MaineCare
MaineCare is administered by the Department of Health and Human Services. Members in a MaineCare plan are billed to that plan. Fee-for-service MaineCare is a different submission. New Hampshire Medicaid will not pay a MaineCare member.
Medical Billing Services in Maine
MaineCare is not New Hampshire Medicaid. MaineCare is administered by the Department of Health and Human Services. Members in a MaineCare plan are billed to that plan. Fee-for-service MaineCare is a different submission. New Hampshire Medicaid will not pay a MaineCare member.
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What a claim follows in Maine
MaineCare is not New Hampshire Medicaid.
National Government Services, Jurisdiction K
Medicare Part A and Part B for a Maine practice go to National Government Services, Jurisdiction K, with New Hampshire, Vermont, Massachusetts, and the rest of New England plus New York. The shared contractor does not merge MaineCare with those states.
Workers' compensation
Maine is not a no-fault state. A work injury is billed to the employer's carrier under the Workers' Compensation Board. It is not a MaineCare claim.
Maine's only land neighbor is New Hampshire. Both send Medicare to National Government Services. Only MaineCare pays Maine Medicaid members. Enrollment is completed with Maine, not borrowed from a Boston payer list.
Nearby states
Maine billing questions
What is MaineCare?
Maine's Medicaid program. It is not New Hampshire Medicaid and not MassHealth.
Where does a Maine Medicare claim go?
National Government Services, Jurisdiction K.
Does a Maine practice change the fee?
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.