MaineCare Bulletins

Date Title Topic
Change of Edit 6075 from Deny to Warn, CR 109501 General, All Services
Attention Providers of Adult Behavioral Health Services: Updated Critical Incidents Definitions Behavioral Health (BH)
COVID-19 Vaccines, Pre-Exposure Prophylaxis, and Treatment for Non-Hospitalized Patients General, All Services
Psychiatric Residential Treatment Facility (PRTF) Information Request Behavioral Health (BH)
​Health PAS Online Portal Intermittent Issues General, All Services
Notice of Agency Rule-making Adoption: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder State & Federal Policy
Attention Providers of Section 21 Agency Home Support: Adjusting Past Claims for Part AAAA HCBS Agency Per Diem (T2016 and T2016 SC) Rate Increases Long Term Services and Supports
MaineCare in Education: New Modifier Guidance for Sections 28 and 96  School Health Related Services
Biosimilar Preferred Drug List (PDL)  General, All Services
Updated MaineCare in Education 2022 Guide School Health Related Services
Enteral Nutrition and Supply Codes Added to the Diabetic Supply Service Group, CR 107707  Specialty Services
Attention All Providers: Payment Error Rate Measurement (PERM) Audit General, All Services
Status of Home and Community Based Services (HCBS) Settings Rule Requirements  Long Term Services and Supports
Reminder: Primary Care Plus (PCPlus) Application Closes Today  Behavioral Health (BH)
Reminder: Primary Care Plus (PCPlus) Application Closes Today  Primary Care and Care Coordination
Instructions to Apply for Retainer Payments for Providers of MaineCare Benefits Manual (MBM), Sections 18, 20, 21, and 29 Services  Long Term Services and Supports
Attention All MaineCare Providers: Updated Alternative Settings Guidance   General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 90, Physician Services State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapters II and III, Section 91, Health Home Services State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter VI, Section 3, Primary Care Plus State & Federal Policy