MaineCare Bulletins

Attention Section 30, Family Planning Agency Services, Alternate Payment Model (APM): Draft Rate and Service Model Public Review and Comment General, All Services, Hospital & Clinic Services
Blood Glucose Test Strip Dosing Limit with Continuous Glucose Monitors (CGM) Hospital & Clinic Services, Primary Care and Care Coordination, Retail Pharmacies
Respiratory Syncytial Virus (RSV) Educational Infographics Available Hospital & Clinic Services, Long Term Care Services, Primary Care and Care Coordination, Retail Pharmacies
​Durable Medical Equipment (DME) Prior Authorization (PA) Criteria Sheets Updated​, CR 119839 Specialty Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Section 1915(c) Waiver Appendix K Updates​ General, All Services
Rate Determination Initiation Notice for a New Service Model Under Review for Future Proposal as MaineCare Benefits Manual (MBM), Section TBD: Palliative Care Interdisciplinary Team Services General, All Services, Long Term Care Services, Long Term Services and Supports, Primary Care and Care Coordination
Attention MaineCare Providers: Processing Delays for Enrollment and Revalidation General, All Services
MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation on Draft CY2024 Rate Determination Schedule: Presented Materials and Proposed Schedule General, All Services
Attention MaineCare Section 67, Nursing Facilities (NFs):  Extraordinary Circumstance Allowance (ECA) Application Guidance and Submission Deadline October 27, 2023  Long Term Care Services
Rate Determination Initiation Notice for Section 25, Dental Service Providers: Rebasing of Dental Benchmarks  Dental Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
MaineCare Guidance for Out-of-State Births General, All Services
Attention Providers of Section 67 Nursing Facilities (NF): Optional State Assessment (OSA) and Federal Minimum Data Set (MDS) Assessments Required Long Term Care Services
Revalidate with MaineCare to Avoid Claim Denials General, All Services
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
​​COVID-19 Vaccine Updates for Fall 2023​ General, All Services
New Hyaluronic Acid Derivatives Criteria Sheet, CR 119147 General, All Services
​UPDATED Billing Guidance and Claims Reimbursement for Distinct Psychiatric and Substance Use Disorder (SUD) Units Hospital & Clinic Services
​Non-Emergent, Emergency Department (ED) Pricing Failure, TR 113880 Hospital & Clinic Services