• Read more about Guidance for Section 65 Medication Management Code Changes and Duplication with Intensive Outpatient Programs (IOP)

MaineCare is not removing H2010 HF

MaineCare previously sent a notice saying we will remove H2010 HF from Atrezzo, but we decided not to go forward with this change. This means medication management providers do not need to discharge members from authorizations for H2010 HF in Atrezzo by November 12, 2025. You may continue to use this code and modifier for medications for opioid use disorder (MOUD) medication management.

Reasons for Not Removing the Code and Modifier

• Read more about New Health PAS Online Portal Downtimes

The State of Maine has identified a technical issue within the Health PAS Online Portal. Gainwell will need to shut down the system for maintenance for periods of time. In an effort to minimize provider impact, Gainwell will shut down the portal for the following periods of time when data shows the lowest user activity:

• Read more about Section 65, Mobile Crisis Intervention Response Services – Final Draft Rate Model Presented Materials, Comment Summary with Department Response, and Final Draft Rates

On July 15, 2025, the Office of MaineCare Services (OMS) with our vendor presented revisions to the previously proposed community-based Mobile Crisis Intervention Response service rates and model.

• Read more about Billing Requirement for the Emergency Services Limited Benefit Package

Emergency Services, also known as Emergency MaineCare, is a limited benefit that covers emergency medical services to stabilize the emergency condition only. For proper reimbursement, providers must use Admission Type “1” on the UB04 claim form or the Emergency Indicator “Y” on the CMS 1500 claim form.

• Read more about Prescribing Providers Must Enroll in MaineCare

• Read more about Sections 21 & 29: July 1, 2025, Cost-of-Living Adjustments (COLAs) Implemented

• Read more about Section 50, Intermediate Care Facilities (ICF) Rate Letters for Fiscal Year 2026 (FY26) and Day Habilitation Service Rate Update – CR 133180

• Read more about Section 97, Appendix C, Residential Care Facilities (RCFs): Implementation of Part AAAA Adjustment

• Read more about 10-144 C.M.R. Ch. 330; Ch. 330; Higher Opportunity for Pathways to Employment (HOPE) Program Rules; HOPE Rule 104A - Section 4: Dental Services Update

10-144 C.M.R. Ch. 330; Higher Opportunity for Pathways to Employment (HOPE) Rules

Section 4

HOPE Rule 104A - Dental Services Update

• Read more about 10-144 C.M.R. Ch. 301; Supplemental Nutrition Assistance Program (SNAP) Rules; Section 111-7; SNAP Rule #238A - ABAWD Update

10-144 C.M.R. Ch. 301; Supplemental Nutrition Assistance Program (SNAP) Rules

Section 111-7

SNAP Rule #238A - ABAWD Update

The adopted rule effectuates routine technical changes to 10-144 C.M.R. Chapter 301; Supplemental Nutrition Assistance Program (SNAP) Program Rules, Section 111-7, ensuring consistency with 7 C.F.R. § 273.24(c).