MaineCare Bulletins

Date Title Topic
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapters II and III, Section 91, Health Home Services Not in use
Electronic Visit Verification (EVV) Place of Service (POS) Update Long Term Services and Supports
Electronic Visit Verification (EVV) Place of Service Update Behavioral Health (BH)
MaineCare’s Secondary Billing Instructions Update, CR 106251   General, All Services
Updated Payment Rates and Prior Authorization (PA) Details for Long-Term Services and Supports and Home and Community-Based Service Providers Behavioral Health (BH)
Updated Payment Rates and Prior Authorization (PA) Details for Long-Term Services and Supports and Home and Community-Based Service Providers Long Term Services and Supports
MaineCare Provider Forum – New Dental Policy Dental Services
Primary Care Plus (PCPlus) Application Open Office Hours General Notifications for All Providers
Primary Care Plus (PCPlus) Application Open Office Hours Not in use
Primary Care Plus (PCPlus) Application Open Office Hours Primary Care and Care Coordination
Attention Providers of Sections 12, 18, 19, 20, 21, 29, and 96 Services: Part AAAA Long-Term Services and Supports and HCBS Rate Increases Behavioral Health (BH)
Attention Providers of Sections 12, 18, 19, 20, 21, 29, and 96 Services: Part AAAA Long-Term Services and Supports and HCBS Rate Increases Long Term Services and Supports
Attention Providers of Sections 12, 18, 19, 20, 21, 29, and 96 Services: Part AAAA Long-Term Services and Supports and HCBS Rate Increases Not in use
Stakeholders Meeting on American Rescue Plan (ARP) Home and Community Based Services (HCBS) Improvement Plan Long Term Services and Supports
MaineCare Job Openings General, All Services
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD)   Retail Pharmacies
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD)   Retail Pharmacies
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD) Behavioral Health (BH)
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD)  Behavioral Health (BH)
Cultural Competence and Inclusion Webinar: Intellectual & Developmental Disabilities (I/DD)  Behavioral Health (BH)
Provider Enrollment Application (PEA) Corrected  General, All Services
MaineCare Job Openings General, All Services
MaineCare Dental Rate Reform Materials Primary Care and Care Coordination
MaineCare Dental Rate Reform Materials Dental Services
MaineCare Dental Rate Reform Materials Dental Services
Attention Providers of Sections 13, 17, 28, 65, and 92  School Health Related Services
Attention Providers of Sections 13, 17, 28, 65, and 92  Primary Care and Care Coordination
Attention Providers of Sections 13, 17, 28, 65, and 92  Behavioral Health (BH)
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Primary Care Plus (PCPlus) Applicants: Community Health Worker Environmental Scan Template Now Available  Behavioral Health (BH)
Primary Care Plus (PCPlus) Applicants: Community Health Worker Environmental Scan Template Now Available  Primary Care and Care Coordination
Notice of Final Statewide Transition Plan (STP) for Home and Community-Based Services (HCBS) Settings State & Federal Policy
MaineCare Benefits Manual Section 97, Appendix D Children’s Residential Care Facility (CRCF) Services: Changes to Kepro Referrals and Prior Authorizations (PA)  Behavioral Health (BH)
Community Health Worker (CHW) Webinar  Primary Care and Care Coordination
Community Health Worker (CHW) Webinar  Behavioral Health (BH)
Attention Dental Providers: Dental Rate Forum Dental Services
Reminder for Providers Billing on UB-04 and 837I Claims, CR 107682  General, All Services
Certified Community Behavioral Health Clinic (CCBHC) Initiative Not in use
Certified Community Behavioral Health Clinic (CCBHC) Initiative Behavioral Health (BH)
Clarification Regarding Charging Recipients for COVID-19 Vaccinations General, All Services
Provider Enrollment Application (PEA) Outage General, All Services
System Maintenance from April 23, 2022 to April 24, 2022     General, All Services
Attention Providers of Sections 31 Federally Qualified Health Center (FQHC) Services and 103 Rural Health Clinic (RHC) Services: National Correct Coding Initiative (NCCI) Change of Edit 6075 from Warn to Deny, CR 106771 and 108825 Primary Care and Care Coordination
Pharmacy Point of Sale (POS) Blackout Period April 20, 2022 Retail Pharmacies
Primary Care Plus (PCPlus) Year One Final Application Period Now Open   Not in use
Primary Care Plus (PCPlus) Year One Final Application Period Now Open   Primary Care and Care Coordination
2022 Rate Updates for Medical Imaging Codes, CR 107225  General, All Services
Dental Problems with Buprenorphine Dissolved in The Mouth to Treat Opioid Use Disorder (OUD) and Pain Behavioral Health (BH)
Dental Problems with Buprenorphine Dissolved in The Mouth to Treat Opioid Use Disorder (OUD) and Pain Primary Care and Care Coordination
Dental Problems with Buprenorphine Dissolved in The Mouth to Treat Opioid Use Disorder (OUD) and Pain Hospital & Clinic Services