices: PCPlus Application and Recertification to Open in April | General, All Services, Primary Care and Care Coordination | |
Primary Care Providers (PCPlus) Quality Measure Webinar: Cervical Cancer Screening | Primary Care and Care Coordination | |
Section 90, Physician Services Rate Update, CR 129756 | Primary Care and Care Coordination | |
Notice of MaineCare 1115 Waiver Renewal Application, “Maine Substance Use Disorder (SUD) Care Initiative” | Not in use, State & Federal Policy | |
Attention Primary Care Practices: Primary Care Plus (PCPlus) Program Reorientation Meeting | Primary Care and Care Coordination | |
Attention MaineCare Providers: Status of Temporary MaineCare Payment Holds | 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, Not in use, Not in use, Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy | |
Attention Providers: Supporting MaineCare Members During Temporary Provider Payment Holds | 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, Not in use, Not in use, Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy | |
MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation: Draft CY2025 Rate Determination Schedule Presented Materials and Proposed Schedule | General, All Services | |
Revised Rates: Sections 68, 85 and 109, CRs 129558, 129513, 129352 | Specialty Services | |
Anesthesiology Rate Updates: Section 14, Advance Practice Registered Nurses (APRNs) and Section 90, Physicians, CR 129353 | Hospital & Clinic Services | |
Section 4, Ambulatory Surgical Center (ASC) Rates Implemented, CR 129907 | Hospital & Clinic Services | |
Maine Center for Disease Control (CDC) Children & Youth with Special Health Care Needs Webinar Learning Series – Women, Infant & Children (WIC) 101 | Behavioral Health (BH) | |
Attaching an Explanation of Benefits (EOB) to Secondary Claims | General, All Services | |
Attention Pharmacy Providers: Temporary MaineCare Payment Holds | Retail Pharmacies | |
Section 21 Home Support- Agency Per Diem: Authorizations in Two-Person Homes Requirements Reminder | Long Term Services and Supports | |
Attention Pharmacy Providers: Temporary MaineCare Payment Holds | Retail Pharmacies | |
Attention Primary Care Practices: Primary Care Plus (PCPlus) Program Reorientation Meeting | Primary Care and Care Coordination | |
New Hospital Services Section 45 Billing Guidance, CR 128880 | Hospital & Clinic Services | |
New Nursing Facility Services Section 67 Billing Guidance, CR 128953 | Long Term Care Services | |
Attention Providers: Temporary MaineCare Payment Holds | 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, Not in use, Not in use, Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy | |
Section 101, Medical Imaging Services Revised Rates Effective January 1, 2025, CR 129496 | Specialty Services | |
Statewide Marketing of Adult Day Services | Long Term Services and Supports | |
Section 97, Private Non-Medical Institutions, (PNMI) Appendix E - Clinical Documentation for Continued Stay Reviews | Behavioral Health (BH), Long Term Services and Supports | |
Updated Billing Guidance for Section 28 Providers | Behavioral Health (BH), School Health Related Services | |
Quarter 1, 2025, Section 90 - Physician Drug Rates, CR 129556 | Primary Care and Care Coordination | |
2025 Indian Health Services (IHS) Rate Update, CR 129495 | Primary Care and Care Coordination | |
REVISED Section 90, Primary Care Provider (PCP) Rates Effective January 1, 2025, CR 129557 | Primary Care and Care Coordination | |
Attention Providers: Update on Capping of MaineCare Payment Cycles | Behavioral Health (BH), Dental Services, General, All Services, Hospital & Clinic Services, Long Term Care Services, Long Term Services and Supports, Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services | |
Attention Providers: AIDS Drug Assistance Program (ADAP) 101 Webinar Available | General, All Services, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Primary Care and Care Coordination | |
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 | General, All Services |