MaineCare Provider Enrollment Update
MaineCare recently shared that Gainwell has hired and trained additional staff. Providers should contact their provider enrollment specialist if their enrollment case has been pending longer than 60 days. Members are also encouraged to contact Angela Westhoff, MHCA President and CEO, if their case is pending longer than 60 days.
MaineCare also announced system enhancements to automate updates to the licensure of rendering providers in a November 3rd bulletin. Historically, providers have needed to submit a maintenance case to update the license expiration date for their already enrolled rendering providers. MaineCare's MIHMS system will now automatically update a MaineCare-enrolled rendering provider's license expiration date against the State of Maine's Agency License Management System (ALMS). Providers no longer need to submit maintenance cases to update State of Maine license information for enrolled rendering providers. These licensure updates will occur even if a provider has an open maintenance case.
A maintenance case is still required for some changes. Providers must submit a maintenance case when:
- Adding or removing a rendering provider
- Adding or changing the licensure type of an enrolled rendering provider
- Updating license information from another state
- Updating a facility's license
Staff contact: firstname.lastname@example.org