Attention MaineCare Providers: Processing Delays for Enrollment and Revalidation
MaineCare is experiencing a high volume of enrollment cases and Gainwell Technologies is experiencing staffing shortages. These challenges cause provider enrollment and revalidation cases to take longer to process than normal, some taking over 60 days to complete. We understand that these challenges may impact your day-to-day operations.
If the status of your case(s) has not changed 60 days after submission, and you experience hardship due to these delays, contact your assigned Provider Relations Specialist. Waiting at least 60 days allows MaineCare and Gainwell to manage the ongoing backlog of cases. A list of Provider Relations Specialists by service type and their contact information is located on the OMS website.
MaineCare and Gainwell are working diligently to reduce both the number of cases and overall case processing time. To ensure you do not experience further delays, please update your enrollment information well before it is due to expire.
Providers must revalidate their information or MaineCare will deny your claims.
To allow ample time to complete revalidation before the due date, we recommend you complete all maintenance cases 1-2 months prior to starting your revalidation case. An open maintenance case will delay your ability to begin revalidation. Providers may update items within their revalidation case rather than submitting a maintenance if time allows.
You will receive letters 60 days and 30 days prior to your assigned revalidation date. You can initiate your revalidation through the Health PAS Online Portal on, or after, your assigned revalidation date.
Utilize the revalidation checklist and tips documents.
Please review the updated Enrollment Checklist and Provider Revalidation Tips in the Provider Enrollment folder prior to revalidating or enrolling with MaineCare to verify that you have all the required documentation available. The checklist includes information about what is required for enrollment and revalidation for each provider type. We also include common errors found when submitting revalidation applications through the Provider Enrollment Application (PEA). Submitting an incomplete application may result in a delay or denial of your application.
Training is available.
MaineCare is committed to keeping you informed throughout the enrollment and revalidation process. You can register for training courses related to revalidation through the Absorb training platform. If this is your first time using the Absorb training platform, go to the Absorb training site and follow the instructions to create your login credentials. If you would like to request a live training session, you can contact Provider Services at 1-866-690-5585. After entering your NPI, choose Option 7; TTY users dial 711.
The following resources are available to assist you with the revalidation process:
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