2026 Medicare Rates Implemented for Sections 15, 65, 75, 95, & 101

Effective January 1, 2026, MaineCare updated reimbursement rates aligned with Medicare in Sections 15, 65, 75, 95, and 101. These new rates reflect 72.4% of the current Medicare rates. Updated fee schedules are available on the Rate Setting page of the Health PAS Online Portal.

Adjustment Guidance for Dates of Service January 1, 2026 – February 3, 2026

MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapters II and III, Section 13

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.

MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapters II and III, Section 28

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.

MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapter II, Section 97

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.

MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapters II and III, Section 13

Notice of Agency Rule-making Proposal

AGENCY: Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND RULE TITLE: 10-144, C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 13, Targeted Case Management Services and Chapter 101, MaineCare Benefits Manual, Chapter III, Section 13, Targeted Case Management Services 

TYPE OF RULE: Routine Technical

PROPOSAL FILING NUMBER:

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