MaineCare Bulletins

Date Title Topic
Ambulance Services Reimbursement and Locality Modifiers, CR 108340  Specialty Services
Payments to Home and Community-Based Services (HCBS) Providers Long Term Care Services
Payments to Home and Community-Based Services (HCBS) Providers School Health Related Services
Payments to Home and Community-Based Services (HCBS) Providers Behavioral Health (BH)
Payments to Home and Community-Based Services (HCBS) Providers Long Term Services and Supports
Payments to Home and Community-Based Services (HCBS) Providers Primary Care and Care Coordination
System Maintenance from March 19, 2022 to March 20, 2022   General, All Services
Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection  Retail Pharmacies
Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection  Primary Care and Care Coordination
Nursing Facility (NF) and Residential Care Facility (PNMI Appendix C) Rates are Available for Billing  Long Term Care Services
Notice of Agency Rule-making Adoption: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Section 97, Private Non-Medical Institution Services, Ch. III State & Federal Policy
System Maintenance from March 19, 2022 to March 20, 2022    General, All Services
Use of Varenicline and Nicotine Replacement Therapy for Tobacco Cessation  Retail Pharmacies
Use of Varenicline and Nicotine Replacement Therapy for Tobacco Cessation  Hospital & Clinic Services
Use of Varenicline and Nicotine Replacement Therapy for Tobacco Cessation  Primary Care and Care Coordination
No Prior Authorization (PA) Needed for Insulin Used to Treat Gestational Diabetes    Retail Pharmacies
No Prior Authorization (PA) Needed for Insulin Used to Treat Gestational Diabetes   Hospital & Clinic Services
No Prior Authorization (PA) Needed for Insulin Used to Treat Gestational Diabetes Primary Care and Care Coordination
Attention Primary Care Providers: Powdered Infant Formula Recall  Primary Care and Care Coordination
Residential Care Facility (PNMI Appendix C) Rate Letters Long Term Care Services