MaineCare Bulletins

Date Title Topic
Claims Pending for Missing Vendor Code​ General, All Services
MaineCare Notice of Agency Major Substantive Rulemaking Adoption, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Policy and State Plan Amendments (SPAs), State & Federal Policy
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Updated Technical Instructions for Processing Backlogged Claims Retail Pharmacies
Attention Section 101, Imaging Service Providers: REVISED Calendar Year 2024 Medicare Standardization Rates, CR 124059 Specialty Services
Section 31, Federally Qualified Health Centers (FQHCs) – Rate Determination Comment Summary with Department Response Primary Care and Care Coordination
Attention Section 95, Podiatry Service Providers: REVISED Calendar Year 2024 Medicare Standardization Rates, CR 124058 Specialty Services
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
Attention Primary Care Plus (PCPlus) Practices – The Final Week for All PCPlus Practices to Re-Certify or Apply Approaches General, All Services
Electronic Visit Verification (EVV) Training Long Term Services and Supports
New Health Home Model for Substance Use Disorders (SUDs) – Rate Study Kickoff Meeting Behavioral Health (BH)
Comment Deadline Extended: Section 25, Dental Services Benchmarking Results and Draft Rates Dental Services
Attention Section 43 Hospice Services Providers: Electronic Visit Verification (EVV) Implementation Delayed Until Further Notice Long Term Services and Supports
Webinar: What Primary Care Providers Need to Know About HIV General, All Services
Attaching an Explanation of Benefits (EOB) to Secondary Claims General, All Services
Attention Pharmacy Providers: Service Restoration Office Hours with MaineCare Pharmacy Benefit​ Retail Pharmacies
MaineCare Provider Enrollment Progress Update General, All Services
Annual 1115 Substance Use Disorder (SUD) Waiver Post Award Forum Behavioral Health (BH)
Section 67, Nursing Facilities (NFs), Rate Determination Question & Answer Document Updated Long Term Care Services
Facility Licenses Under Title 5 General, All Services