January 9, 2017

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New Opioid Prescribing/PMP Rule Released

There continue to be many questions about the emergency rule published by the state and effective Jan. 1, 2017. MMA continues its educational programs on the law (Chapter 488) and the rule and our attorneys are available to present a one hour session certified for category one CME which will also count toward the three hours of education on opioid prescribing required by Dec. 31, 2017. 

The emergency rule can be found through this link.  The educational presentations can be given at your practice, at your medical staff or specialty society.  Many of these presentations are supported by grant funding or state contracts so there is no charge.  MMA has provided over forty such presentations and they are not only beneficial to the attendees but MMA staff also learns a great deal in the give and take regarding the issues that the new law is presenting in the practices.  To arrange a presentation at your location, contact Gail Begin at gbegin@mainemed.com or Gordon Smith at gsmith@mainemed.com.

The rule was promulgated on an emergency basis, meaning that it becomes effective immediately, with a period for public comment which will expire on an unspecified (as yet) date. The "routine technical" parts of the rule are effective for up to 90 days, while the "major substantive" parts are effective for up to 12 months while the Legislature conducts its review. The rule became effective on January 1st.

 Here is a quick summary of the rule's highlights (with primary attention to prescriber requirements):

  1. The rule defines a number of terms, such as acute and chronic pain, benzodiazepine, controlled substance (Schedules II through IV), inpatient status, prescriber and dispenser, and several others. The term "opioid medication" is limited to those opioids in Schedule II, which would mean it does not apply to Tramadol, buprenorphine, some (but not all) forms of codeine, and others. Prescribers are cautioned to check the latest version of the controlled substances list from the US Drug Enforcement Administration (DEA) to determine the Schedule of any particular medication.
  2. Prescribers are required to include the ICD-10 diagnostic code "on the prescription for any opioid which will cause the patient to exceed the 100 Morphine Milligram Equivalent aggregate daily limit." Codes are not required on prescriptions that do not exceed the limits.
  3. If a patient is claiming an exemption from the 100 MME or time limits, prescribers must include the "exemption code" on the prescription. There are 7 such codes: A (active & aftercare cancer treatment, limited to 6 months post remission); B (palliative care in conjunction with a serious illness); C (end-of-life and hospice care); D (medication assisted treatment for substance use disorder, limited to 12 consecutive months); E (pregnant person with a pre-existing opioid prescription in excess of 100 MME, only during the duration of the pregnancy); F (acute pain for a patient with an existing opioid prescription for chronic pain, with conditions); G (person in active taper of opioids, with a 6 month maximum tapering period to below 100 MME).
  4. Opioids must be prescribed electronically beginning July 1, 2017, unless a waiver is obtained from DHHS.
  5. Prescribers must check the PMP as described in the statutory law, PL 2015 c.488 (opioids and benzodiazepines, initially and every 90 days thereafter). In so doing, prescribers must review aggregate MME for the patient (including the anticipated new prescription), the number of prescribers currently prescribing controlled substances (Schedules II, III or IV) to the patient, and the number of pharmacies currently filling controlled substance prescriptions for the individual. The inpatient and long-term care exceptions apply.
  6. The PMP may be checked by the prescriber, any staff member authorized by the prescriber and the PMP, any staff member of a hospital if authorized by the hospital's CMO (for ED or inpatient treatment). The PMP will issue credentials to prescribers and authorized staff members who register as data requesters
  7. Dispensers are required to notify the PMP coordinator and decline to fill a prescription before contacting the prescriber if the patient has a contemporaneous prescription for the same substance from a different prescriber, a contemporaneous prescription being filled for the same substance by a different dispenser, or if filling the prescription would result in exceeding the MME or time limitations. Those conditions are described as "fraudulent or duplicative" prescriptions, which is the statutory requirement. The rule does not address the criteria for filling a prescription after contacting the prescriber.
  8. Licensing boards, MaineCare, and the Chief Medical Examiner's office will have access to PMP data, after meeting certain requirements. Data will also be shared with other states and Canadian provinces. Strict confidentiality rules apply to all PMP information, with criminal sanctions for violations of confidentiality.
  9. De-identified data may be provided to researchers, and aggregate information based on PMP data may be made available to the public.
  10. The PMP information will be reviewed at least quarterly to determine cases of "questionable activity by patients or prescribers." This includes the following information, as determined by the DHHS: "high number" of prescribers in a short period; "high number" of doses in a short period; overlapping "days supply" prescriptions exceeding a few days; "inappropriate combinations" of controlled substances; multiple payment methods within a short time; multiple out-of-state prescribers in a short time; multiple pharmacies on the same day, more than one pharmacy in different public health districts within one month; and "dangerous levels of specific" (but unspecified in the rule) drugs.
  11. Prescribers are immune from liability for disclosing information under these rules, and pharmacists are immune from civil liability for dispensing medication in accordance with a prescription in excess of the limits.

