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Online Help Help

  • 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 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 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 coverage for eligible individuals and families.
    
8/5/2020 5:40 PM

COVID-19 Information

See our COVID-19 webpage for Coronavirus updates, helpful information by provider type, and links to other resources.

Providers can contact us through our COVID-19 email box for questions regarding the Coronavirus.

2/19/2019 8:08 AM

MaineCare Expansion

Stay updated on MaineCare expansion and find helpful resources by visiting www.maine.gov/dhhs/expansion.

Welcome to the Health PAS Online Portal for MaineCare members and service providers!

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

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

 Member

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

 Providers / Trading Partners

Login to the Provider Secure Portal to:
  • View MaineCare eligibility and history
  • Submit claims
  • Submit referrals, authorizations or certification requests
  • Check submission status
  • Perform Provider Enrollment / Maintenance Functions
1/18/2019 1:40 PM

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

2/3/2021 7:42 AM

​There has been an increase in 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 entire claim. You will need to review your rejections on the BRR report to know which NDC code is invalid. A claim with invalid NCD code can be submitted successfully on the Health PAS Online Portal, but the claim lines with the invalid NDC codes will deny. 

NDC codes should be 11 digits long and have 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.

There are two Medicare crosswalks to validate NDC codes that are used to edit claims in MIHMS. If the code combinations are not on either of these crosswalks, then the claim will not process accurately. 

Please see the links for the Medicare crosswalks:

There will be occasions when the HCPC/NDC combination is on one list but not the other. There will always be a delay with keeping both lists current so, the MaineCare uses both lists to validate these combinations. These codes are Date of Service sensitive; therefore, the relationship start and end dates on the PDAC crosswalk matters. When using the Medicare ASP Crosswalk, choose the quarter that includes the Date of Service.  

If claims are denied due to the invalid NDC/HCPCS codes, you can request the combination to be reviewed, and possibly added by using the NDC-J Code Combination Request Form and by emailing the information to MaineCareNDCrequest.DHHS@maine.gov

1/25/2021 9:00 PM

​Providers' licenses and certifications are now checked and updated automatically by the system on a weekly basis, as needed. This will occur on Mondays with a rolling 60-day look-ahead for licensure entries set to expire within that timeframe. This is done as a courtesy to providers to ensure continuity of payment as well as to reduce the amount of maintenance cases needed.

These updates are limited to licenses and certifications that are tracked in the State of Maine Agency License Management System (ALMS). Updates to licenses and certifications will only occur if the provider's license number remains the same. Any new or additional license information will require the provider to submit a maintenance case. Any license that is placed under Title 5 Review will be excluded from this automatic update process. These updates will be visible in the system every Tuesday.

Updated licenses and certifications can be viewed by logging into your Trading Partner Account on the Health PAS Online Portal.

Please see a list of license prefixes affected by this change on MaineCare's Provider Enrollment and Revalidation webpage.

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