APS Healthcare was awarded the contract with the State of Maine’s Department of Health and Human Services to provide a Behavioral Health Utilization Management System for services currently purchased through the State’s Office of Maine Care Services and administered by the Adult Mental Health Services, Children’s Behavioral Health Services, and the Office of Substance Abuse.
APS Healthcare will operate a 24 hour/7 day a week call center as part of the Maine ASO Behavioral Health Utilization Review Program that will provide access for providers and assists with both operational and educational activities related to the program. Providers can access the Help Desk, review requests and access information as participants in the program.
APS Healthcare relies on the MaineCare Benefits Manual for all level of care criteria.
The MaineCare Benefits Manual can be found at this link: http://www.maine.gov/sos/cec/rules/10/ch101.htm.
Please also go to the following site for recently adopted and emergency MaineCare policies:
For Provider Inquiries, contact us at (866) 521-0027 and press the option for Providers.
Important Updates(All earlier updates are posted on the archive page)
Section 17 Frequently Asked Questions
APS Healthcare ICD-10 All Provider PowerPoint Presentation
APS Healthcare ICD-10 FAQs
Reading .PDF Documents
In order to view the .PDF files, you will need Acrobat Reader.