MaineCare Bulletins

Date Title Topic
Reminder: Primary Care Plus (PCPlus) Orientation Events MaineCare Initiatives and Special Topics
Town Hall Sessions to Support Alternate Electronic Visit Verification (Alt EVV) Systems MaineCare Initiatives and Special Topics
Attention All Electronic Visit Verification (EVV) Providers: New Foreign Language Quick Reference Guides MaineCare Initiatives and Special Topics
Attention Section 18, 20, 21, and 29 Providers – Appendix K Retainer Payments for newly eligible service providers Long Term Services and Supports
CORRECTION: Attention Section 60 – Medical Supplies and Durable Medical Equipment Providers: Upcoming Changes - Billing of Infliximab Specialty Services
Attention Section 60 – Medical Supplies and Durable Medical Equipment (DME) Providers: Billing of Infliximab Specialty Services
Attention Children’s Residential Care Facility (CRCF) Providers Behavioral Health (BH)
2022 Podiatry Code Rate Update, CR 109908 Specialty Services
2022 Rate Update for Section 2 Adult Family Care Home and Remote Island Facility, CR 110467 Long Term Services and Supports
2022 Rate Update for Section 26 Day Health Services, CR 110465 Long Term Services and Supports
Section 60 DME Cures Act Codes, CR 109579  Specialty Services
MaineCare Pediatric COVID-19 Vaccine Administration and Vaccine Counseling: Please Hold Claims Pending Further Billing Guidance General, All Services
New MaineCare Coverage for Federally Non-Qualified Children Under 21 and Pregnant People  General, All Services
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Dental Services (repeal); Chapter II, Section 25, Dental Services and Reimbursement Methodology (rule replaces the two repealed rules) State & Federal Policy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