MaineCare Bulletins

Date Title Topic
Attention Providers of Sections 17, 65, and 92 Adult Behavioral Health Services: Service Termination Approval Requirements Behavioral Health (BH)
​Kepro Behavioral Health Authorizations and Early and Periodic Screening, Diagnostic, and Treatments (EPSDT) Services Awareness​ Behavioral Health (BH), School Health Related Services
Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials Long Term Care Services
Updated FAQ Regarding MaineCare Guidance on Reimbursement when Restraint is Utilized in Outpatient Behavioral Health Settings, Including Schools Behavioral Health (BH), Hospital & Clinic Services, School Health Related Services
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
​Implementation of January 1, 2023, Rate Study Increases for Section 2, Adult Family Care Homes (AFCH), CR 116777​ Long Term Care Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention Primary Care Plus (PCPlus) Practices - PCPlus Application and Recertification Opening – Required for all PCPlus Practices Primary Care and Care Coordination
Section 2, Adult Family Care Homes (AFCH) – Public Comment Summary with Department Response and Final Draft Rates, CR 116777 Long Term Care Services
Attention Providers of Sections 17, 28, and 65: Behavioral Health Rate FAQs Update Behavioral Health (BH)
Revalidate with MaineCare to Avoid Claim Denials General Notifications for All Providers
​Microdyn Update for Ambulatory Payment Classifications (APCs), CRs 115172, 115173, 115447, 115619 Hospital & Clinic Services
MaineCare Notice of Agency Waiver Amendment-ME.0467, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.1082: Home and Community Based Services for Members with Brain Injury State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.0159, Intellectual Disabilities or Autism Spectrum Disorder Waiver State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.0467, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.0159, Intellectual Disabilities or Autism Spectrum Disorder Waiver State & Federal Policy
MaineCare Notice of Agency Waiver Amendment-ME.1082: Home and Community Based Services for Members with Brain Injury State & Federal Policy
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Attention Section 25 Dental Providers: HealthPAS Online Portal Direct Data Entry (DDE) Claims Submission Issue, TR 116587 Dental Services