MaineCare Bulletins

Date Title Topic
Community Action Program Training for Providers General, All Services
​​Attention Section 45, Hospital Services Providers​ Hospital & Clinic Services
​​MaineCare Issuing Second Hospital Value-Based Purchasing (VBP) Supplemental Payments​​ Hospital & Clinic Services, Not in use
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
Attention Section 45, Hospital Services: Rate Determination Initiation Notice  Hospital & Clinic Services
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
Attention Providers: Updating Your Facility License Under Title 5 General, All Services
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
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 Not in use, 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)
Attention Section 45 Hospitals, Distinct Psychiatric and Substance Use Disorder (SUD) Units: Rate Determination Update Hospital & Clinic Services
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)
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 Not in use, State & Federal Policy
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
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
Johnson & Johnson/Janssen COVID-19 Vaccine No Longer Authorized for Use, CR 118354 General, All Services
Attention Section 97, Appendix D, Private Non-Medical Institutions (PNMI): Rate Determination Initiation Notice for Therapeutic Foster Care Services Behavioral Health (BH)
Announcing Acentra Health: A New Era for Client Network Services, Inc (CNSI) and Kepro General, All Services
Microdyn Update for Ambulatory Payment Classifications (APCs), and Diagnostic Related Groups (DRGs), CRs 116565, 117447, & 117448 Hospital & Clinic Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
​Attention Section 25 Providers: Learn How to Bill for Interpreter Services Dental Services
Attention Providers: Ages & Stages Questionnaire (ASQ) Online Portal Training General, All Services
Assessment and Access to Lethal Means Counseling Webinar, Maine Pediatric and Behavioral Health Partnership Behavioral Health (BH)
​​MaineCare Issuing First Hospital Value-Based Purchasing (VBP) Supplemental Payments​ Hospital & Clinic Services, Not in use
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Issue Correction: Delay of Remittance Advice (RAs) on the HealthPAS Portal General, All Services
​New Codes for Pfizer and Moderna Bivalent COVID-19 Vaccines, CR 118032 General, All Services
Section 97, Private Non-Medical Institutions (​PNMI) Appendix F: Rate Letters for Fiscal Year (FY) 2024, CR 117697 Long Term Care Services
Section 107, Psychiatric Residential Treatment Facility (PRTF) Providers and Interested Stakeholders: Draft Rate Model Public Review and Comment Behavioral Health (BH)
Update on Verbal Consent in Place of Signatures: End of Public Health Emergency (PHE) General, All Services
Delay of Remittance Advice (RAs) on the HealthPAS Portal General, All Services
​Discontinued Laboratory Codes Related to COVID-19​, CR 117890 General, All Services
Attention: Section 28 Electronic Visit Verification (EVV) Providers, CR 117818 Not in use
MaineCare Cost of Living Adjustments General, All Services
Attention Section 25 Providers: Learn How to Bill for Interpreter Services Dental Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Services and Supports
Register for Webinar: HIV Treatment Guidelines Update General, All Services
2023 Revised Rates for Speech and Hearing Services, CR 115541 General, All Services
2023 Rates for COVID-19 Codes, CR 114822  General, All Services
Hospital Billing Guidance for Donor Breast Milk  Hospital & Clinic Services