MaineCare Bulletins

Date Title Topic
Attention Primary Care Practices: Primary Care Plus (PCPlus) Program Reorientation Meeting Primary Care and Care Coordination
Attention MaineCare Providers: Status of Temporary MaineCare Payment Holds Behavioral Health (BH), Dental Services, General, All Services, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Long Term Care Services, Long Term Services and Supports, MaineCare Initiatives and Special Topics, Policy and State Plan Amendments (SPAs), Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy
Attention Providers: Supporting MaineCare Members During Temporary Provider Payment Holds Behavioral Health (BH), Dental Services, General, All Services, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Long Term Care Services, Long Term Services and Supports, MaineCare Initiatives and Special Topics, Policy and State Plan Amendments (SPAs), Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy
MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation: Draft CY2025 Rate Determination Schedule Presented Materials and Proposed Schedule General, All Services
Revised Rates: Sections 68, 85 and 109, CRs 129558, 129513, 129352 Specialty Services
Anesthesiology Rate Updates: Section 14, Advance Practice Registered Nurses (APRNs) and Section 90, Physicians, CR 129353 Hospital & Clinic Services
Section 4, Ambulatory Surgical Center (ASC) Rates Implemented, CR 129907 Hospital & Clinic Services
Maine Center for Disease Control (CDC) Children & Youth with Special Health Care Needs Webinar Learning Series – Women, Infant & Children (WIC) 101 Behavioral Health (BH)
Attaching an Explanation of Benefits (EOB) to Secondary Claims General, All Services
Attention Pharmacy Providers: Temporary MaineCare Payment Holds Retail Pharmacies
Section 21 Home Support- Agency Per Diem: Authorizations in Two-Person Homes Requirements Reminder Long Term Services and Supports
Attention Pharmacy Providers: Temporary MaineCare Payment Holds Retail Pharmacies
Attention Primary Care Practices: Primary Care Plus (PCPlus) Program Reorientation Meeting Primary Care and Care Coordination
New Hospital Services Section 45 Billing Guidance, CR 128880 Hospital & Clinic Services
​New Nursing Facility Services Section 67 Billing Guidance, CR 128953​ Long Term Care Services
Attention Providers: Temporary MaineCare Payment Holds Behavioral Health (BH), Dental Services, General, All Services, Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Long Term Care Services, Long Term Services and Supports, MaineCare Initiatives and Special Topics, Policy and State Plan Amendments (SPAs), Primary Care and Care Coordination, Retail Pharmacies, School Health Related Services, Specialty Services, State & Federal Policy
Section 101, Medical Imaging Services Revised Rates Effective January 1, 2025, CR 129496 Specialty Services
Statewide Marketing of Adult Day Services Long Term Services and Supports
Section 97, Private Non-Medical Institutions, (PNMI) Appendix E - Clinical Documentation for Continued Stay Reviews Behavioral Health (BH), Long Term Services and Supports
Updated Billing Guidance for Section 28 Providers Behavioral Health (BH), School Health Related Services