MaineCare Bulletins

Date Title Topic
Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums General, All Services
Code & Service Category List: HCBS Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Care Services Long Term Services and Supports
Section 45, Hospital Diagnostic Related Group (DRG) and Ambulatory Payment Classification (APC) Reimbursement Changes Effective July 1, 2024 Hospital & Clinic Services
Post Incarceration Incentive Payment Pilot Update General, All Services, Not in use
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter III, Section 45, Principles of Reimbursement for Hospital Services Not in use, State & Federal Policy
HIV Testing Now Recommended Quarterly by Maine CDC General, All Services
Maine’s Children & Youth with Special Health Care Needs Webinar Learning Series: MaineCare in Education Behavioral Health (BH)
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team Retail Pharmacies
Text Messaging Not Accepted Method of Substantive Contact for Section 13, Targeted Case Management (TCM) Services Behavioral Health (BH)
Certified Community Behavioral Health Clinic (CCBHC) Certification Documentation Due September 6, 2024 Behavioral Health (BH), General, All Services, Not in use, Primary Care and Care Coordination
​Attention Section 65, Behavioral Health Services Providers: Temporary Claims Payment Delay General, All Services
Update Your MaineCare Enrollment with Accurate Information General, All Services
Virtual Forum for Dental Service Providers Dental Services
Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program for Children and Youth – New Provider Resources Available General, All Services
Critical Access Hospitals (CAH) Swing Bed and Nursing Facility (NF) Days Awaiting Placement (DAP) Rate Updates, CR 125823 Hospital & Clinic Services, Long Term Care Services
MaineCare Notice of Agency Emergency Rule-making Adoption, Chapter III, Section 45, Principles of Reimbursement for Hospital Services Not in use, State & Federal Policy
EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) Application: Revised Phase Out Date Long Term Services and Supports
Section 45, Hospital Services Rate Reform Comment Summary with Department Response Hospital & Clinic Services
Attention Section 17, Community Support Service Providers: Updated Guidance Regarding Delay to January 1, 2024 COLA Implementation Behavioral Health (BH)
Attention Section 17, Community Support Service Providers: Implementation of January 1, 2024, COLA Delayed to August 14, 2024 Behavioral Health (BH)
Amendment to Initiation Notice: Sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, HCBS Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology Services, & Personal Support Services Long Term Services and Supports
CORRECTION: Implementation Date of Section 92, Behavioral Health Homes (BHH) Retroactive COLA, CR 125416 Behavioral Health (BH)
Rate Determination Kickoff Meeting: Sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, Home & Community Based Services (HCBS) Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, & Assistive Technology Services Long Term Services and Supports
Sections 2, 13, 17, 26, 28, and 65: Implementation of Cost-of-Living Adjustments (COLAs) Effective January 1, 2024 Behavioral Health (BH), Long Term Care Services, Long Term Services and Supports
Section 92, Behavioral Health Homes (BHH): Implementation of Cost-of-Living Adjustments (COLAs) Effective December 21, 2023, CR 125416 Behavioral Health (BH)
Health PAS Online Portal – New: Member Renewal Date Now Available, CR 119276 General, All Services
Skin Substitutes no Longer Require a Prior Authorization (PA) - CR 126315 Hospital & Clinic Services, Specialty Services
Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations General, All Services
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team Retail Pharmacies
Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums General, All Services
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team Retail Pharmacies
MaineCare Enrollment Opportunity: MaineCare Benefits Manual (MBM), Chapter II, Section 71: National Diabetes Prevention Program (NDPP) Services General, All Services, Hospital & Clinic Services, Primary Care and Care Coordination
Hospital Billing Changes for Days Awaiting Placement (DAP) Hospital & Clinic Services
Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations General, All Services
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team Retail Pharmacies
Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations Retail Pharmacies
Section 45, Hospital Services Rate Reform: Updates Following June 11, 2024, Forum Hospital & Clinic Services
Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums General, All Services
Virtual Forum for Dental Service Providers Next Week Dental Services
MaineCare as a Secondary Payer Dental Services
Updated Guidance for Power Mobility Devices (PMD Specialty Services
Update: Some Claims Payments Delayed Due to Earlier MIHMS Outage General, All Services
Update: Health PAS Online Portal, Provider Services, Member Services Restored General, All Services
Section 25, Dental Services: Benchmark Assessment Results Comment Summary with Department Response Dental Services
Attention MaineCare Providers: HealthPAS Online Portal, Provider Services, Member Services Unavailable General, All Services
Help MaineCare Members Avoid a Gap in Health Coverage Before the Extended Unwinding Deadline General, All Services
Health PAS Online Portal – New: Member Renewal Date Now Available, CR 119276 General, All Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology Not in use, State & Federal Policy
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) Retail Pharmacies