Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team

Aug 05, 2024

The Office of MaineCare Services continues a phased recovery following the outage that occurred from February 21, 2024, through March 26, 2024, due to the national cyber security issue affecting Change Healthcare. 

We are entering the next phase of the recovery and are continuing to restore waived edits. On May 1, 2024, Reject – 79 Refill Too Soon and Reject-79 Refill Too Soon Carryover were returned to normal functioning. On July 17, 2024, Reject-76 Plan Limitations Exceeded, returned to normal functioning.   

• Starting August 5, 2024, edits for Reject-75, Prior Authorization Required, will return to normal functioning. 

Please continue to follow the MaineCare Preferred Drug List.  It is available for reference on the MaineCare Pharmacy Services page. 

The State of Maine Pharmacy Unit Home Page is restored to www.mainecarepdl.org with access to Prior Authorization forms and the MaineCare Preferred Drug List. The restored site has a new format and will continue to be updated with additional content. 

Office Hours with MaineCare’s Pharmacy Team 

MaineCare is inviting you to join the next Office Hours call with the MaineCare Pharmacy team on Friday, August 9, 2024, from 1:00 – 1:45 PM. We will use this time as an opportunity for sharing questions and concerns and providing technical support from the State.   

Please register in advance for this meeting:  

https://mainestate.zoom.us/meeting/register/tZUvf-urrj0pGdL60cgsDSogCJujEWlP040F 

Providers requiring assistance with submitting prior authorization, may contact the Change Healthcare Optum Pharmacy Helpdesk at MaineHD@optum.com or 1-888-420-9711 or 1-888-445-0497