Please note that this summary does not address in detail the requirements for dispensers, whether they be pharmacies, providers or institutions. (There have already been substantial complaints about the burden placed on emergency department personnel by the "dispenser" requirements of the rule.) On this coming Wednesday, Pharmacist Kenneth McCall and MMA EVP Gordon Smith will be presenting the details of the rule during a one hour webinar sponsored by Quality Counts. The webinar is at noontime and is available free of charge.  You may register at the Quality Counts website.

First MMA Weekly Legislative Committee Conference Call is Tuesday, January 10th at 8 p.m.

MMA Legislative Committee Chairs Katherine Pope, M.D. and Stephen Meister, M.D. welcome you to participate in the weekly conference calls of the MMA Legislative Committee.

The next MMA Legislative Committee weekly conference call for the Second Regular Session of the 127th Maine Legislature will take place tomorrow, Tuesday, January 10th at 8:00 p.m.

Legislative Committee members and specialty society legislative liaisons are strongly encouraged to participate. Any physician, practice manager, or other staff member who is interested in the MMA's legislative advocacy also is welcome to participate. It is not necessary to RSVP for the calls.

Please use the following conference call number and passcode. These will remain the same for every weekly call during the session.

Conference call number:  207-480-4790

Passcode:  057614#

The purpose of the weekly conference calls is to review and finalize the MMA's position on bills printed the previous week, to hear the views of specialty societies on the new bills or their concerns about any current health policy issues, and to discuss the highlights of legislative action of the week. The calls rarely last longer than an hour. The MMA staff lists a suggested position for each bill and any medical specialty particularly affected by the bill.  

If you have an opinion about any of these bills, but cannot participate in the call, please contact Andrew MacLean, Deputy EVP & General Counsel at amaclean@mainemed.com or 480-4187, or Peter Michaud, Associate General Counsel at pmichaud@mainemed.com or 480-4199.

The following are bills of interest to the physician community printed last week.  We will discuss the priority bills marked with an asterisk (*) first.  This will be important when the list grows in the next few weeks.

*LD 12: An Act to Incorporate Protections for Living Donors into Maine Law (monitor);

*LD 13: An Act to Require Certain Licensing Boards To Report Cases of Sexual Abuse of a Patient or Client by a Licensee to a Law Enforcement Agency or the Department of Health and Human Services (oppose).

We will also discuss bills that have been submitted on behalf of the MMA and bills that were drafted by the MMA at the request of particular legislators.

Those bills include the following:

An Act to Save Lives and Support People in Recovery from Opiate Use Disorder in Washington County 

An Act Relating to the Licensure of Physicians and Surgeons

An Act to Promote Medical Care for Visiting Sports Teams

An Act to Ensure Protection of Patients in Medical Review by Health Insurance Carriers and to Improve Prior Authorization Processes

An Act to Reduce the Use of Opiates Among Youth in Piscataquis County as a Model for All Maine Communities

An Act to Support Evaluation of Project Hope Diversion Efforts

For future reference, those bills can be found by going to the right-hand side of the MMA home page and clicking on Documents RE: 128th Maine Legislature. Eventually they will be printed as LDs and will be listed that way for the weeks when they will be discussed.

