MaineCare Bulletins

Date Title Topic
UPDATE - Claims Pending for Missing Vendor Code​ General, All Services
MaineCare in Education: New Resources and Updated MaineCare in Education 2024 Guide School Health Related Services
Update: Crown Prior Authorization (PA) Exception for Endodontic Therapy Dental Services
UPDATE May 3, 2024 - Claims Pending for Missing Vendor Code General, All Services
Attention Section 90, Physician Service Providers: REVISED Calendar Year 2024 (CY24) Medicare Standardization Rates, CR 124074 Hospital & Clinic Services, Primary Care and Care Coordination
Quarterly Physician Drug Codes Update: QTR 1, CR 122400 Hospital & Clinic Services, Primary Care and Care Coordination
​Public Forum Postponed: Section 45, Hospital Service Providers Draft Reimbursement Methodologies​​ Hospital & Clinic Services
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 95, Podiatry Service Providers: REVISED Calendar Year 2024 Medicare Standardization Rates, CR 124058 Specialty Services
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
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
Attaching an Explanation of Benefits (EOB) to Secondary Claims General, All Services