MaineCare Bulletins

Date Title Topic
Update: Guidance for Psychiatric Hospitals Seeking Prior Authorization (PA) for Mental Health Intensive Outpatient (IOP) Services Hospital & Clinic Services
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
Training Opportunity Available for Section 19 Home and Community Based Services for Older and Disabled Adult Caregivers Long Term Services and Supports
Free Asthma Education Sessions for Maine Healthcare Professionals Primary Care and Care Coordination
MaineCare in Education: New Resources and Updated MaineCare in Education 2023 Guide​ School Health Related Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapters II and III, Section 43 Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Revalidate with MaineCare to Avoid Claim Denials General, All Services
​New: MaineCare New Coverage Groups Communications Toolkit General, All Services
Attention Primary Care Plus (PCPlus) Practices: Reminder - PCPlus Open Office Hour  Primary Care and Care Coordination
The Nicotine Replacement Therapy (NRT) Standing Order National Provider Identifier (NPI) has been Updated Retail Pharmacies
*CORRECTED* State Fiscal Year (SFY) 2024 Rate Letters for Residential Care Facilities (RCFs, PNMI Appendix C), CR 119444 Long Term Care Services
Electronic Visit Verification (EVV) Phase 2 Trainings Not in use
RESCHEDULED: Draft Rate Model Public Review and Comment for Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services Behavioral Health (BH)
Sleep Apnea Prior Authorization (PA) Sheet Now Available, CR 117762 General, All Services
Safe and Effective Opioid Practices in the Hospital: Pharmacy Perspective Retail Pharmacies
Attention Section 31, Federally Qualified Health Centers (FQHCs): Update on Rate Rebasing Efforts, CR 117105 General, All Services
Critical Access Hospitals and Nursing Facilities Rate Updates, CR 119227 and 119226 Hospital & Clinic Services, Long Term Care Services
​New Chat Feature Available on Kepro Website​ Behavioral Health (BH), Not in use
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
REMINDER: Behavioral Health and Targeted Case Management Supplemental Payment Reporting Due by August 4, 2023 Behavioral Health (BH)
New Compliance Report Available to Electronic Visit Verification (EVV) Providers, CR 117048 Long Term Services and Supports
State Fiscal Year (SFY) 2024 Rate Letters and Cost of Living Adjustments (COLAs) for Nursing Facilities (NF) and Residential Care Facilities (RCFs, PNMI Appendix C) Long Term Care Services
Section 60 Medical Supplies and Durable Medical Equipment (DME) Update on Pricing and Prior Authorization (PA) Requirements, CR 119002 Specialty Services
Change in Criteria for Adolescent Bariatric Surgeries Hospital & Clinic Services
Public Forum Postponed: Attention Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services: Draft Rate Model Public Review and Comment​ Behavioral Health (BH)
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Service Locator Tool – Invitation to Behavioral Health Providers Behavioral Health (BH)
Behavioral Health and Targeted Case Management Supplemental Payment Reporting Deadline Extended Behavioral Health (BH)
CORRECTION TO REPORTING FORM LINK: Behavioral Health and Targeted Case Management Supplemental Payment Reporting Deadline Extended Behavioral Health (BH)
Attention All Providers: Payment Error Rate Measurement (PERM) Audit General, All Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter Chapter III, Section 45, Hospital Services Not in use, State & Federal Policy
Attention Providers of Section 97, Private Non-Medical Institutions (PNMI), Appendix D, Therapeutic Foster Care (TFC) Services: Draft Rate Model Public Review and Comment Behavioral Health (BH)
Electronic Visit Verification (EVV) Phase 2 Trainings Long Term Services and Supports
Training for Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
340B Modifier Billing Guidance Update Hospital & Clinic Services, Primary Care and Care Coordination
De-escalation Training Opportunity Available for Caregivers of Section 19 Home and Community Benefits for Elderly and Adults with Disabilities  Not in use
​​Attention Section 45 Hospitals with Distinct Psychiatric and Substance Use Disorder (SUD) Units: Proposed Rates​ Hospital & Clinic Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 60, Medical Supplies and Durable Medical Equipment Not in use, State & Federal Policy
State Fiscal Year (SFY) 2024 Rate Letters for Nursing Facilities (NFs) and Residential Care Facilities (RCFs) Long Term Care Services
Upcoming Coverage Reinstatement for MaineCare Members​ General, All Services
Community Action Program Training for Providers: Corrected Registration Link General, All Services
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 89, MaineMOM Services and Reimbursement Not in use, State & Federal Policy
​CORRECTION to Reporting Link: Attention Behavioral Health and Targeted Case Management Providers - Behavioral Health and Targeted Case Management Supplemental Payment Reporting​ Behavioral Health (BH), Primary Care and Care Coordination
Training for Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
CORRECTION to July 27, 2023 Training Time - Training for Licensed Substance Use Disorder (SUD) Providers Behavioral Health (BH)
​Section 75, Vision Services Rate Updates​, CR 116892 General, All Services
Assistive Technology Professional (ATP) Certification Grants Specialty 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
CORRECTION: Attention Providers of Section 107, Psychiatric Residential Treatment Facilities (PRTFs) – Presented Materials and Comment Period ​ Behavioral Health (BH)