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Are You Ready To E-Prescribe? Find Out More About DrFirst and their E-Prescribing Products

July 1, 2017, is when Maine’s new EPCS (e-prescribing controlled substances) law takes effect for the prescribing of opioids. Despite the limited application of the law, the benefits of e-prescribing are significant, which is why MMA encourages our members to implement eprescribing technologies in their practices now instead of waiting for the legislative deadline.

To save you the time of vetting potential vendors and offer you another tangible membership benefit, we have chosen DrFirst as our preferred e-prescribing platform and negotiated a generous discount for MMA members. DrFirst offers a superior clinical workflow that is easy to use and affordable (especially with the discount we have negotiated for MMA members). Their package includes Rcopia® for legend drug e-prescribing, EPCS Gold 2.0℠ for controlled substance e-prescribing, and iPrescribePro℠, an app for mobile e-prescribing.

Aside from legend drug and controlled substance e-prescribing within one workflow, you’ll also get

  • 24 months of patient medication history

  • real-time benefit check (formulary data, drug cost, suggestions for cheaper alternatives)

  • clinical alerts (e.g., duplicate therapy and allergy warnings)

  • one-on-one guidance through DEA identity proofing and authentication

  • patient adherence monitoring

  • electronic prior authorization

For more information, MMA members can visit DrFirst’s website and/or contact DrFirst’s Eric Landry, a New Gloucester resident, at 888-481-4303. [return to top]

MeHAF Grant Opportunity: Expanding Patient-Centered Addiction Care

The Maine Health Access Foundation (MeHAF) announced a new request for proposals on December 19, 2016.  The primary focus of this RFP is to increase access to medication-assisted therapies (MAT) for medically underserved people, based on the scientific evidence and federal SAMHSA recommendations that treatment with buprenorphine (Suboxone), in conjunction with counseling, improves longer term outcomes for people seeking treatment for addiction to opiates. Up to $800,000 for two-year grants will be awarded for planning and implementation. 

The deadline for proposals is February 2, 2017 at 4:00 pm, using MeHAF's online application form. Click here for more information about the RFP.   [return to top]

Community Forum on Opioids in Augusta, January 18, 2017

Physicians and all other interested persons are invited to attend a community forum on January 18 in Augusta on the opioid crisis. The forum will be held on Wednesday, Jan. 18 from 3:00 to 5:00pm at the Lithgow Library Community Room at 45 Winthrop St., Augusta. Presenters will discuss the recommendations of the three task forces established by the Maine Opiate Collaborative. Anyone interested in attending should RSVP to Karen Tucker at 588-5012 or via e-mail to ktucker@mcd.org.

The forum has been organized by Healthy Communities of the Capital Area with support from the Maine Opioid Collaborative and the Maine Medical Education Trust through a grant by the Maine Community Foundation.

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Quality Counts Webinar January 11: Chapter 488 Implementation and Rule-Making Updates

Maine Quality Counts is offering a free webinar on Wednesday, January 11th, from noon to 1 p.m., reviewing updates on the implementation timeline and exploring the rule-making and exception process. Also included will be an overview of the effect of the law and associated rules on Maine's pharmacy community.

The course will be presented by Gordon Smith, Esq., Executive Director of the Maine Medical Association, and Kenneth “Mac” McCall, D.Pharm, Chair of the Department of Pharmacy Practice at the UNE College of Pharmacy.

The objectives of this webinar are:

1.     Identify the timeline for opioid and benzodiazepine regulations pursuant to Public Law 488

2.     Recognize how the new law and corresponding rules will impact patient care workflow for prescribers and pharmacists

3.     Discuss strategies to apply the new regulations and PMP enhancements into practice

The registration link is:  https://zoom.us/webinar/register/3c41fcf426a8a5e066858a512be5123a .

Attendees of the live webinar may opt to receive 1.0 Category 1 CME Credit or 1.0 Contact Hour of knowledge-based pharmacy CEU for their participation.

