Attention Private Non-Medical Intuition (PNMI) Appendix B Providers: Maintenance Case Needed for New Specialty Added to Provider Type 55 – PNMI, CR 100507

Apr 01, 2022

Maine has received approval for the 1115 Demonstration waiver to lift the Institute of Mental Disease (IMD) exclusion for Substance Use Disorders (SUD) residential services. We have added a new IMD specialty, SUD-IMD, to Provider Type 55 – PNMI for programs currently enrolled with the 001-Addiction Services specialty. 

If the bed capacity in your hospital, nursing facility, or other institution is more than 16 beds, you must create a MaineCare maintenance case to update your enrollment to the new specialty. If your facility has 16 beds or fewer, you do not need to change specialty. You will also need to update your license with the Division of Licensing and Certification with this new specialty if you are using it to bill MaineCare.

For more information about the demonstration waiver, see the Maine Section 1115 Institution for Mental Disease (IMD) Exclusion for Substance Use Disorder (SUD) section on the Policy Waiver webpage.

Please email the MaineCare Enrollment email box with questions or call 1-866-690-5585, option 2.