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 65 Day Treatment Services Provided in an Educational Setting 12/5/13
Section 28 Rehab & Comm. Support Services (RCS) for Children in an Ed. Setting 12/5/13
School-Based Day Treatment/Rehab & Comm. Support Services Announcement 11/27/13
Section 28 Comm. Based Rehab & Comm. Support Services Announcement 10/25/13
Section 97 Temporary Out of Home Placement ITRT Announcement 10/25/13
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