MaineCare Bulletins

Date Title Topic
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, 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
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
MaineCare Hearing Aid Procurement Contract Coding Error Specialty Services