MaineCare Bulletins

Annual 1115 Substance Use Disorder (SUD) Waiver Post Award Forum Behavioral Health (BH)
Coverage of Medications for Treatment of Opioid Use Disorder in Pregnancy Retail Pharmacies
Maine Point of Purchase System (MEPOPS) Blackout Period  Retail Pharmacies
Roster Billing Hepatitis A Vaccination Codes – CR 116982 Hospital & Clinic Services
Extended-Release Buprenorphine Clinical Use Criteria Hospital & Clinic Services, Primary Care and Care Coordination
Section 50, Intensive Care Facilities (ICF) Rate Letters for Fiscal Year (FY) 2024 Now Available Long Term Care Services
CORRECTION: Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials  Long Term Care Services
Training for Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Ch. III, Section 67, Principles of Reimbursement for Nursing Facilities Policy and State Plan Amendments (SPAs), State & Federal Policy
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Rate Determination Initiation Notice for Certified Community Behavioral Health Clinics (CCBHC): MaineCare Benefits Manual (MBM) Section to Be Determined  Behavioral Health (BH)
Extended Release Buprenorphine (XRB) Clinical Use Criteria Hospital & Clinic Services, Primary Care and Care Coordination
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
Attention Providers of Section 107, Psychiatric Residential Treatment Facilities (PRTFs) – Presented Materials and Comment Period  Behavioral Health (BH)
Attention Section 45 Hospitals, Distinct Psychiatric and Substance Use Disorder (SUD) Units: Rate Determination Update Hospital & Clinic Services
Guidance for Psychiatric Hospitals Seeking Prior Authorization (PA) for Mental Health Intensive Outpatient Services​ Behavioral Health (BH), Hospital & Clinic Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter I, Section 4, Telehealth Services Policy and State Plan Amendments (SPAs), State & Federal Policy
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Microdyn Update for Ambulatory Payment Classifications (APCs), and Diagnostic Related Groups (DRGs), CRs 116565, 117447, & 117448 Hospital & Clinic Services
Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Provider Rate Methodology Workgroup Presented Materials Long Term Care Services