Provider Bulletins by Topic

Date Title Topic
Update: ​Targeted Case Management (TCM) Services Provided by Indian Health Services (IHS)​ Primary Care and Care Coordination
Provider Enrollment National Provider Identifier (NPI) Entry Enhancement, CR 122156 General, All Services
Sections 15, 75, 109 and 95, Calendar Year 2024 (CY24) Medicare Standardization Rates Implemented, CRs 122519, 122524, 122526 General, All Services
MaineCare Notice of Agency Rule-making Proposal, Chapters II and III, Section 23, Developmental and Behavioral Health Clinic Services Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
340B Program Overview General, All Services
Targeted Case Management (TCM) Services Provided by Section 9, Indian Health Services (IHS) Primary Care and Care Coordination
The American Society of Addiction Medicine (ASAM) 4th Edition Release Behavioral Health (BH)
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Reminder: Home and Community Based Services (HCBS) Compliance Form Instructions for Waiver Services Provider General, All Services
Attention Section 14, Advanced Practice Registered Nursing (APRN) and Section 90, Physician Services: 2024 Anesthesiology Rate Updates, CR 122923 Hospital & Clinic Services, Primary Care and Care Coordination
Updated January 1, 2023, Behavioral Health Rate Adjustments FAQs Regarding Assertive Community Treatment (ACT) Behavioral Health (BH)
Issue Corrected: Attention Section 67 Providers – Members Coverage Inadvertently End-Dated in MIHMS Long Term Care Services
Attention Providers: New Ways to Connect Your Patients to Mental Health Care General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
​​Comment Deadline Extended: Mobile Crisis Response Teams, Draft Service Model and Rates​ Behavioral Health (BH)
Provider Enrollment Presentation Session Materials​ General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 29 Not in use, State & Federal Policy
Medicare Standardization Rate Updates for Calendar Year 2024 (CY24) General, All Services
Quarterly Physician Drug Code Update General, All Services
Section 60, Durable Medical Equipment (DME) and Supplies: Annual Rate Adjustment Specialty Services
Attention Providers: Please Respond to Enrollment Cases That Need More Information (NMI) General, All Services
1115 Substance Use Disorder (SUD) Waiver Mid-Point Assessment Stakeholder Listening Session Behavioral Health (BH)
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) General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Attention Providers: New Ways to Connect Your Patients to Mental Health Care General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 43, Hospice Services, and Chapter III, Section 43, Allowances for Hospice Services (repeal) Not in use, State & Federal Policy
Attention Section 65 Behavioral Health Providers: Draft Service Model and Rates Presented Materials for Mobile Crisis Response Teams Behavioral Health (BH)
Indian Health Services (IHS) Rate Update for Calendar Year 2024 (CY24) Primary Care and Care Coordination
Update to Respiratory Syncytial Virus (RSV) Vaccination Claims Guidance General, All Services
MaineCare Notice of Agency Major Substantive Rulemaking Provisional Adoption, Chapter III, Section 29 Not in use, State & Federal Policy
Section 23, Developmental and Behavioral Evaluation Clinic Services: Foster Care Comprehensive Health Assessment - Comment Summary and Final Draft Rates Behavioral Health (BH)
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Attention Providers: The Most Current Guidelines for Asthma Diagnosis and Management Primary Care and Care Coordination
​Attention Providers: Survey Available on the Correlation Between Alcohol and Cancer General, All Services
Attention Section 67 Providers – Members Coverage Inadvertently End-Dated in MIHMS Long Term Care Services
Help MaineCare Members Avoid a Gap in Health Coverage Retail Pharmacies
Attention Section 65, Behavioral Health Service Providers: Mobile Crisis Response Teams Draft Service Model and Rates, Public Review and Comment Behavioral Health (BH)
Attention Nursing Facilities (NFs) and Residential Care Facilities (PNMI, Appendix C, RCFs) – Rates Effective January 1, 2024 Long Term Care Services
Update to the ​Biosimilar Preferred Drug List​ Hospital & Clinic Services
Impact to MaineCare of Average Manufacturer Price (AMP) Cap Removal Hospital & Clinic Services, Primary Care and Care Coordination, Retail Pharmacies
MaineCare for Kids Communications Toolkit General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
​​EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) App ​ Long Term Services and Supports
​Section 103, Rural Health Center (RHC) Calendar Year 2024 (CY24) Rate Update - CR 121608 Primary Care and Care Coordination
​​Section 50, Intensive Care Facilities (ICF) Rate Letters for Calendar Year (CY) 2024 and Day Habilitation Service Rate Update - CR 121701 Long Term Care Services
CORRECTION: Intermediate Care Facilities (ICF) Rate Letters for CY 2024 and Day Habilitation Service Rate Update – CR 121701 ​ Long Term Care Services
CORRECTION: Non-Billing, Ordering, Prescribing, and Referring (NOPR) Editing Changing from Warn to Deny – CR 121469 General Notifications for All Providers
Rescheduled MaineCare Provider Enrollment Presentation and Listening Session General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports