Recoupment of Claim Payments for Non-Covered Services Processed Under the COVID-19 Uninsured Benefit After the End of the Federal Public Health Emergency (PHE)

As explained in the January 17, 2024, e-message, MaineCare’s COVID-19 Uninsured Benefit was available for uninsured individuals through the end of the federal PHE, which ended May 11, 2023. MaineCare will not pay for services for this population for dates of service after May 11, 2023.  

MaineCare will reverse any claims that processed and paid secondary to Medicare for dates of service after May 11, 2023, when the billed services were not covered under this benefit. MaineCare will recoup the payment. No provider action is needed. 

Please contact your Provider Relation Specialist with questions. 

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