DHHS → node
This message replaces the former messages sent on November 17, 2025, and November 18, 2025.
Effective January 1, 2026, the Department will add preferred and non-preferred drugs to the Biosimilar PDL.
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Biosimilar Preferred Drug List 2026 Effective January 1, 2026 |
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Bevacizumab and Biosimilars |
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Preferred Drugs |
HIV prevention, treatment, harm reduction, and resource navigation are the topics of a four-part webinar series facilitated by MaineCare’s HIV team. Presentation slides and recordings are available in the HIV Program section of the OMS Provider Resource page. There are also other HIV resources on that page, including an HIV Resource List.
Effective January 1, 2026, orthodontic codes D8010, D8020, D8030 and D8040 will be added to the Secondary Claim Billing Process for Orthodontic services.
Updated Orthodontia Secondary Billing Reminder
Notice of Agency Rulemaking Proposal
AGENCY: Department of Health and Human Services, MaineCare Services, Division of Policy
CHAPTER NUMBER AND RULE TITLE: 10-144 C.M.R., Chapter 101, MaineCare Benefits Manual, Ch. II, Section 92, Behavioral Health Home Services Ch. III, Section 92, Principles of Reimbursement for Behavioral Health Home Services
TYPE OF RULE: Routine Technical
PROPOSAL FILING NUMBER:
Data show encouraging progress in mental health and reduced substance use among Maine students
AUGUSTA-- The Maine Department of Health and Human Services' (DHHS) Maine Center for Disease Control and Prevention (Maine CDC) and the Maine Department of Education (Maine DOE) announced today the release of the 2025 Maine Integrated Youth Health Survey (MIYHS) data, showing positive trends in mental health and reduced substance use among Maine students.
This is an update to the notice we sent on July 24, 2025, about Health PAS Online Portal downtimes.
The portal will continue to remain down Monday through Friday from 7:00 PM to 7:00 AM and all weekend hours as Gainwell continues to address technical issues.
The portal will remain available from 7:00 AM to 7:00 PM Monday through Friday except for holidays, when state offices are closed.
Notice of Agency Rule-making Adoption
AGENCY: Department of Health and Human Services, Office of MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144 C.M.R. Ch. 101, MaineCare Benefits Manual, Chapter III, Section 45, Principles of Reimbursement for Hospital Services
ADOPTED RULE NUMBER:
CONCISE SUMMARY:
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.
The Office of MaineCare Services (OMS) is requesting that providers include the taxonomy code on all claims. The taxonomy code is necessary for the Centers for Medicaid and Medicare Services (CMS) to collect data for Transformed Medicaid Statistical Information System (T-MSIS) reporting. This data helps to inform states of their current standing in data quality as compared to other states and is crucial for research and policy on Medicaid and CHIP. The taxonomy is also used by CMS to conduct program oversight, administration, and integrity.
It is important for your TPA administrator to actively manage your user accounts for the Health PAS Online Portal. To manage users, log into the administrator TPA and click on “Account Maintenance” and then “Manage Users.” Edit existing, deactivated or reactivated users by clicking on the row of the user you would like to manage. The Administrator of the account and users with a security role of “R7-User Management” are allowed to use these features.