Provider Bulletins by Topic

Date Title Topic
Biosimilar Preferred Drug List (PDL) 2026 Update General, All Services
MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation: Draft CY2026 Rate Determination Schedule Presented Materials and Proposed Schedule General, All Services
Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 General, All Services
Section 65, Multi-Dimensional Family Therapy (MDFT): Rate Determination Kickoff Meeting Presented Materials & Survey Behavioral Health (BH)
Payment Error Rate Measurement (PERM) Update for Reporting Year (RY) 2027 and PERM RY 2024 Errors General, All Services
Rural Health Transformation Program (RHTP) Application Update General, All Services
Annual 1115 Substance Use Disorder (SUD) Waiver Post Award Forum Behavioral Health (BH)
MaineCare Rate Reform Expert Technical Advisory Panel (TAP) Consultation on Draft CY2026 Rate Determination Schedule General, All Services
Rate Determination Kickoff Meeting: New Service, Section 65 Multi-Dimensional Family Therapy (MDFT) General, All Services
Implementation of ​Rates for Certain Medicare Covered Family Planning Services and Long-Acting Reversible Contraception (LARCs): Sections 14, 30, 31, 45, 90 & 103 Hospital, Family Planning, and Ambulatory Care/Clinic Services, Hospital & Clinic Services, Primary Care and Care Coordination
Update: Health PAS Online Portal Technical Difficulties Critical Communications, General, All Services
Registration is Open for the MaineCare 2025 Delivery System Reform Forums Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
HealthPAS Online Portal Technical Difficulties Critical Communications, General, All Services
Email Address Correction: Optional HIV Prevention, Care, and Treatment Training for Providers Attending MaineCare Delivery System Reform (DSR) Regional Forums Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
2025 Drug Rate Updates for Quarters 1, 2, & 3, CR 135366 Hospital & Clinic Services
Optional HIV Prevention, Care, and Treatment Training for Providers attending MaineCare Delivery System Reform (DSR) Regional Forums Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
HIV Prevention for Medical Practitioners General, All Services
Registration is Open for the MaineCare 2025 Delivery System Reform Forums Behavioral Health (BH), General, All Services, Primary Care and Care Coordination
Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 General, All Services
Therapeutic Foster Care (TFC) Duplicative of Other MaineCare Services Behavioral Health (BH)
Section 67, Nursing Facilities Public Forum: Updates to Value-Based Purchasing (VBP) in 2026 and 2027 Long Term Care Services
MaineCare Provider Training Opportunities General, All Services
Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 General, All Services
HIV Prevention for Medical Practitioners General, All Services
Critical Access Hospitals (CAHs) Swing Bed and Nursing Facility (NF) Days Awaiting Placement (DAP) Rate Updates, CRs 134801, 134803 Hospital & Clinic Services, Long Term Care Services
Delayed July 1, 2025, Cost-of-Living Adjustment (COLA) for Section 97, Appendix C, Residential Care Facilities (RCFs) Long Term Care Services
Update to 2024 InterQual Criteria Sheets, CR 126309 General, All Services
Seasonal Flu Codes Updated Effective August 1, 2025, CR 134495 Primary Care and Care Coordination
Feedback Encouraged to Shape Application for Federal Funding to Support Rural Health General, All Services
Discontinuation of Coverage: Xifaxan (Rifaximin)* General, All Services, Retail Pharmacies
Section 97, Private Non-Medical Institutions (PNMI) Appendix F: Rate Letters for Fiscal Year (FY) 2026, CR 134858 Long Term Care Services
Section 91, Health Home Services - Community Care Teams (CCTs) & Section 93, Opioid Health Home Services: Cost-of-Living Adjustments (COLAs) Implementation Plan Primary Care and Care Coordination
Section 45 Hospitals: Cost-of-Living Adjustments (COLAs) Implementation Plan - CRs 134737 & 134738 Hospital & Clinic Services
Section 97, Appendix C, Residential Care Facilities (RCFs) Cost-of-Living Adjustments (COLAs) Implementation Plan CR 134858 Long Term Care Services
Section 31, Federally Qualified Health Centers (FQHCs): Cost-of-Living Adjustments (COLAs) Implementation Plan CR134712 Primary Care and Care Coordination
Attention Referents of Section 97 Appendix E Private Non-Medical Institution (PNMI) Services Behavioral Health (BH)
Sections 23, 25, 30, 40, 89, 97 B & D, 102: Cost-of-Living Adjustments (COLAs) Implementation Plan General, All Services
MaineCare Notice of Agency Rule-making Proposal, Chapter III, Section 45, Principles of Reimbursement for Hospital Services State & Federal Policy
Apply to Present at MaineCare’s Delivery System Reform (DSR) Annual Forum General, All Services
Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320 General, All Services
(EPSDT) Shell Case Guidance for Behavioral Health Providers Behavioral Health (BH)
Billing Reminder: When Services are Rendered Via Telehealth General, All Services
Provider Billing Requirements in Chapter I, Section 1: General Administrative Policies and Procedures - Reminder General, All Services
Apply to Present at MaineCare’s Delivery System Reform (DSR) Annual Forum Behavioral Health (BH), Primary Care and Care Coordination
Section 67, Nursing Facility (NF) Reform – Phase II Specialty Care Draft Rate Model Presented Materials and Comment Deadline Long Term Care Services
Microdyn Update for Ambulatory Payment Classifications (APC) and Diagnostic Related Groups (DRG) – CRs 133841, 133842, 133900 Hospital & Clinic Services
UPDATE for Prescribing Providers who Must Enroll in MaineCare General, All Services
Improving Customer Service Efficiency and Accuracy with Customer/Case Authentication for Behavioral Health Providers Behavioral Health (BH)
Maine’s Transforming Maternal Health (TMaH) Model Public Informational Webinar General, All Services
MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter III, Section 45, Principles of Reimbursement for Hospital Services State & Federal Policy