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Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 92, Behavioral Health Home Services
Many MaineCare-covered services may be delivered via Telehealth.
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 65, Behavioral Health Services
NATURE OF PROPOSED CHANGES: The Department plans to begin reimbursing the following effective January 30, 2026:
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The transition from high school into the world of adulthood is a milestone for all young people. For young people with disabilities, this milestone also means a significant shift in how education and support services are provided. A transition plan should include the three domains of Education, Employment, and Independent Living.
The CY 2026, ICF-IID rate letters are now available on the Health PAS Online Portal. You can view them by logging into your Trading Partner Account and following this pathway: File Exchange > Reports > Rate Setting Letters.
If you have questions about accessing the letters, please contact Provider Services at: 1-866-690-5585.
For questions about the content of the letters, please contact Rate Setting directly by using the contact listed on the letters.
On February 12, 2026, the Department will hold an online public meeting regarding Section 43, Hospice Services rate determination for interested parties via Zoom. At this meeting, we will provide an overview of the project goals, scope of work, and present draft rates along with rationale, for public comment. Following the presentation, draft rates will be available online, and the Department will accept written comments.
We will then respond to the comments in writing and include an explanation of whether and how the feedback was incorporated into the final rate determination.
Important reminder: Office for Family Independence (OFI) and MaineCare staff do not make unannounced home visits or offer in-home help with benefits, including MaineCare, SNAP, and TANF.
MaineCare, SNAP, and TANF eligibility assistance is available:
Jan 1, 2026
The Maine Department of Health and Human Services’ Center for Disease Control and Prevention (Maine CDC) recently unveiled the new Respiratory Virus Dashboard. The dashboard shows trends for COVID-19, influenza (flu), and respiratory syncytial virus (RSV) together in one place, helping to support public awareness and enhance public health during the respiratory illness season.
10-144 C.M.R. Ch. 302; Summer Electronic Benefit Transfer (SEBT) Program Rules
(SUN Bucks)
SEBT – SUN Bucks Rule #1A
The Final MaineCare Rate Determination Schedule for CY26 is available on the Rate System Reform webpage.