• Read more about Application Fee for 2023 Reminder, CR 114074

Effective January 1, 2023, in accordance with the Centers for Medicare and & Medicaid Services (CMS) application fee requirements, MaineCare’s provider enrollment application fee will increase to $688 per enrollment application. This increase will apply to new, reactivating, or revalidating providers, or when adding new service locations to an existing enrollment. You can pay the application fee by credit or debit card at the time of application submission.    

• Read more about DHHS Rulemaking Posting

Posting a new rule

1. Post the title of the rule in the "Title" field
2. Select the date the rule was posted to the site using the date picker
3. Add the summary of the rule/rule change
4. Select the Type of Post

Dec 12, 2022

The Maine Department of Health and Human Services (DHHS) today announced additional heating cost relief to help older Mainers with low income pay for high energy costs, complementing Governor Mills’ Emergency Winter Energy Relief Plan. 

• Read more about Maine DHHS Announces Additional Heating Cost Relief for Vulnerable Low-Income Residents 

• Read more about Test CNA Registry

Maine Registry of Certified Nursing Assistants and Direct Care Workers

• Read more about Electronic Visit Verification (EVV) Trainings and Forums

The federal deadline to implement the EVV requirements for Home Health providers delivering services under Section 40 and Hospice providers delivering services under Section 43 is January 1, 2023.  

With these EVV deadlines quickly approaching, we continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams. 

• Read more about Attention Providers of Section 45, Hospital Services: Draft Rate Model Public Meeting

PUBLIC COLLABORATION 

MaineCare is conducting a rate study for Section 45 of the MaineCare Benefits Manual. This study is being performed by Burns and Associates, a division of Health Management Associates.

MaineCare is holding an online public meeting on December 19, 2022, to obtain important feedback regarding a draft reimbursement model specific to inpatient discharges at distinct psychiatric units and distinct substance use disorder units.   

• Read more about MaineCare Provider and Member Services Closing Early

MaineCare Provider and Member Services Call Centers will be closing at 4:00 PM on Friday, December 9, 2022.   

The MyHealth PAS Online Portal and the IVR self-service options will continue to be available during this time; however, the option to speak with a call center professional will not be available.    

Business will resume to normal hours on Monday, December 12, 2022, from 7:00 AM EST until 6:00 PM EST.

• Read more about Attention Section 28 Providers: Update on Type 92 Early Childhood Provider Certification Letters, CR 71822

MaineCare now requires accurate certification information for Section 28 Type 92 providers prior to approval for that provider type. The certification consists of an approval letter from the Maine Department of Education that indicates the approval period. Certification dates in the provider’s enrollment case should match the certification end-date to prevent claims from being approved for payment if the certification is not valid. Please note that providers who have not already done so, their contract was end-dated on or around November 1, 2022.

• Read more about Updated 340B Agreement Form 

The 340B Agreement Form was updated and posted to t

• Read more about Donor Breast Milk Coverage, CR 113451

On January 1, 2023, MaineCare will add coverage for donor breast milk (CPT code T2101 - Human breast milk processing, storage, and distribution) under Section 90, Physician Services, and Section 45, Hospital Services, in accordance with Maine P.L. 2021, Ch. 708 (L.D. 85), An Act Concerning MaineCare Coverage for Donor Breast Milk.