MaineCare Bulletins

MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter II, Section 89 Policy and State Plan Amendments (SPAs), State & Federal Policy
Non-Billing, Ordering, Prescribing, and Referring (NOPR) Edits Changing from Warn to Deny – CR 121469 General, All Services
Rate Determination Initiation Notice for Section 3, Primary Care Plus (PCPlus) Phase Two MaineCare Initiatives and Special Topics
Attention Providers of Section 25, Dental Services: Kickoff Meeting Presented Materials Dental Services
MaineCare Gender Affirming Care Coverage Guide Now Available General, All Services
COVID-19 Therapeutics Transition to Commercial Market, and UPDATE on COVID-19 Vaccine Coverage General, All Services
Application Fee for 2024 Reminder, CR 121257 General, All Services
Attention Section 43 Hospice Services Providers: Anticipated Electronic Visit Verification (EVV) Implementation Delayed Until July 1, 2024 Long Term Services and Supports
Update to the ​Biosimilar Preferred Drug List (PDL)​ Hospital & Clinic Services
REMINDER: Behavioral Health and Targeted Case Management Supplemental Payment Reporting Due by December 8, 2023 Behavioral Health (BH)
SUBJECT: MaineCare Cost of Living/ “Part AAAA” Adjustments General, All Services
Attention Section 45, Hospital Service Providers: Draft Rate Model Public Forum Hospital & Clinic Services
​​MaineCare Eligibility Reinstatement for MaineCare Members​ General, All Services
Family Planning New Alternative Payment Model (APM) Public Rate Forum Presented Materials and Comment Deadline Hospital & Clinic Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual Chapter III, Section 67 Policy and State Plan Amendments (SPAs), State & Federal Policy
Secondary Billing Instructions Updated General, All Services
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Deadline Extended for Certified Community Behavioral Health Clinics (CCBHC) Prospective Payment System (PPS) Cost Report Submissions Behavioral Health (BH)