MaineCare Bulletins

Date Title Topic
Section 67, Nursing Facility (NF) Services - Final Draft Rates and Methodologies Comment Summary Long Term Care Services
Quarterly Physician Drug Code Update: Quarter 4, CR 128318 Hospital & Clinic Services
Retro Physician Drug Rate Updates: Effective October 1, 2023, through September 30, 2024, CR 127535 Hospital & Clinic Services
Seasonal Flu Codes Added for Hospitals, CR 127605 Hospital & Clinic Services
Certified Community Behavioral Health Clinics (CCBHC) Comment Deadline Extension Behavioral Health (BH), Specialty Services
Pharmacy Providers May Not Refuse Services to a MaineCare Member for Failure to Pay a Copayment Retail Pharmacies
Prior Authorization (PA) Requests for Hearing Aids Reminder Specialty Services
Survey Re-Opened for HCBS Providers and Interested Parties of Clinical, Therapeutic, Supportive Skills Building, Assistive Technology, Care Coordination and Personal Support Services: Section(s) 12, 18, 19, 20, 21, 29, 40, 96, and 102 Long Term Services and Supports
Behavioral Health Section 65 Copays, CR 128193 and CR 127534 Behavioral Health (BH), General, All Services
Certified Community Behavioral Health Clinic (CCBHC) Draft Rate Methodology Presented Materials & Comment Deadline Behavioral Health (BH)
MaineCare Notice of Agency Rule-making Adoption, Chapter III, Section 45, Principles of Reimbursement for Hospital Services Policy and State Plan Amendments (SPAs), State & Federal Policy
Public Forum Postponed: Section 107, Psychiatric Residential Treatment Facilities (PRTFs) Revisions to Previously Proposed Draft Rates Behavioral Health (BH)
Verify a Code is Reimbursable for Special Population with Limited Benefits (SPLB) General, All Services
Federally Qualified Health Center (FQHC) Providers – Notice of Award (NOA) Update General, All Services
2024 – 2025 Influenza Seasonal and Other Vaccines Retail Pharmacies
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Rescheduling the Dental Services Forum Dental Services
Fiscal Year 2024 (FY24) Section 43, Hospice Rate Update, CR 127533 Long Term Services and Supports
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Section 67, Nursing Facility Reimbursement Reform: March 2024 Comment Summary with Department Response Long Term Care Services