Office of MaineCare Services: Useful Websites

MaineCare website:
www.maine.gov/dhhs/bms/

MaineCare benefits manual:
www.maine.gov/sos/cec/rules/10/ch101.htm

MaineCare policies being revised or adopted, public hearings or response from DHHS:
www.maine.gov/bms/rules/provider_rules_policies.htm

MaineCare electronic billing information:
www.maine.gov/dhhs/bms/provider/emc/emc_home.html

Preferred drug list and the forms to be used to request medications, which require PA:
www.mainecarepdl.org/

MaineCare news and provider meetings:
www.maine.gov/dhhs/oms/news_page_index.html

MaineCare provider “List Serv”- email updates from DHHS for MaineCare providers:
http://mailman.informe.org/mailman/listinfo/provider

Information on claims payments and interim payments:
https://portalxw.bisoex.state.me.us/oms/prv_pmts/ext_pfp.aspx?cf=op2

Information on claims status:
https://portalx.bisoex.state.me.us/jav/DHHSClaimStatus_prod/requestStatus.jsp

Procedure code lookup:
www.maine.gov/dhhs/oms/providerfiles/prov_portal_tools.html

Adjustment code lookup:
www.wpc-edi.com/codes/claimadjustment

Remittance remark code lookup:
www.wpc-edi.com/codes/remittanceadvice

To request changes to procedure codes, revenue codes, ICD9 surgical codes, and ICD9 diagnosis codes. These changes include, but are not limited to, place of service changes, coverage of a code or changes to rates. Send email to: bms.referencefile@maine.gov