• Read more about MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 20, Home and Community Based Services for Adults with Other Related Conditions

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes.  The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. 

• Read more about 10-144 CMR Rules Governing the Maine Certification of Healthcare Cooperative Agreements

This routine technical rulemaking repeals 10-144 CMR Chapter 500, Rules Governing the Maine Certification of Healthcare Cooperative Agreements.

• Read more about Rate Adjustments to Reflect Repeal of Service Provider Tax (SPT) for Health Providers

Questions & Answers

September 9, 2024

Question: Why is the Department planning to reduce certain rates?

• Read more about MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder 

Notice of Agency Waiver Amendment

AGENCY:  Department of Health and Human Services, MaineCare Services

RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 21, Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder. 

WAIVER: ME.0159, Intellectual Disabilities or Autism Spectrum Disorder Waiver

• Read more about MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury

Notice of Agency Waiver Amendment

AGENCY:  Department of Health and Human Services, MaineCare Services

RULE TITLE OR SUBJECT: Chapter 101, MaineCare Benefits Manual, Section 18, Home and Community Based Services for Members with Brain Injury

WAIVER: ME.1082, Home and Community Based Services for Members with Brain Injury Waiver

• Read more about MaineCare Notice of Agency Waiver Amendment, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder

Notice of Agency Waiver Amendment

AGENCY:  Department of Health and Human Services, MaineCare Services

RULE TITLE OR SUBJECT: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual, Section 29, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder

WAIVER: ME.0467, Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver

• Read more about Maine Department of Health and Human Services Issues $30 Million to Maine Nursing Facilities

Payments will help facilities address rising costs and workforce challenges

AUGUSTA – The Maine Department of Health and Human Services (DHHS) announced today that it has issued $30 million in one-time Medicaid (MaineCare) payments to Maine nursing facilities to help them address unforeseen increases in staffing and other operating expenses in the wake of the pandemic.

• 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 Clone of Materials for MaineCare Communications Toolkits

The materials on this page were developed by the Office of MaineCare Services for anyone who wishes to give out information about the recent MaineCare.

Materials may be downloaded, or you may request printed materials be sent to you. Most materials are available in several languages.

• 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.