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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 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.
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:
Notice of Agency Rule-making Proposal
AGENCY: Department of Health and Human Services, Office of MaineCare Services
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 97 Private Non-Medical Institution Services
TYPE OF RULE: Routine Technical
PROPOSAL FILING NUMBER:
Feb 2, 2026
CoverME.gov is Maine's state-based health insurance marketplace, administered by the Maine Department of Health and Human Services' Office of the Health Insurance Marketplace. The 2026 Open Enrollment period recently ended, during which individuals and families were able to compare and enroll in private health insurance plans and determine eligibility for financial assistance.
Effective today, February 2, 2026, the Office of MaineCare Services (OMS) and the Office of Behavioral Health (OBH) launched the new Single Assessment process for determining eligibility for medium- to high-intensity behavioral health services.
External Single Assessment Referral Link
The Office of MaineCare Services received inquiries about Pyzchiva (ustekinumab-ttwe) appearing under different manufacturers. This notice aims to clarify coverage.
Please note the following:
Effective January 1, 2026, MaineCare updated DME rates benchmarked to Medicare, to reflect 100% of current year Medicare rates. The new rates are available on the Rate Setting page of the Health PAS Online Portal.
Adjustment Billing Guidance for Dates of Service January 1, 2026, through January 28, 2026