Provider Bulletins by Topic

Date Title Topic
Updates to Service Provider Tax (SPT) Repeal Frequently Asked Questions (FAQ) General, All Services
Revalidate with MaineCare to Avoid Claim Denials General, All Services
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Rescheduled: Section 107, Psychiatric Residential Treatment Facilities (PRTFs): Revised Draft Rates Public Review and Comment Forum Behavioral Health (BH)
MaineCare Cost-of-Living Adjustments and Service Provider Tax (SPT) Repeal Update General, All Services
Rate Determination Initiation Notice for Section 80, Pharmacy Services : Dispensing Fees Retail Pharmacies
Attention Pharmacy Providers Under Title 5 General, All Services
Update to the Biosimilar Preferred Drug List (PDL) Hospital & Clinic Services
Maine’s Children & Youth with Special Health Care Needs Webinar Learning Series: Childhood Lead Poisoning and Prevention Behavioral Health (BH)
Section 67, Nursing Facility (NF) Services - Final Draft Rates and Methodologies Comment Summary Long Term Care Services
Quarterly Physician Drug Code Update: Quarter 4, CR 128318 Hospital & Clinic Services
Retro Physician Drug Rate Updates: Effective October 1, 2023, through September 30, 2024, CR 127535 Hospital & Clinic Services
Seasonal Flu Codes Added for Hospitals, CR 127605 Hospital & Clinic Services
Certified Community Behavioral Health Clinics (CCBHC) Comment Deadline Extension Behavioral Health (BH), Specialty Services
Pharmacy Providers May Not Refuse Services to a MaineCare Member for Failure to Pay a Copayment Retail Pharmacies
Prior Authorization (PA) Requests for Hearing Aids Reminder Specialty Services
Survey Re-Opened for HCBS Providers and Interested Parties of Clinical, Therapeutic, Supportive Skills Building, Assistive Technology, Care Coordination and Personal Support Services: Section(s) 12, 18, 19, 20, 21, 29, 40, 96, and 102 Long Term Services and Supports
Behavioral Health Section 65 Copays, CR 128193 and CR 127534 Behavioral Health (BH), General, All Services
Certified Community Behavioral Health Clinic (CCBHC) Draft Rate Methodology Presented Materials & Comment Deadline Behavioral Health (BH)
MaineCare Notice of Agency Rule-making Adoption, Chapter III, Section 45, Principles of Reimbursement for Hospital Services Not in use, State & Federal Policy
Public Forum Postponed: Section 107, Psychiatric Residential Treatment Facilities (PRTFs) Revisions to Previously Proposed Draft Rates Behavioral Health (BH)
Federally Qualified Health Center (FQHC) Providers – Notice of Award (NOA) Update General, All Services
2024 – 2025 Influenza Seasonal and Other Vaccines Retail Pharmacies
Verify a Code is Reimbursable for Special Population with Limited Benefits (SPLB) General, All Services
Training Opportunity Available for Family and Caregivers of Adults Receiving Services Within Section 12, 19, and 96 Programs Long Term Services and Supports
Rescheduling the Dental Services Forum Dental Services
Fiscal Year 2024 (FY24) Section 43, Hospice Rate Update, CR 127533 Long Term Services and Supports
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Section 67, Nursing Facility Reimbursement Reform: March 2024 Comment Summary with Department Response Long Term Care Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 43, Hospice Services Not in use, State & Federal Policy
Survey Deadline Reminder and Updated Questions & Answers for HCBS: Specific to Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology & Personal Support Services Long Term Services and Supports
RESCHEDULED: Public Forum for Providers Interested in the Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration Behavioral Health (BH)
Corrected Title for Section 67, Nursing Facility Reform: Revised Draft Rates and Methodologies Presented Materials & Comment Deadline Long Term Services and Supports
Section 67, Nursing Facility Reform: Revised Draft Rates and Methodologies Presented Materials & Comment Deadline Long Term Services and Supports
Section 107, Psychiatric Residential Treatment Facilities (PRTFs): Revised Draft Rates Public Review and Comment Public Forum Behavioral Health (BH)
Survey for HCBS Providers and Interested Parties of Clinical, Therapeutic, Supportive Skills Building, Assistive Technology, Care Coordination and Personal Support Services Long Term Services and Supports
Section 98, Therapeutic Foster Care (TFC), Final Draft Rates and Summary of Comments with Department Response Behavioral Health (BH)
Facility Licenses Under Title 5 General, All Services
MaineCare 2024-25 Respiratory Syncytial Virus (RSV) Update Retail Pharmacies
MaineCare 2024-25 Respiratory Syncytial Virus (RSV) Update Hospital & Clinic Services
Attention Providers Interested in the Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration Behavioral Health (BH)
Attention HCBS Providers of Rehabilitative Services for Sections 19, 20, 21, 40, & 102: Interested Parties Engagement Session Presented Materials  Long Term Services and Supports
Section 90, Physician Drug Rate Updates, CRs 127124 & 127125 Hospital & Clinic Services
Section 67, Nursing Facility Reform: Revised Draft Rates and Methodologies Public Forum Long Term Care Services
Attention HCBS Providers of Personal Support Services for Section 12, 19, & 96: Interested Parties Engagement Session Presented Materials Long Term Services and Supports
Attention HCBS Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology Services, & Personal Support Services: Engagement Session Questions and Answers (Q&A) Long Term Services and Supports
Pharmacy Copayments Return with the End of the American Rescue Plan (ARP) Act on September 30, 2024 Retail Pharmacies
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports