MaineCare Bulletins

Date Title Topic
Section 4, Ambulatory Surgical Centers Annual Rate Update for Calendar Year 2024 (CY24) CR 123437 Hospital & Clinic Services
REVISED 2023 Quarterly Physician Drug Code Rate Updates Implemented Primary Care and Care Coordination
Attention Sections 68 & 85, Occupational and Physical Therapy Service Providers: Revised 2023 Rates CR 114862 School Health Related Services, Specialty Services
Attention Section 90, Physician and Primary Care Provider Services: Calendar Year 2024 (CY24) Medicare Standardization Rates Implemented, CR 122982 & 122980 Primary Care and Care Coordination
Attention Section 2, Adult Family Care Homes (AFCHs) Room and Board Rate Update for January 1, 2024, CR 122824 Long Term Care Services
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Attention Section 14, Advanced Practice Registered Nursing (APRN) and Section 90, Physician Services: 2024 Anesthesiology Rate Updates, CR 122923 Hospital & Clinic Services, Primary Care and Care Coordination
​Attention Section 25, Dental Service Providers: Benchmarking Results and Draft Rates, Public Review and Comment Dental Services
Attention Providers: Submit Documentation Electronically to Avoid Delays Retail Pharmacies
Provider Enrollment Application (PEA) Supporting Document Process Update, CR 122384 General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Section 67, Nursing Facilities (NFs) Draft Rate Methodology (Part 1 & 2): Presented Materials and Comment Deadline Long Term Care Services
Palliative Care Interdisciplinary Team Services (Section TBD) - Rate Study Kickoff Meeting and Staff Survey Overview General, All Services, Hospital & Clinic Services, Primary Care and Care Coordination
Attention Pharmacy Providers: Service Disruption Office Hours with MaineCare Pharmacy Benefit Retail Pharmacies
Attention Section 45 Hospital Service  Providers: February 26, 2024, Forum Presented Materials Hospital & Clinic Services
Attention Pharmacy Providers: MaineCare Weekend Support on March 9 & 10, 2024 Retail Pharmacies
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Attention Section 18, 21, and 29 Providers: Evergreen Users Billing 837 Claims Long Term Services and Supports
Provider Survey- Attitudes Towards Contingency Management (CM) for Treatment of Substance Use Disorder (SUD) Behavioral Health (BH)
Attention Pharmacy Providers: Service Disruption Office Hours with MaineCare Pharmacy Benefit to Address Retail Pharmacies