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MaineGeneral Offers Suboxone Training

MaineGeneral Medical Center has been offering a Suboxone certification course every month since June. The instructor is Richard Fein, M.D. The next course will take place on January 14, Saturday, from 8:00 – 12:15. There are also plans in the works for a Saturday course in February, but the date is not yet determined.

This course meets part of the requirements for obtaining a Suboxone waiver from the US DEA so that providers can prescribe Suboxone for the treatment of Substance Use Disorder.

People interested should be reminded that they MUST register ahead of time with Malindi Thompson at the Prevention Office of Maine General Medical Center. Her email address is: malindi.thompson@mainegeneral.org. [return to top]

US CDC Releases Report on Overdose Drugs

The US Centers for Disease Control and Prevention (CDC) released a report in late December 2016 identifying the specific drugs most frequently involved in overdose deaths from 2010 through 2014. The report showis that more drug overdose deaths are caused by illegal substances such as heroin, cocaine and illegal forms of fentanyl than by opioid pain medication.

The five year period saw a 23% increase in national drug overdose deaths per year, from 38,329 in 2010 to 47,055 in 2014. During that time period the top 10 drugs involved in overdose deaths remained the same, but the relative ranking and age-adjusted rates changed. It is reasonable to expect that national figures have increased since 2014 just as Maine figures have. The 10 drugs listed were heroin, oxycodone, methadone, morphine, hydrocodone, fentanyl, alprazolam, diazepam, cocaine, and methamphetamine. In 2010 the ranking had oxycodone at the top, followed by methadone, cocaine, alprazolam, and heroin. By 2014 the ranking had changed, with the top five in order being heroin, cocaine, oxycodone, alprazolam, and fentanyl. Methamphetamine has risen in rank from 10th in 2010 to 7th in 2014.

The CDC notes that caution should be exercised in interpreting these numbers, due at least in part to the fact that overdoses often involve more than one drug and reporting has improved over this time period. [return to top]

MMA Needs Your Opinion on the Opiate Crisis, Survey Closes Tuesday, January 17

As you know, Maine Medical Association has been working for over 16 months planning and implementing a statewide comprehensive response to Maine’s opioid/heroin epidemic. With support from MMA, the Maine Opiate Collaborative has developed a blueprint for action in the areas of law enforcement, treatment, and prevention & harm reduction.  And the Maine Legislature has passed strong prescribing standards under Chapter 488 of Maine law.

Physicians play a critical role in preventing and treating addiction and we would like to learn more from our members as we continue to craft and implement educational and advocacy strategies. We hope you’ll take just a few minutes to answer the following questions.  https://www.surveymonkey.com/r/TYBB9GS

The survey will close on Tuesday, January 17.

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Health Insurance Marketplace 2017 Open Enrollment Ends on Tuesday, January 31

The Health Insurance Marketplace 2017 Open Enrollment period ends on January 31, 2017.  After January 31, you can enroll in or change a plan only if you qualify for a Special Enrollment Period. 

Get Ready to Apply for 2017 Coverage  Many people who apply will qualify for some kind of savings. Depending on household income, you may be able to get lower costs on monthly Marketplace health insurance premiums and out-of-pocket costs.

Already Have Marketplace Coverage? Anyone with a 2016 health insurance plan through the Marketplace should review their current plan, update their healthcare.gov account, and either renew coverage or select another plan for 2017.  5 Steps to Staying Covered Through the Marketplace

Health Insurance Marketplace assistance is available:

  • Call the Consumers for Affordable Health Care HelpLine at 1-800-965-7476
  • Find local help at www.enroll207.com.  Navigators and assisters are available throughout Maine.
  • Call the Health Insurance Marketplace at 1-800-318-2596
  • Medical practices: order patient brochures about the Health Insurance Marketplace at enroll207
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MMA's Fiscal Fitness for Life 2017 Kick Off

In our continuing effort to provide members with quality financial educational opportunities, MMA in conjunction with Baystate Financial, is kicking off the third year of our Fiscal Fitness for Life seminar series at two locations, Auburn on Jan. 25 and South Portland on Jan. 26. At the two sessions, attorney Jennifer Shea, who leads Baystate's Estate and Business Planning Department will be discussing the SEVEN MISTAKES PEOPLE MAKE IN RETIREMENT PLANNING.  

