MaineCare Bulletins

Updated Payment Rate Details for Substance Use Disorder (SUD) Intensive Outpatient Program (IOP) Service Providers, CR 110559  Behavioral Health (BH)
Primary Care Plus (PCPlus) Orientation Events  Dental Services
Dental Prior Authorization (PA) Forms, CR 110373  Dental Services
UPDATE for Providers Billing on UB-04 and 837I Claims, CR 107682  General Notifications for All Providers
MaineCare Benefits Manual, Chapter II, Section 25, Dental Services (repeal); Chapter III, Section 25, Allowances for Dental Services (repeal); Chapter II, Section 25, Dental Services and Reimbursement Methodology (rule replaces the two repealed rules) State & Federal Policy
MaineCare in Education: Correction to TM and TL Modifier Language for Private Duty Nursing (PDN) Medical Necessity School Health Related Services
Attention Home Health Service Providers: Tomorrow, July 1, 2022 EVV Soft Launch Implementation Long Term Services and Supports
Attention Nursing Facilities and Residential Care Facilities – Rate Letters for State Fiscal Year 2023 Long Term Care Services
MaineCare in Education: Private Duty Nursing (PDN) Medical Necessity School Health Related Services
How to Adjust Claims for Retro Rate Increase  General, All Services
Section 25 Dental Services Rulemaking Update  Dental Services
Attention Section 97, Appendix D Children’s Residential Care Facility Providers - Supplemental Payment Information  Behavioral Health (BH)
Attention Providers of Section 21 Home Support Agency Per Diem: Enforcement Discretion Related to Reimbursement for Asleep Staff  Long Term Services and Supports
Attention Home Health and Hospice Service Providers: July 1, 2022 EVV Soft Launch Implementation and MaineCare Member Letter Long Term Services and Supports
Attention Providers of Section 18, 19, 20, 21, and 29 Services: Appendix K to Maine’s Home and Community Based Waivers Continues to Provide Temporary Flexibilities on Service Caps, Staffing Long Term Services and Supports
Attention Behavioral Health Service Providers - Behavioral Health and Targeted Case Management Supplemental Payment Information  Behavioral Health (BH)
EPSDT Coverage for Children’s Residential Care Facility Level of Care Hospital & Clinic Services
EPSDT Coverage for Children’s Residential Care Facility Level of Care​ Behavioral Health (BH)
Reminder for Providers Billing on UB-04 and 837I Claims, CR 107682 General, All Services
Electronic Visit Verification (EVV) Web Browser Notice Long Term Services and Supports