MaineCare Bulletins

Date Title Topic
MaineCare Notice of Agency Waiver Renewal, ME.0995, Home and Community Based Services for Adults with Other Related Conditions (re-posted to update links) State & Federal Policy
MaineCare Notice of Agency Waiver Renewal, ME.0276, Elderly and Adults with Disabilities Waiver (reposted to update links) State & Federal Policy
Update on January 1, 2023, Rate Study Increases General Notifications for All Providers
MaineCare Notice of Agency Waiver Renewal, ME.0995, Home and Community Based Services for Adults with Other Related Conditions State & Federal Policy
MaineCare Notice of Agency Waiver Renewal, ME.0276, Elderly and Adults with Disabilities Waiver State & Federal Policy
Attention Providers and Stakeholders of NDPP Program Services: Draft Rate Model Public Review and Comment General Notifications for All Providers
Application Fee for 2023 Reminder, CR 114074 General Notifications for All Providers
UPDATE: Pfizer and Moderna COVID-19 Bivalent Vaccine Authorized for Use in Individuals Aged Six Months to Five Years General Notifications for All Providers
Electronic Visit Verification (EVV) Trainings and Forums Long Term Care Services
Medicare Standardization Adjustments General Notifications for All Providers
Section 50, Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) Rate Update, CR 113786 General, All Services
Section 103, Rural Health Clinic (RHC) Rate Update, CR 114016 Hospital & Clinic Services
Ambulatory Payment Classifications (APC) Claims Overpaying, CR 114133 Hospital & Clinic Services
Section 31, Federally Qualified Health Center (FQHC) Rate Updates, CR 114022 Hospital & Clinic Services
Reminder for Billing Attending Provider on UB-04 and 837I Claims, CR 110840 General, All Services
Donor Breast Milk Coverage for Infants Under 12 Months, CR 113541 Hospital & Clinic Services
Emergency Use Authorization (EUA) Revoked for Bebtelovimab 175 mg, CR 114106 General Notifications for All Providers
Application Fee for 2022 Reminder, CR 114074 General Notifications for All Providers
Electronic Visit Verification (EVV) Trainings and Forums Long Term Care Services
Correction: Application Fee for 2023 Reminder, CR 114074 General Notifications for All Providers
Pfizer and Moderna COVID-19 Bivalent Vaccine Authorized for use in individuals aged Six Months to Five Years General Notifications for All Providers
Rate Determination Initiation Notice: National Diabetes Prevention Program  General Notifications for All Providers
(Corrected Effective Date) Pfizer and Moderna COVID-19 Bivalent Vaccine Authorized for use in individuals aged Six Months to Five Years General Notifications for All Providers
Section 30, Family Planning Services – Reimbursement Model and Rate Study Kickoff Meeting Hospital & Clinic Services
Attention Section 67, Nursing Facility Maine Veterans Home Providers - Supplemental Payment Information Long Term Care Services
Attention Section 97, Appendix D Children’s Residential Care Facility Providers - Supplemental Payment Information Behavioral Health (BH)
Home Health and Hospice Providers: Deadline for Electronic Visit Verification (EVV) Implementation is January 1, 2023 Long Term Care Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Care Services
Atrezzo Upgrade Behavioral Health (BH)
Attention Providers of Section 2, Adult Family Care Homes: Draft Rate Model Public Review and Comment – (Rescheduled Date) Long Term Services and Supports
Application Fee for 2023 Reminder, CR 114074 General Notifications for All Providers
Attention Providers of Section 17 and Section 92 Services, Hold for Service Referral Provider Training Behavioral Health (BH)
Billing Requirement for Federally Qualified Health Centers (FQHC), Rural Health Centers (RHC), Indian Health Services (IHS), and School Health Centers Reminder Primary Care and Care Coordination
Billing Requirement for Federally Qualified Health Centers (FQHC), Rural Health Centers (RHC), Indian Health Services (IHS), and School Health Centers Reminder School Health Related Services
Attention Providers of Section 23, Developmental and Behavioral Health Clinics - Foster Care Comprehensive Health Assessment Service: Presented Materials and Comment Period Behavioral Health (BH)
Final CY 2023 MaineCare Rate Determination Schedule released General Notifications for All Providers
Electronic Visit Verification (EVV) Trainings and Forums Long Term Care Services
Donor Breast Milk Coverage, CR 113451 Hospital & Clinic Services
Updated 340B Agreement Form  General Notifications for All Providers
Attention Section 28 Providers: Update on Type 92 Early Childhood Provider Certification Letters, CR 71822 General Notifications for All Providers
MaineCare Provider and Member Services Closing Early General Notifications for All Providers
Attention Providers of Section 45, Hospital Services: Draft Rate Model Public Meeting Hospital & Clinic Services
Attention Behavioral Health Providers: Sign up for the New Service Locator Tool Webinar Behavioral Health (BH)
October 2022 Microdyn Update for Ambulatory Payment Classifications (APC) Hospital & Clinic Services
Attention Providers of Opioid Health Homes, Behavioral Health Homes, and Community Integration Behavioral Health (BH)
MaineCare Cost of Living/Part AAAA Adjustments General Notifications for All Providers
Section 23: Foster Care Comprehensive Health Assessment Rates and Reimbursement Methodology Behavioral Health (BH)
Attention Home Health and Hospice Providers: Electronic Visit Verification (EVV) Implementation Reminder Long Term Care Services
Electronic Visit Verification (EVV) Trainings and Forums Long Term Care Services
Draft Section 60 Fee Schedule and Reimbursement Methodology Specialty Services