Attendees at prior sessions have found them to be truly educational in nature and filled with information both useful and immediately actionable. So if paying more attention to financial planning issues is on your New Year's Resolution list, this presentation can serve as that "dreaded first step" we all need to take.

The Auburn presentation is at the Hilton Garden Inn, 14 Great Falls Plaza from 6:00pm to 8:00pm. The South Portland location is at the Saltwater Grille, 231 Front St., South Portland. Hors d'oeuvres and refreshments will be provided at both locations. There is no cost to attend but please register by Jan. 20 to cperry@baystatefinancial.com or call 207-770-2033.

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The Top Issues That Will Affect Physicians in 2017

ByTroy Parks, Staff Writer AMA Wire

The year ahead in medicine, tumultuous as it promises to be, holds several key issues on which physicians should focus their attention. Health insurance coverage and access, prescription drug pricing, the new Medicare payment system and the opioids epidemic all require a strong physician voice present in the conversation.

Health insurance coverage and access

A new administration will enter the White House on Jan. 20 and the president-elect has expressed his intention to repeal the Affordable Care Act (ACA), which could threaten the insurance coverage that more than 20 million Americans gained under President Obama’s signature legislation.

Acknowledging that the health system reform is an ongoing process, the AMA has expressed its willingness to work with the incoming administration and Congressional leaders on addressing the shortcomings of current law while maintaining the insurance enrollment gains of the ACA and expanding health insurance affordability and choice. Read more about the AMA’s vision on health care reform.

Implementation of new Medicare pay system

The Centers for Medicare and Medicaid Services (CMS) released its final rule for implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) in October, which repealed the flawed Sustainable Growth Rate (SGR) formula in 2015. Thanks to physician feedback, the new payment system—the Quality Payment Program (QPP)—should transition the health care system toward one that supports physician efforts to provide high-quality care.

The AMA will continue its work to make sure this implementation offers the best possibility for success for physician practices. To help your practice transition smoothly, the AMA has put together a collection of resources, such as the payment model evaluator, that are housed on its understanding Medicare payment reform webpage. Learn more about the numerous terms and acronyms associated with the QPP.

Reversing the opioid epidemic

The latest data from the Centers for Disease Control and Prevention provide a sobering reminder that more work remains to reverse the nation’s opioid epidemic. From 2014 to 2015, opioid-related deaths increased from 28,647 to 33,091—with significant increases in death from heroin and illicit fentanyl. At the same time, physicians have been using prescription drug monitoring programs with greater frequency, prescribing opioids more judiciously, taking more education, and becoming trained to treat substance use disorders. And tens of thousands of lives have been saved through the lopioid antidote naloxone—thanks in part to nearly every state now having improved naloxone-access laws. While physicians must continue their efforts, to truly turn the tide, greater access to treatment for substance use disorders and non-opioid and non-pharmacologic pain care must occur.

The AMA’s Task Force to Reduce Opioid Abuse, a coalition of numerous state and medical specialty societies, will continue efforts to increase registration and use of PDMPs, enhance physician education, reduce stigma of chronic pain and substance-use disorder, enhance access to treatment, and expand access to naloxone through co-prescribing and standing orders.

Prescription drug pricing

Recent increases in prescription drug prices are of major concern to patients. These increases have created higher costs and price swings, making it difficult for some patients to afford much needed medications. The AMA’s grassroots initiative, TruthinRx.org, was launched late last year with the purpose of collecting patient stories about how rising drug prices are affecting their lives. Achieving greater transparency in prescription drug costs and coverage will be significant issues in the coming year as the nation attempts to address these concerns. The AMA’s grassroots network is asking the public to join the initiative to uncover the truth about prescription drug pricing.

