• Read more about Control of Notifiable Diseases and Conditions Rule, 10-144 CMR Ch. 258

The Department is adopting routine technical rule changes to its rule to control specific notifiable communicable, occupational, and environmental diseases and conditions, as authorized by Maine law (22 MRS chapter 250). Amendments to this rule include adding COVID-19, Enterococcus resistant diseases, Hard Tick Relapsing Fever, Hepatitis C (acute and chronic), Mpox virus infection, PFAS serum test results and removing Rabies post-exposure prophylaxis from the notifiable diseases list, which aligns with US CDC’s priorities for state surveillance.

• Read more about Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840

This is a reminder that the attending provider is required on all UB-04 and 837I claims. MaineCare denies UB-04 and 837I claims submitted without an enrolled attending provider.

The attending provider is the individual who has overall responsibility for the patient’s medical care and treatment reported in the claim/encounter. The attending provider requirement includes all claim submission methods (paper, HealthPAS Online Portal, or 837I).

• Read more about Taxonomy Code Requested on Claim Submissions – Portal Claims

The Office of MaineCare Services (OMS) is requesting that providers include the taxonomy code on all claims. The taxonomy code is necessary for the Centers for Medicaid and Medicare Services (CMS) to collect data for Transformed Medicaid Statistical Information System (T-MSIS) reporting. This data helps to inform states of their current standing in data quality as compared to other states and is crucial for research and policy on Medicaid and CHIP. The taxonomy is also used by  CMS to conduct program oversight, administration, and integrity.  

• Read more about Provider Responsibility for Managing Users in my Health PAS Trading Partner Accounts (TPA)

It is important for your TPA administrator to actively manage your user accounts for the Health PAS Online Portal. To manage users, log into the administrator TPA and click on “Account Maintenance” and then “Manage Users.” Edit existing, deactivated or reactivated users by clicking on the row of the user you would like to manage. The Administrator of the account and users with a security role of “R7-User Management” are allowed to use these features. 

• Read more about Prescribing Providers Must Enroll in MaineCare

Beginning September 1, 2025, MaineCare will only pay for prescriptions that are from providers who are enrolled with MaineCare.   

Full or Non-Ordering, Prescribing and Referring Provider (NOPR) Enrollment options are available. 

May 5, 2025

The Maine Center for Disease Control and Prevention (Maine CDC) is heavily reliant on federal funding to carry out its mission to protect and promote the health and wellbeing of Maine people. Proposed cuts contemplated at the federal level could significantly reduce the state's capacity to address chronic diseases, environmental health threats, injury prevention, maternal and child health, investigate outbreaks and emergency preparedness -- areas that are essential to the well-being of Maine people.

• Read more about Safeguarding Public Health: What's at Stake for Maine Under the Proposed Federal Budget

• Read more about Prescribing Providers Must Enroll in MaineCare

Beginning September 1, 2025, MaineCare will only pay for prescriptions that are from providers who are enrolled with MaineCare.   

Full or Non-Ordering, Prescribing and Referring Provider (NOPR) Enrollment options are available. 

May 5, 2025

Portland recently became a hub of transformative dialogue and collaboration as over 500 stakeholders convened for the 2025 Innovation Summit: A Path for Maine. Hosted by DHHS' Office of Aging and Disability Services (OADS), and in partnership with the National Disability Institute, the Summit united providers, policymakers, advocates, and innovators dedicated to enhancing the lives of individuals with intellectual and developmental disabilities (IDD), autism, brain injuries, and other related conditions.

• Read more about Innovation and Inclusion: Advancing a Path for Maine

• Read more about Clarifications to Section 65 Medication Management Code Changes

This notice clarifies changes described in the Section 65 Medication Management Code Changes notice sent on May 16, 2025.

• Read more about Revalidate with MaineCare to Avoid Claim Denials

Per the Affordable Care Act (ACA), Section 6401, all providers need to revalidate with all states they are enrolled with.

Durable Medical Equipment (DME) providers are required to revalidate their information with MaineCare every three years. The current round of revalidation began in January 2022.