MaineCare Bulletins

Date Title Topic
Section 67, Nursing Facility (NF) Providers MAY NOW SUBMIT JANUARY CLAIMS Long Term Care Services
Providers of Section 17 Services – Telehealth Clarification Behavioral Health (BH)
Attention Section 67, Nursing Facility (NF) Providers: Implementation of NF Reform Billing Changes Long Term Services and Supports
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 67, Principles of Reimbursement for Nursing Facilities Policy and State Plan Amendments (SPAs), State & Federal Policy
Section 5, Ambulance Services January 1, 2025, Rate Update - CR 129313 Specialty Services
Attention MaineCare Providers: MaineCare Operations are Continuing as Normal at this Time General, All Services
Public Forum Cancelation: Home and Community Based Service (HCBS) Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Support Services Long Term Services and Supports
Certified Community Behavioral Health Clinics (CCBHC) Demonstration Comment Summary with Department Response Behavioral Health (BH)
Section 65 Behavioral Health Clarification of Authorization Requests for MAT/Suboxone & Medication Management Behavioral Health (BH)
Rate Determination Initiation Notice and Public Forum for Section 97, Private Non-Medical Institutions (PNMI) Appendix D, Temporary High Intensity Services Behavioral Health (BH)
Home and Community Based Service (HCBS) Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Support Services: Draft Rate Public Review and Comment Long Term Services and Supports
Calendar Year (CY) 2025 Rate Determination Schedule General, All Services
Correction to Section 67, Nursing Facility Rate Letters Published on January 16, 2025 Long Term Care Services
Attention Providers of Section 21 Agency Home Support: Information About Staffing Thresholds Long Term Services and Supports
Correction to ​Hospital Outlier Payment Methodology, CR 128941 Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services
Update to Electronic Visit Verification (EVV) Missing Clients in Sandata General, All Services
Revision of Medicare Standardization Rates General, All Services
Nursing Facilities (NFs) and Residential Care Facilities (RCFs), PNMI, Appendix C Rate Letters Long Term Care Services
Final Draft Rates for Certain Medicare Covered Family Planning Services and Long-Acting Reversible Contraception (LARCs): Sections 14, 30, 31, 45, 90 & 103 Hospital & Clinic Services, Primary Care and Care Coordination