EHR interoperability 

Physicians enjoy treating patients. A recent qualitative study found that physicians spend nearly two hours on EHR and other clinical desk work for every hour of direct face-to-face time with patients. One of the major sources of professional dissatisfaction found in the study was poor EHR usability and interoperability. This is a battle physicians have been fighting since the introduction of EHRs and the fight isn’t over. One key step was taken late last year when Carequality and CommonWell, representing more than 90 percent of the EHR marketplace in acute care settings and nearly 60 percent of the office-based EHR market, entered an agreement to advance nationwide interoperability.

This is a step in the right direction, but physicians have also taken matters into their own hands. It will be important in the coming year to continue progress toward interoperability and make sure that these tools, which hold so much promise, are not just another roadblock to the patient-physician relationship.

Regulatory relief

The regulatory burden placed on physicians is a major component of physician burnout. Physicians to spend too much of their time on administrative tasks rather than providing care to patients. The evolving health care system needs easier enrollment, more rational program integrity rules and, overall, fewer reporting requirements.

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PMP Changeover Occurred 12/20/16--Delegates Must Re-register

Following is the verbatim text of a letter from the Maine PMP announcing the changeover to a new platform and the need for delegates to re-register:

Dear Account Holder:

As a reminder, tomorrow, December 20, 2016, the Maine Prescription Monitoring Program (PMP) will be upgrading software systems. Today, December 19, is the last day you will be able to use the existing system (https://mepdm-ph.hidinc.com/melogappl/bdmepdmqlog/pmqhome.html).

You will receive an email notification tomorrow, December 20, if your current PMP account successfully transfers to the new system. This notification will include your login information.

If you do not receive an email notification tomorrow, December 20, you will need to register in the new PMP system starting tomorrow.This will include delegates and users whose accounts are not able to be transferred to the new system. Please note that delegates will not be able to register themselves in the new system until their supervisor’s account (i.e., the account they wish to be a delegate for) has been approved by the state PMP administrator.

For more information about Maine’s new PMP system, including how to register, please see the Maine PMP AWARxE User Support Manual. For a quick guide to requesting patient reports, you may consult the Quick Reference Guide. These guides will also be posted on the Maine PMP website (http://maine.gov/pmp).Again, the new system will not be available until tomorrow, December 20.

Please note that there will be a delay in viewing prescription history from the two weeks prior to the transition in software systems. This history will be loaded in the new system within two weeks of the transition. Thank you for your patience during this time.

Starting tomorrow, December 20, you may call support directly at 1-844-4ME-4PMP (1-844-463-4767). Technical assistance is available 24 hours a day, 7 days a week, 365 days a year. Should you have any policy questions in the meantime, you may contact the Maine PMP at (207) 287-2595 or by email at SAMHS.PMP@maine.gov.

Best Regards,

Sheldon Wheeler

Director, Office of Substance Abuse and Mental Health Services


Evelyn Sharkey, PMP Coordinator

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Upcoming Events

"Helping Patients Obtain Unaffordable Medicines"

 is a meeting scheduled for Friday morning, January 20, at the Bangor Public Library.

Despite Medicare drug plans and ACA marketplace insurance enrollment, 40% of patients still either cannot afford to fill their prescriptions at all or cut pills or skip doses to limit their drug expenses.

Medication nonadherence not only compromises individual and community health, but impacts the finances of hospitals that often must provide charity care for preventable ER and inpatient services.

Meeting attendees will learn how centralized medication access resources such as those now in 15 Maine communities can cost-effectively assist prescribers, patients, and hospitals by coordinating the burdensome prescription assistance process.

Register for this free meeting with Martha Morrison of non-profit MedHelp Maine at medhelpmain@gwi.net or (207) 793-4462.



