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Please join us on Wednesday, July 16, 2025, to learn about, and provide feedback about the next phase of MaineCare’s PCPlus reform work. This session will be an opportunity for practices to provide feedback on your experiences and insights from participating in the PCPlus model. Your input will help shape the next phase of the PCPlus Alternative Payment Model (APM).
Discussion Topics:
Jul 7, 2025
On July 4, H.R. 1 -- Budget Reconciliation was signed into law, enacting sweeping federal changes to Medicaid, nutrition assistance, and health insurance Marketplace programs. Many provisions take effect later this year or sometime between 2026--2028 and will fundamentally reshape -- and, in many cases, eliminate -- how many Maine people access health coverage and food supports.
Last week, we sent a notice stating that the implementation of the 1.95% COLA for several sections of policy was delayed.
The following policy sections received the COLA update, and the rates are now available for billing.
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18 |
HCBS for Adults with Brain Injury |
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20 |
Earlier today, we sent a notice stating providers were not able to submit Maintenance Cases in our enrollment system due to unplanned maintenance. The maintenance is complete, and you may resume regular operations.
If you have questions or concerns regarding this, please contact Kenneth Jamison, MaineCare Provider Enrollment Manager.
At this time, providers are not able to submit Maintenance Cases in our enrollment system. The system is undergoing unplanned maintenance. We expect this maintenance to be complete later today, and will send a follow-up message when normal operations resume. Providers may submit New Enrollments and Revalidations as usual during this time.
If you have questions or concerns regarding this, please contact Kenneth Jamison, MaineCare Provider Enrollment Manager.
If your organization is going through an organizational change, please contact Gainwell to receive guidance before beginning an enrollment/revalidation/re-enrollment application or maintenance case and prior to submitting the Disclosure of Organizational Change for MaineCare form. This allows Gainwell/MaineCare to review the change and decide what is the best way the provider needs to enroll or update their enrollment.
Please contact the MaineCare Enrollment email box with questions.
Health PAS Online Portal Training
Gainwell Technologies continues to offer weekly training through Microsoft Teams on the following Health PAS Online Portal topics:
As noticed earlier today, this e-message contains additional information specific to services provided under Section 31.
As noticed earlier today, we are increasing reimbursement rates through 1.0% COLAs for services that are regularly scheduled to receive them in July. This e-message contains additional information specific to services provided under Sections 91 and 93.
As noticed earlier today, this e-message contains additional information specific to services provided under Section 45.
In alignment with P.L. 2025, Ch. 388, (Part GGG), MaineCare is increasing certain hospital reimbursement rates to reflect a 1.0% COLA retroactively, effective July 1, 2025.