MaineCare Bulletins

Date Title Topic
Maine Rural Health Transformation Program (RHTP) Webinar General, All Services
Billing Requirement for the Emergency Services Limited Benefit Package Hospital & Clinic Services
Limitations on Cost-Sharing Critical Communications
Section 65, Multi-Dimensional Family Therapy (MDFT): Draft Rate Model Public Review and Comment Behavioral Health (BH)
Section 109, Speech & Hearing: Rate Update for Select Codes - CR 138462 Specialty Services
Microdyn Update for Ambulatory Payment Classification (APC) – CRs 137330, 137785, 137786 Hospital & Clinic Services
Billing Requirement for the Emergency Services Limited Benefit Package Hospital & Clinic Services
Nursing Facility 2025 Quality Bonus Pool Payments Released Long Term Care Services
Clarification - Comment Period for Proposed Rules 10-144, C.M.R. Chapter 101, MaineCare Benefits Manuals (MBM): Chapters II and III - Section 13, Chapters II and III - Section 28, and Chapter II - Section 97 State & Federal Policy
Clarification of Comment Period for Proposed Rules 10-144, C.M.R. Chapter 101, MaineCare Benefits Manuals (MBM): Chapters II and III - Section 13, Chapters II and III - Section 28, and Chapter II - Section 97 General, All Services
Billing Guidance Correction: Section 109, Speech & Hearing: 2026 Rates Implemented CR#138387 Specialty Services
Section 9, Indian Health Services (IHS) 2026 Rate Update, CR 138388 Primary Care and Care Coordination
Section 109, Speech & Hearing: 2026 Rates Implemented, CR 138387 Specialty Services
Date Correction: Section 9, Indian Health Services (IHS) 2026 Rate Update, CR 138388 Primary Care and Care Coordination
Primary Care Plus (PCPlus) Model Advancement Meeting – Update Primary Care and Care Coordination
Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 18, Home and Community Based Services (HCBS) for Members with Brain Injury State & Federal Policy
MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 20, Home and Community Based Services (HCBS) for Adults with Other Related Conditions State & Federal Policy
Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder State & Federal Policy
MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder State & Federal Policy
Title 5 Facility License Maintenance Case General, All Services
MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 19, Home and Community Benefits for the Elderly and Adults with Disabilities State & Federal Policy
MaineCare Provider Training Opportunities General, All Services
Additional MaineCare Public Hearings for 10-144, C.M.R. Chapter 101, MaineCare Benefits Manuals (MBM): Chapters II and III - Section 13, Chapters II and III - Section 28, and Chapter II - Section 97 General, All Services
Notice of Additional MaineCare Public Hearings for 10-144, C.M.R. Chapter 101, MaineCare Benefits Manuals (MBM): Chapters II and III - Section 13, Chapters II and III - Section 28, and Chapter II - Section 97 State & Federal Policy
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Sections 68 & 85: 2026 Rates Implemented, CRs 137772 & 137770 Specialty Services
Hospital Days Awaiting Placement (DAP) Budget Reached for State Fiscal Year (SFY) 2025 Hospital & Clinic Services
Section 43, Hospice Services: Kickoff & Draft Rates Forum, Presented Materials and Comment Deadline Long Term Services and Supports
Reminder: VitalCare for Kids (EPSDT) General, All Services
February Hospital Training Events Hospital & Clinic Services
February Nursing Facility Training Events Long Term Care Services, Long Term Services and Supports
Section 71, National Diabetes Prevention Program (NDPP) 2026 Rate Update Hospital & Clinic Services, Primary Care and Care Coordination
2026 Medicare Rates Implemented for Sections 15, 65, 75, 95, & 101 Behavioral Health (BH)
Home and Community Based Supports (HCBS) Sections 18, 20, 21, 29, and New Lifespan Waiver: Comment Summary with Department Response and Final Draft Rate Models Long Term Services and Supports
MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapter II, Section 97 State & Federal Policy
MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapters II and III, Section 28 State & Federal Policy
MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapters II and III, Section 13 State & Federal Policy
Single Assessment Launch on Feb. 2 - Referral Link for Non-BH Providers Behavioral Health (BH), General, All Services, Hospital & Clinic Services
Coverage Clarification for Pyzchiva General, All Services
Section 60, Durable Medical Equipment (DME) and Supplies: Annual Rate Adjustment - CR 137488 Specialty Services
MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter I, Section 7, Children’s Behavioral Health Services Global Rule State & Federal Policy
MaineCare Notice of Agency Rule-making Emergency Adoption, MaineCare Benefits Manual, Chapter II, Section 92, Behavioral Health Home Services and Chapter III, Section 92, Principles of Reimbursement for Behavioral Health Home Services State & Federal Policy
MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter II, Section 13 State & Federal Policy
MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter II, Section 97, Private Non-Medical Institution Services State & Federal Policy
MaineCare Notice of Agency Emergency Rulemaking Adoption: MaineCare Benefits Manual, Chapter II, Section 65 and Repeal: Chapter III, Section 65 State & Federal Policy
MaineCare Notice of Agency Emergency Rule-making Adoption: Chapter II, Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations State & Federal Policy
Telehealth Service Reminder General, All Services
Section 43, Hospice Services: Rate Determination Kickoff & Draft Rates Public Review and Comment Long Term Services and Supports
Section 50, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Rate Letters for Calendar Year (CY) 2026 Long Term Care Services
Maine CDC Children & Youth with Special Health Care Needs Webinar Behavioral Health (BH)