MaineCare Bulletins

Date Title Topic
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) Retail Pharmacies
Attention Providers of MaineCare Benefits Manual (MBM) Section 45, Hospital Services: GME Add-On Amounts by Facility Hospital & Clinic Services
Virtual Forum for Dental Service Providers Dental Services
EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) Application: Revised Phase Out Date Long Term Services and Supports
Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour  Primary Care and Care Coordination
State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs) Long Term Care Services
MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology Policy and State Plan Amendments (SPAs), State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 23, Developmental and Behavioral Health Services and Chapter III, Section 23, Allowances for Developmental and Behavioral Evaluation Services Policy and State Plan Amendments (SPAs), State & Federal Policy
​MaineCare Residential Substance Use Disorder (SUD) Treatment Providers – Utilization Management (UM) Process Update Behavioral Health (BH)
Attention Providers of Section 17 and Section 92 Services Behavioral Health (BH)
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
Non-Emergent - Emergency Department Claims Not Pricing Correctly Hospital & Clinic Services
State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs) Long Term Care Services
Attention Section 55, Laboratory Services: January 1, 2024, Rate Update, CR 124692 Specialty Services
Maine Breast & Cervical Health Program (MBCHP) Code & Rate Update for Fiscal Year (FY) 2025 General, All Services
Section 50, Intermediate Care Facilities (ICF) Rate Letters for Fiscal Year (FY) 2025 Now Available, CR 125576 Long Term Care Services
Section 97, Private Non-Medical Institutions (PNMI) Appendix F: Rate Letters for Fiscal Year (FY) 2025, CR 125612 Long Term Care Services
Revalidate with MaineCare to Avoid Claim Denials General, All Services