MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter II, Section 97, Private Non-Medical Institution Services

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.

The Single Assessment

Medium to High Intensity Services

For families of children with behavioral health disabilities who are at risk of out-of-home treatment, accessing the right services can be confusing. The Single Assessment is a new process designed to transform how children and families access medium-to high-intensity behavioral health services.

Strengthening Children’s Behavioral Health Services in Maine

Jan 1, 2026

In November 2024, the State of Maine and the United States Department of Justice (DOJ) entered into a Settlement Agreement focused on Children’s Behavioral Health Services.

At its core, the Agreement strengthens and expands the focus on early identification, standardized assessment, coordinated service planning, and ongoing monitoring of outcomes. This is supported by changes in MaineCare rules which focus on ensuring children receive appropriate community-based services before more restrictive options are considered.

MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter II, Section 13, Targeted Case Management Services

Notice of Agency Emergency Rule-making Adoption

Agency: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

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, Allowances for Targeted Case Management Services

Adoption Filing Number:

Concise Summary:

Notice of MaineCare Reimbursement Methodology Change: MaineCare Benefits Manual, Section 92, Behavioral Health Home Services

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

MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 92, Behavioral Health Home Services and Chapter III, Section 92, Principles of Reimbursement for Behavioral Health Home Services

Notice of Agency Emergency Rule-making Adoption

Agency: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

Chapter Number and Rule Title: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual (“MBM”), Chapter II, Section 92, Behavioral Health Home Services and Chapter III, Section 92, Principles of Reimbursement for Behavioral Health Home Services

Notice of MaineCare Reimbursement Methodology Change: MaineCare Benefits Manual, Section 65, Behavioral Health Services

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:

Description

Procedure Code

Modifier

MaineCare Notice of Agency Rule-making Emergency Adoption: MaineCare Benefits Manual, Chapter I, Section 7, Children’s Behavioral Health Services Global Rule

Notice of Agency Emergency Rule-making Adoption

Agency: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

Chapter Number and Rule Title: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual (“MBM”), Chapter I, Section 7, Children’s Behavioral Health Services Global Rule

Adoption Filing Number:

Concise Summary:

MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter II, Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations

Notice of Agency Emergency Rule-making Adoption

AGENCY: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

CHAPTER NUMBER AND RULE TITLE: 10-144 C.M.R. Chapter 101, Chapter II, Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations

ADOPTION FILING NUMBER:

CONCISE SUMMARY:

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