DHHS → node
Jan 1, 2026
How Maine DHHS Oversees Public Funds and Responds to Allegations of Fraud
The Maine Department of Health and Human Services (DHHS) provides essential health and social services to Maine residents while safeguarding the public resources entrusted to our care. Every dollar we manage represents a commitment to ensure funds are used lawfully, effectively, and in direct support of the programs and people they are intended to serve.
Jan 1, 2026
As the state agency responsible for responding to emergent public health threats, the Maine Department of Health and Human Services’ Center for Disease Control and Prevention (Maine CDC) has been working in partnership with federal and local partners to address the recent, rising spread of HIV and hepatitis C infections.
Last week, MaineCare identified an error in the rate calculations for Section 65 that we implemented with an effective date of January 1, 2026.
On December 22, 2025, we emailed QBP letters to administrators and senior level leadership for NFs that met the 2025 participation criteria to earn a QBP award. Each letter included the anticipated dollar amount for each NF, as described in MaineCare Benefits Manual (MBM), Chapter III, Section 67 (22.6.3). The payment date and confirmation of final amount is contingent on approval from the Centers for Medicare & Medicaid Services. We will send an update upon federal approval and will release payments approximately two weeks after federal approval.
Below are the Certificate of Need healthcare reviews conducted during the year of 2025. You can also view reviews from previous years.
Integration of York Hospital into MaineHealth
MaineMOM is a MaineCare program providing team-based care for pregnant and postpartum individuals with Opioid Use Disorder (OUD‡). Services are provided during pregnancy and through 12 months postpartum* and are designed to support recovery, promote healthy parenting, and improve maternal and infant health outcomes, as shown in the graphic to the right.
Per the Affordable Care Act (ACA), Section 6401, all providers need to revalidate with all states they are enrolled with.
Durable Medical Equipment (DME) providers are required to revalidate their information with MaineCare every three years. The current round of revalidation began in January 2022.
Effective January 1, 2026, the MaineCare Orthodontia Pro-Rate Request Form is updated on the Manuals, Forms, and Criteria Sheets page of the Health PAS Online Portal.
This updated form reduces the administrative burden for providers and the Department when a prior authorization for Comprehensive or Limited Orthodontic treatment must be repriced because treatment stops before it is completed.
Jan 1, 2026
Tobacco use is the leading cause of preventable disease and death in Maine and the United States. It has major impacts on health care costs and lost productivity, affecting individuals, families, businesses, and the State.
MaineCare identified an error in the calculations for Section 65, cost-of-living adjustment (COLA) rates that were recently implemented with an effective date of January 1, 2026. The fee schedule also reflects this error.