25th Annual MAFP Family Medicine Update & Annual Meeting 

March 29 – April 1, 2017

at Hilton Garden Inn, Freeport, Maine 

  • Mar. 29 – Pre-conference SAM Study Group
  • Mar. 30-31 – Annual Update programming with Annual Meeting
  • **Just Added - April 1st – AM – Opioid Prescribing training (will meet Maine Medical Licensing requirements for new law)

Complete schedule and registration information available after January 15th on our website – http://www.maineafp.org/cme/mafp-cme-meeting [return to top]

Job Openings


Katahdin Valley Health Center (KVHC) is seeking a Family Nurse Practitioner for the Urgent Care/Open Access practice located in Houlton Maine.  Open Access hours are 11am – 7pm, Monday – Friday, and 9am – 7pm, Saturday and Sunday.  Weekends are rotated between providers.  This position requires knowledge, experience and active support for rural, community oriented primary care.

With the mission of providing community accessible, quality healthcare with compassion and dignity, KVHC is the largest Federally Qualified Health Center organization in Northern Maine.  KVHC offers integrated, comprehensive, and affordable healthcare for the whole family through six Patient Centered Medical Homes. 

Benefits:  competitive salary and benefits package, generous paid time off, 401K, CME reimbursements, medical, disability and life insurance and FTCA malpractice coverage.  Practitioners at KVHC are eligible for NHSC Loan Repayment. 

Requirements: Current Maine License

Submit Cover Letter and Provider Application to http://www.kvhc.org/wpSite/wp-content/uploads/jobs/ProviderApp.pdf or email your resume to linda.mcgee@kvhc.org.



Sebasticook Valley Hospital is seeking a full time Family Medicine physician to join Sebasticook Valley Family Care a modern practice located just off I-95 in Pittsfield.  Be part of a ten member collegial medical staff providing primary care services in a rural community. Work schedule is 4 days per week, with limited telephone call from home.  This position comes with competitive compensation, fringe benefits, assistance with medical education debt, signing/relocation bonus negotiable. 

SVH is a 25-bed modern critical access hospital located in Pittsfield which is 20 minutes north of Waterville, and 40 minutes south of Bangor. The hospital serves a population of 30,000 in this central Maine area.  SVH takes a proactive approach in helping people in the Sebasticook Valley improve the quality of their lives. The hospital works with local businesses, schools, the religious community, other healthcare providers, area organizations, and private individuals to make the Valley a healthy place to live. SVH serves has a wide range of outpatient services, including over 20 specialty services.

For more information, please contact Sherry Tardy, PHR, DASPR, at 207-487-4085 or email a CV for review to stardy@emhs.org.



Mt. Abram Regional Health Center (Kingfield) seeks a Physician who is BC/BE in Family Medicine to provide outpatient primary care and preventive services to people of all ages for 30-40 hours per week. As a NCQA Patient-Centered Medical Home, we offer accessible, high quality healthcare with integrated behavioral health services focused on the patient’s care experience. We offer check-ups for the entire family, care of acute and chronic conditions and referrals to specialty care and community services. In addition, our specialists assist patients with enrollment in programs that help pay for healthcare and medications.

The health center resides in a welcoming community near Sugarloaf USA and the University of Maine (Farmington) and is part of HealthReach Community Health Centers, a system of eleven practices in Central and Western Maine. HealthReach has been providing healthcare in rural and medically underserved communities for 42 years. Annually, 28,000 Maine residents access medical, dental and behavioral health services at our facilities, which are located in Albion, Bingham, Belgrade, Bethel, Coopers Mills, Kingfield, Livermore Falls, Madison, Rangeley, Richmond and Strong.

We offer competitive salary, generous benefits, and malpractice coverage. The site is eligible for loan repayment. EOE. Contact: Recruiter, HRCHC, 10 Water Street, Suite 305, Waterville, ME 04901 | (207) 660-9913 | Fax: (207) 660-9901 | Communications@HealthReach.org | www.MTAbramCHC.org


DIRECTOR OF EMERGENCY CARE - Southern Maine Health Care

Southern Maine Health Care is seeking a qualified physician for Director of Emergency Medicine.  

This FT Director position involves working collaboratively with all clinical staff and senior administration to assure that the care of patients in the ED is of the highest quality.  The position involves 24 administrative hours/week, and approximately 53 clinical hours/ month. 

