MaineCare Bulletins

Date Title Topic
Missing Clients in Sandata General, All Services
Section 97, Private Non-Medical Institutions (PNMI) Appendices E & F: Rate Letter Update Behavioral Health (BH), Long Term Care Services
Section 40, Home Health Services: Reimbursing Parents Providing Home Health Aide (HHA) Services Long Term Services and Supports
Reminder for all Providers: A 30-Day Notice is Required Prior to Closure General, All Services
Section 50, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Rate Letters for Calendar Year (CY) 2025 Long Term Care Services
Psychiatric Residential Treatment Facilities (PRTFs) Revised Draft Rates: Presented Materials & Comment Deadline Behavioral Health (BH)
Nursing Facilities (NF): January Claims Hold and Navigating Rate Reform Billing Changes Long Term Care Services
​​Section 28: Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Claim Denials, CR 129350​ Behavioral Health (BH)
Dental Services Forum Registration and Topics Dental Services
Opioid Health Homes (OHH) Pay-for Performance (P4P) Benchmark Announcement Behavioral Health (BH)
Correction to Hospital Psychiatric/Substance Use Disorder (SUD) Fee Tables, CR 128816 Hospital & Clinic Services
Microdyn Update for Diagnostic Related Groups (DRG), and Ambulatory Payment Classifications (APC), CRs 127722, 127723, 128406, 128150, & 128151 Hospital & Clinic Services
Board Certified Behavior Analyst (BCBA) and Telehealth Guidance for Section 28 Providers Behavioral Health (BH)
Section 45, Acute & Rehabilitation Hospital Providers: Reminder of Upcoming January 1, 2025, Outlier Methodology Changes Hospital & Clinic Services
Section 45, Critical Access Hospital (CAH) Providers: Reminder of Upcoming January 1, 2025, Changes Hospital & Clinic Services
Section 89, MaineMOM Performance-Based Adjustment Withhold Behavioral Health (BH)
Medicare Standardization Rate Updates for Calendar Year 2025 (CY25) General, All Services
Section 103: Rural Health Center (RHC) Calendar Year 2025 (CY25) Rate Update, CR 128922 Primary Care and Care Coordination
Attention Schools Delivering Section 28 Services Behavioral Health (BH), School Health Related Services
340B Modifier Billing Guidance Update General, All Services