Attention Cycle 13 Providers: MaineCare Provider Revalidation

Attention Cycle 13 Providers: MaineCare Provider Revalidation

Providers assigned to Cycle 13 are required to complete and submit your revalidation application by March 20, 2020. Failure to meet this deadline will impact your claims being processed for payment. 

If you are required to revalidate with MaineCare during this cycle, you are able to initiate your revalidation application on or after January 20, 2020. Providers receive a letter 60 and 30 days prior to their assigned cycle.

Check your cycle assignment.

Some providers have been reassigned to different cycles so please review the MaineCare provider revalidation schedule currently posted under the “Revalidate as a Current Provider” section of the MaineCare Provider Enrollment and Revalidation webpage.

Complete maintenance before your cycle.

In order to allow ample time to complete revalidation during your assigned cycle, we recommend you complete all maintenance two weeks prior to the beginning of your revalidation cycle. An open maintenance case could delay your ability to begin revalidation.

Utilize the revalidation checklist and tips documents to avoid application delays.

MaineCare recommends that you review the updated Enrollment Checklist and Provider Revalidation Tips prior to revalidating or enrolling with MaineCare to verify that you have all the required documentation. The checklist includes information about what is required for MaineCare provider enrollment and revalidation for each provider type. Please read about common errors found when submitting revalidation applications through the Provider Enrollment Application (PEA) in the Provider Revalidation Tips document to avoid application processing delays. Submitting an incomplete application may result in the delay or denial of your application. 

Training is available.

MaineCare Services is committed to keeping you informed throughout the enrollment and revalidation process. We will offer free trainings through the Learning Management System (LMS) on topics related to enrollment and revalidation. Online webinar trainings will be scheduled throughout each of the revalidation cycles to offer a number of opportunities to attend each of the trainings.

If you have not registered with the LMS, see the First Time User Guide for assistance. To access the guide, go to the Health PAS Online Portal and log into your Trading Partner Account (TPA). Click on the section called "Trading Partner User Training" and you will see the link to the LMS First Time User Guide.  For assistance with registering or any other training related topic, please email the Medicaid Training Center.

For additional information regarding provider revalidation training, please see the “Training Opportunities” section of the MaineCare Provider Enrollment and Revalidation webpage.

The following resources are available to assist you with the revalidation process:

• MaineCare Provider Enrollment and Revalidation webpage
• MaineCare Frequently Asked Questions webpage
• MaineCare Revalidation email box
• Provider Services Call Center: 1-866-690-5585, Option 7; TTY users dial 711.