Provider Bulletins by Topic

Date Title Topic
Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program for Children and Youth – New Provider Resources Available General, All Services
MaineCare Notice of Agency Emergency Rule-making Adoption, Chapter III, Section 45, Principles of Reimbursement for Hospital Services Not in use, State & Federal Policy
EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) Application: Revised Phase Out Date Long Term Services and Supports
Section 45, Hospital Services Rate Reform Comment Summary with Department Response Hospital & Clinic Services
Attention Section 17, Community Support Service Providers: Updated Guidance Regarding Delay to January 1, 2024 COLA Implementation Behavioral Health (BH)
Attention Section 17, Community Support Service Providers: Implementation of January 1, 2024, COLA Delayed to August 14, 2024 Behavioral Health (BH)
Amendment to Initiation Notice: Sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, HCBS Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology Services, & Personal Support Services Long Term Services and Supports
CORRECTION: Implementation Date of Section 92, Behavioral Health Homes (BHH) Retroactive COLA, CR 125416 Behavioral Health (BH)
Rate Determination Kickoff Meeting: Sections 12, 18, 19, 20, 21, 29, 40, 96, & 102, Home & Community Based Services (HCBS) Providers of Clinical, Therapy, Care Coordination, Supportive Skills Building, & Assistive Technology Services Long Term Services and Supports
Health PAS Online Portal – New: Member Renewal Date Now Available, CR 119276 General, All Services
Skin Substitutes no Longer Require a Prior Authorization (PA) - CR 126315 Hospital & Clinic Services, Specialty Services
Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations General, All Services
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team Retail Pharmacies
Sections 2, 13, 17, 26, 28, and 65: Implementation of Cost-of-Living Adjustments (COLAs) Effective January 1, 2024 Behavioral Health (BH), Long Term Care Services, Long Term Services and Supports
Section 92, Behavioral Health Homes (BHH): Implementation of Cost-of-Living Adjustments (COLAs) Effective December 21, 2023, CR 125416 Behavioral Health (BH)
Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums General, All Services
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Hospital Billing Changes for Days Awaiting Placement (DAP) Hospital & Clinic Services
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team Retail Pharmacies
MaineCare Enrollment Opportunity: MaineCare Benefits Manual (MBM), Chapter II, Section 71: National Diabetes Prevention Program (NDPP) Services General, All Services, Hospital & Clinic Services, Primary Care and Care Coordination
Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations General, All Services
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Office Hours with MaineCare’s Pharmacy Team Retail Pharmacies
Attention MaineCare Providers: Notice of Returning Pharmacy Processes Including Prior Authorizations Retail Pharmacies
Section 45, Hospital Services Rate Reform: Updates Following June 11, 2024, Forum Hospital & Clinic Services
Registration is Open for the MaineCare 2024 Delivery System Reform (DSR) Forums General, All Services
Virtual Forum for Dental Service Providers Next Week Dental Services
MaineCare as a Secondary Payer Dental Services
Updated Guidance for Power Mobility Devices (PMD Specialty Services
Update: Some Claims Payments Delayed Due to Earlier MIHMS Outage General, All Services
Update: Health PAS Online Portal, Provider Services, Member Services Restored General, All Services
Section 25, Dental Services: Benchmark Assessment Results Comment Summary with Department Response Dental Services
Attention MaineCare Providers: HealthPAS Online Portal, Provider Services, Member Services Unavailable General, All Services
Help MaineCare Members Avoid a Gap in Health Coverage Before the Extended Unwinding Deadline General, All Services
Health PAS Online Portal – New: Member Renewal Date Now Available, CR 119276 General, All Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology Not in use, State & Federal Policy
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) Retail Pharmacies
Attention Providers of MaineCare Benefits Manual (MBM) Section 45, Hospital Services: GME Add-On Amounts by Facility Hospital & Clinic Services
Virtual Forum for Dental Service Providers Dental Services
EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) Application: Revised Phase Out Date Long Term Services and Supports
Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour  Primary Care and Care Coordination
State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs) Long Term Care Services
MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 25, Dental Services and Reimbursement Methodology Not in use, State & Federal Policy
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 23, Developmental and Behavioral Health Services and Chapter III, Section 23, Allowances for Developmental and Behavioral Evaluation Services Not in use, State & Federal Policy
​MaineCare Residential Substance Use Disorder (SUD) Treatment Providers – Utilization Management (UM) Process Update Behavioral Health (BH)
Attention Providers of Section 17 and Section 92 Services 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
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
Non-Emergent - Emergency Department Claims Not Pricing Correctly Hospital & Clinic Services
State Fiscal Year (SFY) 2025 Rate Letters for Section 67, Nursing Facilities (NFs) and Section 97, Appendix C, Residential Care Facilities (RCFs) Long Term Care Services