Candidates must be Board Certified in Emergency Medicine, possess excellent communication and organizational skills, an ability to work well within a changing and fast-paced environment, and a strong commitment to the medical community. 

SMHC is a member of MaineHealth. We are a nationally accredited, award-winning 200-bed medical center located on the beautiful southern coast of Maine. 

SMHC is among the largest health care groups in Maine, bringing together York County's largest medical center with over 40 primary care physicians and specialists.

For more information, please contact Kelley Johnson, SMHC Recruiter at (207) 294-8404 or kajohnson@smhc.org.



Maine Medical Partners Lakes Region Primary Care is seeking an Internal Medicine-Pediatrics or Family Medicine trained physician for their well-established outpatient practice located in Windham, just outside the greater Portland, Maine area.  Outpatient call only, with no attendance at deliveries or hospital call required.

This well established practice has been in the Windham community for almost 20 years and is part of Maine Medical Center’s Internal Medicine-Pediatrics residency program, with opportunities to teach Medicine-Pediatric Residents and medical students from the Maine Medical Center-Tufts University School of Medicine Medical School Program.

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital and Level I Trauma Center, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School.

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.


PHYSICIAN – Monmouth

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time Physician, for our Monmouth location.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics. We have excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EEO

Requirements:  Current Maine license. Proficiency with electronic medical records.

Benefits:  Excellent benefit package: medical, dental, life, 401(k), flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.


FNP/NP – Monmouth

DFD Russell Medical Centers (DFDRMC) operates three community health centers in central Maine.  We are seeking a full time FNP/NP, for our Monmouth location.

Our three health centers serve a multicultural, rural population of about 10,000 patients and have a family practice focus serving pediatrics to geriatrics. We have excellent clinical support staff.

This position requires a high degree of flexibility, good clinical skills and commitment to team work and open lines of communication. It is a full-time at 4 days per week.

This position combines making a difference in patients' lives with a family-friendly work life, please fax or e-mail your resume to Laurie Kane-Lewis, CEO. (Laurie.Kane-Lewis@DFDRussell.org) EOE

Requirements:  Current Maine license. Proficiency with electronic medical records.

Benefits:  Excellent benefit package medical, dental, life, 401(k) , flexible spending accounts and a generous paid time-off plan. Salary is commensurate with experience; there is also an incentive plan and a CME reimbursement.


OUTPATIENT ONLY - BC/BE INTERNIST - Central Maine Medical Center

Central Maine Medical Center offers an exciting practice opportunity to a BC/BE Internist for its employed practice.  Join colleagues committed to excellence.  This office based position offers a 4 or 4 ½ day work week, outpatient only call (weekend call approximately 1:10 ) , and full EMR.    An attractive compensation and benefits package, including loan repayment and a generous sign on bonus, are enhanced by the scenic beauty and abundant outdoor adventure Maine lifestyle affords.  Combine your talent and skills with our established excellent reputation of the best physician care. Interested candidates, send CV or call: Gina Mallozzi, Central Maine Medical Center, 300 Main Street, Lewiston, Maine 04240.  Fax: 207-344-0696, E-mail: MallozGi@cmhc.org, or call: 800/445-7431.  Not a J1 opportunity.


INTERNAL MEDICINE PHYSICIAN - Maine Medical Partners Internal Medical Clinic

Maine Medical Partners is seeking a PT BC/BE internal medicine physician for their Internal Medicine Outpatient Clinic at Maine Medical Center in Portland, Maine. 

The Clinic is the primary outpatient teaching site for Maine Medical Center’s Internal Medicine Residency Program and is the medical home for a culturally diverse population.  The ideal candidate will have an interest in residency education and international/immigrant patient care.  The clinical portion of the position involves a mix of direct patient care and the precepting of Internal Medicine Residents. 

Maine Medical Center has 637 licensed beds and is the state’s leading tertiary care hospital, with a full complement of residencies and fellowships and an integral part of Tufts University Medical School. 

For more information please contact Alison C. Nathanson, Director, MaineHealth Physician Recruitment Center at (207) 661-7383 or nathaa@mainehealth.org.



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