MaineCare Bulletins

Date Title Topic
Rate Determination Initiation Notice and Public Forum Invite for Section 23, Developmental and Behavioral Clinic Services: Child Abuse Evaluations Behavioral Health (BH)
Section 17, Assertive Community Treatment (ACT) Services Staff Requirements Behavioral Health (BH)
Dental Surgeries Performed in Ambulatory Surgical Centers (ASC) CR 124455 Dental Services, Hospital & Clinic Services
REVISED Section 4, Ambulatory Surgical Center (ASC) Rates, Effective March 9, 2024, CR 124455 Hospital & Clinic Services
Apply to Present at the 2024 MaineCare Delivery System Reform Forums Behavioral Health (BH), General, All Services, Hospital & Clinic Services, Long Term Services and Supports, MaineCare Initiatives and Special Topics, Primary Care and Care Coordination
New Health Home Model for Substance Use Disorders (SUDs) –Rate Study Kickoff Meeting: Presented Materials Behavioral Health (BH)
Section 45, Hospital Inpatient Psychiatric and Substance Use Disorder (SUD) Unit Services – Rate Determination Comment Summary with Department Response Hospital & Clinic Services
MaineCare Provider Training Opportunities and Survey General, All Services
Webinar: What Primary Care Providers Need to Know About HIV General, All Services
UPDATE - Claims Pending for Missing Vendor Code​ General, All Services
​Utilizing the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program for Children and Youth​ General, All Services
EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) App Long Term Services and Supports
Attention Pharmacy Providers: Updated Technical Instructions for Processing Backlogged Claims​ Retail Pharmacies
UPDATE - Claims Pending for Missing Vendor Code​ General, All Services
MaineCare in Education: New Resources and Updated MaineCare in Education 2024 Guide School Health Related Services
Update: Crown Prior Authorization (PA) Exception for Endodontic Therapy Dental Services
UPDATE May 3, 2024 - Claims Pending for Missing Vendor Code General, All Services
Attention Section 90, Physician Service Providers: REVISED Calendar Year 2024 (CY24) Medicare Standardization Rates, CR 124074 Hospital & Clinic Services, Primary Care and Care Coordination
Quarterly Physician Drug Codes Update: QTR 1, CR 122400 Hospital & Clinic Services, Primary Care and Care Coordination
​Public Forum Postponed: Section 45, Hospital Service Providers Draft Reimbursement Methodologies​​ Hospital & Clinic Services