Provider Bulletins by Topic

Date Title Topic
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter III, Section 67 Not in use, State & Federal Policy
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Secondary Billing Instructions Updated General, All Services
Deadline Extended for Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Submissions Behavioral Health (BH)
RESCHEDULED: Draft Rate Model Public Review and Comment for Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services Behavioral Health (BH)
COVID-19 Therapeutics Transition to Commercial Market, and UPDATE on COVID-19 Vaccine Coverage General, All Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 94, EPSDT Not in use, State & Federal Policy
Interprofessional Codes for Medication Management Providers Behavioral Health (BH)
​Attention Providers: Survey to Help Identify Programs that Support Children and Families in Maine General, All Services
Payment Error Rate Measurement (PERM) Audit General, All Services
Attention Providers of Section 65: Behavioral Health Rate FAQs Update General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 71, National Diabetes Prevention Program Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Training: Presented Materials Behavioral Health (BH)
Post Exposure HIV Prophylaxis Hotline General, All Services
​Reminder: State Funded Abortion General, All Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter I, Section 4, Telehealth Services Not in use, State & Federal Policy
​MaineCare Provider Enrollment Update General, All Services
Important Changes to COVID Vaccine Administration Fee for Pharmacies Retail Pharmacies
Mental Health First Aid Training Opportunity for Caregivers of Section 19 Members Long Term Services and Supports
Fiscal Year (​FY)24 Hospice Rate Update, October 1, 2023​ Long Term Services and Supports
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Section 1915(c) Waiver Appendix K Updates​ General, All Services
COVID-19 Vaccines for Fall 2023 Claim Submission Update General, All Services
​COVID-19 Vaccines for Fall 2023​ Claim Submission Update General, All Services
​Attention Section 67, Nursing Facilities (NFs): Extension of Extraordinary Circumstance Allowance (ECA) Application Deadline Long Term Care Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 60, Medical Supplies and Durable Medical Equipment Not in use, State & Federal Policy
Use of Nirsevimab and Palivizumab to Prevent Hospitalizations from Severe Respiratory Syncytial Virus (RSV) in High Risk Infants​ Hospital & Clinic Services, Primary Care and Care Coordination
Clubhouse Services Staff Requirements Behavioral Health (BH)
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Attention Primary Care Plus (PCPlus) Providers: Reminder - PCPlus Open Office Hour Primary Care and Care Coordination
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Attention Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
Attention Section 25, Dental Service Providers: Rate Determination Kickoff Meeting Dental Services
Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
​COVID-19 Vaccine Updates for Fall 2023 General, All Services
End of Section 1915(c) Waiver Appendix K Flexibilities General, All Services, General Notifications for All Providers
Primary Care Plus (PCPlus) Performance-Based Adjustment (PBA) Update Primary Care and Care Coordination
Attention Section 30, Family Planning Agency Services, Alternate Payment Model (APM): Draft Rate and Service Model Public Review and Comment General, All Services, Hospital & Clinic Services
Blood Glucose Test Strip Dosing Limit with Continuous Glucose Monitors (CGM) Hospital & Clinic Services, Primary Care and Care Coordination, Retail Pharmacies
Respiratory Syncytial Virus (RSV) Educational Infographics Available Hospital & Clinic Services, Long Term Care Services, Primary Care and Care Coordination, Retail Pharmacies
​Durable Medical Equipment (DME) Prior Authorization (PA) Criteria Sheets Updated​, CR 119839 Specialty Services
Attention Section 43 Hospice Providers: Electronic Visit Verification (EVV): Implementation January 1, 2024 Long Term Services and Supports
Vendor Activation Form, CR 118819 General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Section 1915(c) Waiver Appendix K Updates​ General, All Services
Rate Determination Initiation Notice for a New Service Model Under Review for Future Proposal as MaineCare Benefits Manual (MBM), Section TBD: Palliative Care Interdisciplinary Team Services General, All Services, Long Term Care Services, Long Term Services and Supports, Primary Care and Care Coordination
Attention MaineCare Providers: Processing Delays for Enrollment and Revalidation General, All Services