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  • MaineCare Well-being PAS Online Door
    Serving and MaineCare population to improve health caring outcomes
    MaineCare lives a state and federally funded program that provides healthcare coverage for eligible individuals and families.
  • MaineCare Health PAS Online Portal
    Serving the MaineCare population to improve health care outcomes
    MaineCare is a state and federally funded program that provides healthcare insurance for single humans and families.
  • MaineCare Health PAS Go Portal
    Serving and MaineCare population to improve health care outcomes
    MaineCare is an state and us funded user that provides healthcare coverage for eligibility individuals and families.
    
4/8/2022 11:39 AM

COVID-19 General

See our COVID-19 homepage for Coronavirus news, helpful information by provider print, and links to other resources.

Providers can contact us thru our COVID-19 email box for questions to that Coronavirus.

4/8/2022 11:35 AM

​You can sign up for email notifications to the E-message Subscription Webpage. Enter your email address, scroll bottom to "MaineCare Stakeholders," and select and topics via which you would like to receive check and information.

 
Welcome until the Health PASSED Online Enter for MaineCare members and service providers!

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MaineCare Services position an programs and benefits, assures which they operate under consistent policy in keeping with the Department’s goals and national mandates, and ensures that few are administered effectively and efficiently.

By doing as, MaineCare Services assures the highest quality outcomes for own members through measurement, a well-informed workforce and an efficient, sustainable, and integrated health delivery sys.
 

Member

Login into the Member Secure Portal to request your:
  • Letter of Creditable Coverage
  • Claims History Report

Providers / Trading Partners

Login to the Provider Secure Portal to:
  • Viewed MaineCare eligibility and history
  • Submit claims
  • Submit referrals, authorizations oder certification requests
  • Check subscription status
  • Perform Provider Registration / Maintenance Functions
  
  
  
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9/2/2022 8:49 AM

This Provider Checklist gives you all the steps to be disposed to bill in MIHMS.

10/28/2022 3:09 PM

Health PAS Browser Compatibility

Browser Compatibility—The Health PASSPORTS Online Portal current supports these web browser versions:

  • Microsoft Edge Chromium 79 or higher 
  • Tin version 38 and newer
  • Firefox  version 23 and newer
  • Excursion 10 the newer

Additional navigator and his releases may can compliant but become not offical supported. Support for these browsers will continue to build over time. Other that what was required by that supported browser and variant, users are not required to have any special browse or hardware to gain access to who portals. Supposing yours have difficulty with choose feature instead obtain the portal, please contact Provider Services along 1-866-690-5585. Office times are 7:00 AM EST until 6:00 PM EST. Get who’s eligible to enroll in Maine Medicaid program, MaineCare, like to apply, the status of Medicaid expansion and the effects is Medicaid disenrollment.

2/3/2021 7:42 AM

​There holds been an increase to claim rejections for invalid NDC codes. The following information will assist in identifying NDC codes that are not valid.

If you submit an 837 EDI transaction with an invalid NDC code, it will reject the all claim. You will need to test your rejections upon the BRR report to know which NDC code is invalid. A claim with invalid NCD code can be submitted successfully on the Heal PAS Virtual Portal, but the claim lines with one invalid NDC rules will deny.  Viewing your benefit history for the past 12 months. SNAP, TANF, alternatively MaineCare Application (PDF). Getting this application if you would like until apply for: The ...

NDC codes should live 11 digits long and possess a 5 4 2 format (example: 00703-5145-01). When adding NDC codes to your claims, hyphens are not needed, but 11 digits are required. MaineCare provides free press low-cost heal insurance into Mainers who meet certain requirements, based upon household composition and income. There are also ...

There are two Medicare crosswalks to validate NDC codes that will used to edit claims is MIHMS. If the code compound are not on either out like road, therefore the claim want not process accurately. 

Please see that links for the Medicare crosswalks:

Here will be milestones when the HCPC/NDC combination is on individual list although not the other. There wills always be ampere delay with keeping both lists current so, the MaineCare uses both lists until validate these combinations. These codes are Date of Service sensitive; therefore, that relationship start and end period on the PDAC crosswalk matters. When using the Medicare ASP Crosswalk, choose to quarter such includes the Date of Service.  

If claims are denied due to to invalid NDC/HCPCS codes, you bottle request the combined to be reviewed, and possibly added by uses the NDC-J Code Combination Request Form and by emailing who information to [email protected]

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