Provider Bulletins by Topic

Date Title Topic
MaineCare Provider Training Opportunities and Survey General, All Services
Apply to Present at the 2024 MaineCare Delivery System Reform Forums Behavioral Health (BH), General, All Services, Hospital & Clinic Services, Long Term Services and Supports, Not in use, Primary Care and Care Coordination
New Health Home Model for Substance Use Disorders (SUDs) –Rate Study Kickoff Meeting: Presented Materials Behavioral Health (BH)
Webinar: What Primary Care Providers Need to Know About HIV General, All Services
UPDATE - Claims Pending for Missing Vendor Code​ General, All Services
​Utilizing the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program for Children and Youth​ General, All Services
EVV Providers – Update to Latest Version of the Sandata Mobile Connect (SMC) App Long Term Services and Supports
Attention Pharmacy Providers: Updated Technical Instructions for Processing Backlogged Claims​ Retail Pharmacies
UPDATE - Claims Pending for Missing Vendor Code​ General, All Services
MaineCare in Education: New Resources and Updated MaineCare in Education 2024 Guide School Health Related Services
Update: Crown Prior Authorization (PA) Exception for Endodontic Therapy Dental Services
UPDATE May 3, 2024 - Claims Pending for Missing Vendor Code General, All Services
Attention Section 90, Physician Service Providers: REVISED Calendar Year 2024 (CY24) Medicare Standardization Rates, CR 124074 Hospital & Clinic Services, Primary Care and Care Coordination
Quarterly Physician Drug Codes Update: QTR 1, CR 122400 Hospital & Clinic Services, Primary Care and Care Coordination
​Public Forum Postponed: Section 45, Hospital Service Providers Draft Reimbursement Methodologies​​ Hospital & Clinic Services
Claims Pending for Missing Vendor Code​ General, All Services
MaineCare Notice of Agency Major Substantive Rulemaking Adoption, MaineCare Benefits Manual, Chapter III, Section 29, Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Online Training Available Long Term Services and Supports
Attention Pharmacy Providers: Status of Restoration of Maine Point of Purchase System (MEPOPS) and Updated Technical Instructions for Processing Backlogged Claims Retail Pharmacies
Attention Section 95, Podiatry Service Providers: REVISED Calendar Year 2024 Medicare Standardization Rates, CR 124058 Specialty Services
Attention Section 101, Imaging Service Providers: REVISED Calendar Year 2024 Medicare Standardization Rates, CR 124059 Specialty Services
Section 31, Federally Qualified Health Centers (FQHCs) – Rate Determination Comment Summary with Department Response Primary Care and Care Coordination
Taxonomy Code Requested on Claim Submissions – Portal Claims General, All Services
Attention Primary Care Plus (PCPlus) Practices – The Final Week for All PCPlus Practices to Re-Certify or Apply Approaches General, All Services
Electronic Visit Verification (EVV) Training Long Term Services and Supports
New Health Home Model for Substance Use Disorders (SUDs) – Rate Study Kickoff Meeting Behavioral Health (BH)
Comment Deadline Extended: Section 25, Dental Services Benchmarking Results and Draft Rates Dental Services
Section 67, Nursing Facilities (NFs), Rate Determination Question & Answer Document Updated Long Term Care Services
Facility Licenses Under Title 5 General, All Services
Attention Section 43 Hospice Services Providers: Electronic Visit Verification (EVV) Implementation Delayed Until Further Notice Long Term Services and Supports
Webinar: What Primary Care Providers Need to Know About HIV General, All Services
Attaching an Explanation of Benefits (EOB) to Secondary Claims General, All Services
Attention Pharmacy Providers: Service Restoration Office Hours with MaineCare Pharmacy Benefit​ Retail Pharmacies
MaineCare Provider Enrollment Progress Update General, All Services
Annual 1115 Substance Use Disorder (SUD) Waiver Post Award Forum Behavioral Health (BH)
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 94, Early and Periodic Screening, Diagnosis and Treatment Services (EPSDT) Not in use, State & Federal Policy
Attention Section 18, 21, and 29 Providers: Evergreen Electronic Data Interchange (EDI) 837 Prior Authorization (PA) Issue Resolved, CR 123785 Long Term Services and Supports
Pemgarda (pemivibart) Receives Emergency Use Authorization (EUA) General, All Services
Attention Primary Care Plus (PCPlus) Practices - Open Application Period Required for all PCPlus Practices General, All Services
Comment Deadline Extended: Section 67, Nursing Facilities (NF) Draft Rate Methodology Long Term Care Services
CORRECTION to Comment Deadline: Section 25, Dental Benchmarking Results and Draft Rates, Presented Materials and Comment Dental Services
Electronic Visit Verification (EVV) Training Long Term Services and Supports
Attention Residential Care (PNMI-C) Facilities: CoreQ Resident and Family Satisfaction Survey Pilot Long Term Care Services
CORRECTION to Comment Deadline: Section 25, Dental Benchmarking Results and Draft Rates, Presented Materials and Comment Dental Services
Section 25, Dental Benchmarking Results and Draft Rates, Presented Materials and Comment Deadline Dental Services
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Section 30, Family Planning, REVISED 2024 Base Rates and Resulting Final Rates, CR 123812 Hospital & Clinic Services
Section 14, Advanced Practicing Registered Nursing (APRN) and Section 90, Physician Services: REVISED 2024 Anesthesiology Rates, CR 123809 Hospital & Clinic Services, Primary Care and Care Coordination
REVISED Section 90, Primary Care Provider (PCP) Rates Effective March 9, 2024, CR 123810 Primary Care and Care Coordination
Attention Pharmacy Providers: Status of Initial Restoration of Maine Point of Purchase System (MEPOPS) Retail Pharmacies