MaineCare Bulletins

Date Title Topic
ATTENTION Correction to Section 92, Section 13, and Section 17 message to Providers: Passthrough process now required if organizations jointly serve an Opioid Health Home (OHH) Member    General, All Services
835 and RA Delays General, All Services
CLARIFICATION regarding Sections 13, 17, 28, 65, 92 Draft Rate Model(s) Public Review and Comment message Behavioral Health (BH)
Pfizer and Moderna Bivalent COVID-19 Vaccines Authorized to use as Booster Doses General, All Services
Tribal Self-Attestation, CR 108474  General, All Services
ATTENTION Section 92, Section 13, and Section 17 Providers: Passthrough process now required if organizations jointly serve an Opioid Health Home (OHH) Member    General, All Services
Attention Providers of Sections 13, 17, 28, 65, 92 Draft Rate Model(s) Public Review and Comment Behavioral Health (BH)
MaineCare Notice of Second Public Comment Period for Home and Community-Based Services (HCBS) Settings State & Federal Policy
Rate Determination Initiation Notice for Section 28 Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations     Behavioral Health (BH)
Rate Determination Initiation Notice for Section 17 Community Support Services Behavioral Health (BH)
Rate Determination Initiation Notice for Section 13 Targeted Case Management Behavioral Health (BH)
Rate Determination Initiation Notice for Section 92 Behavioral Health Home Services   Behavioral Health (BH)
Rate Determination Initiation Notice for Section 65 Behavioral Health Services      Behavioral Health (BH)
Update on NF and RCF Rate Letters Long Term Care Services
Attention Section 28 Providers: Update on Type 92 Early Childhood Provider Certification Letters, CR 71822   Behavioral Health (BH)
2022 Section 90 Rate Update, CR 108737 and CR 109095 General, All Services
Monkeypox Diagnostic Testing and Vaccines Update and Information, CR 112045  General, All Services
Children’s Behavioral Health Services 101 Webinar Behavioral Health (BH)
Attention All Providers: Payment Error Rate Measurement (PERM) Audit Update General Notifications for All Providers
July 2022 Microdyn Update for Ambulatory Payment Classifications (APC), CRs 111465 & 111466 Hospital & Clinic Services
Novavax COVID-19 Vaccine Update General Notifications for All Providers
Electronic Visit Verification (EVV) Timesheet FAQ Reminder Not in use
Letrozole Use for Treatment of Infertility General Notifications for All Providers
UPDATE for Providers Billing on UB-04 and 837I Claims, CR 110840   General, All Services
Attention Hospice Providers: Electronic Visit Verification (EVV) Soft Launch Implementation Delayed to October 4, 2022  Long Term Services and Supports
November 1, 2022 Suggested Integration Deadline for Alternate or 3rd Party EVV Systems for Home Health and Hospice Providers  Long Term Services and Supports
Claims Export Issue on the Health PAS Portal, CR 108606    General, All Services
Seven Topics Related to COVID-19 Vaccines and Vaccine Counseling General, All Services
Rate Determination Initiation Notice for Section 2, Adult Family Care Services Long Term Care Services
MaineCare Notice of Agency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 93, Opioid Health Home Services, and Chapter III, Section 93, Reimbursement for Opioid Health Home Services State & Federal Policy
Home and Community Based Services (HCBS) Innovation Grants Funding Opportunity  Long Term Services and Supports
Rate Determination Initiation Notice for Section 26, Day Health Services Long Term Services and Supports
NF and RCF July 1, 2022 Rate Letters Delayed Until October 3, 2022  Long Term Care Services
MaineCare Job Openings General, All Services
Monkeypox Diagnostic Testing and Vaccines: Hold Claims General, All Services
Attention Section 97, Appendix D Children’s Residential Care Facility Services Providers Behavioral Health (BH)
COVID-19 Long Term Care Supplemental Payment Information for Section 2, 67, and 97 Appendix C Providers  Long Term Care Services
CORRECTION: Attention Provider Type 92 Early Childhood Providers, CR 71822 Behavioral Health (BH)
Attention Provider Type 92 Early Childhood Providers, CR 71822  Behavioral Health (BH)
2022 Indian Health Services Rate Update, CR 109733  Primary Care and Care Coordination
Home and Community Based Services (HCBS) Settings Remediation Grants: Registration Opens Monday, August 1, 2022     Long Term Services and Supports
April 2022 Microdyn Updates for Ambulatory Payment Classifications (APC), and Diagnostic Related Group (DRG) CRs 108929, 109194, 109193, & 109516  Hospital & Clinic Services
Section 75 Vision Services Rate Update, CR 109436  Specialty Services
Correction: MaineCare’s HOME Provider Orientation Webinar Dates and Application Opening on July 22, 2022  Behavioral Health (BH)
The Impact of Language and Stigma on Adolescent Mental Health Webinar Behavioral Health (BH)
MaineCare in Education: Instructions for Providers of Section 28 and Section 96 Services Experiencing Difficulties with Modifier Guidance for Education-related Services  School Health Related Services
Attention Section 90 Providers: Upcoming Changes for Billing Topical Fluoride Varnish  Hospital & Clinic Services
MaineCare’s HOME Provider Orientation Webinar Dates and Application Opening on July 22, 2022    Behavioral Health (BH)
Drug Rate Updates General, All Services
Rate Update for 2022 Ambulatory Surgical Centers (ASC) Rates, CR 107519  Hospital & Clinic Services