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DHHS → Office of MaineCare Services (OMS) → Provider Resources → Billing Requirement for the Emergency Services Limited Benefit Package

Billing Requirement for the Emergency Services Limited Benefit Package

Jul 21, 2025

Emergency Services, also known as Emergency MaineCare, is a limited benefit that covers emergency medical services to stabilize the emergency condition only. For proper reimbursement, providers must use Admission Type “1” on the UB04 claim form or the Emergency Indicator “Y” on the CMS 1500 claim form.

For questions related to billing for Emergency Services or any other Limited Benefit Package offered by MaineCare, please contact your Provider Relations Specialist.