Revalidate with MaineCare

Revalidating with MaineCare

Failure to revalidate your information with the Office of MaineCare Services will impact our ability to be reimburse you for services.

Per the Affordable Care Act (ACA), Section 6401, Durable Medical Equipment (DME) and Home Health Agency (HHA) providers are required to revalidate your information with MaineCare every three years.

For all other provider types, you must revalidate your information with MaineCare every five years and will begin January 2022.

You will receive a letter 60 and 30 days prior to your assigned revalidation date. You can initiate your revalidation through the Health PAS Online Portal.

Complete maintenance before your revalidation submission.

In order to allow ample time to complete revalidation before the due date, we recommend you complete all maintenance cases two weeks prior to starting your revalidation case. An open maintenance case could delay your ability to begin revalidation.

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

Please review the updated Enrollment Checklist and Provider Revalidation Tips in the Provider Enrollment folder 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. Common errors found when submitting revalidation applications through the Provider Enrollment Application (PEA) are listed in this document. These tips will help you 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 offer pre-recorded trainings through the Absorb Platform on topics related to revalidation. If you would like a live training session, please contact Provider Services at 1-866-690-5585. After entering in your NPI, choose Option 7; TTY users dial 711 and request for a training session to be scheduled.

If you have not registered in Absorb, 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 First Time User Guide. For assistance with registering or any other training related questions, please contact Provider Services 1-866-690-5585; TTY user dial 711.

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. After entering in your NPI, choose Option 7; TTY users dial 711.