Section 97, Appendix C, Residential Care Facilities (RCFs): New Rates Effective January 1, 2026
Effective January 1, 2026, MaineCare is adjusting RCF rates to support wage increases for essential support workers. Adjustments will be made to the case-mix index portion of the direct care rate, as well as the use fixed costs from the latest cost reports.
We will provide a future notice when rate letters are available.
For questions, please contact your Provider Relations Specialist.
MaineCare Cost-of-Living Adjustments (COLAs) for Sections 2, 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 60, 65, 90, 92, & 96
Effective January 1, 2026, MaineCare will increase reimbursement rates for certain services through a COLA as directed by P.L. 2025, Ch. 388 (Part GGG). This COLA is equal to an increase of 1.0% above the currently established rates.
MaineCare Notice of Agency Rulemaking Proposal, MaineCare Benefits Manual, Chapter II, Section 65, Behavioral Health Services
Notice of Agency Rulemaking Proposal
AGENCY: Department of Health and Human Services, MaineCare Services
CHAPTER NUMBER AND TITLE: 10-144, C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 65, Behavioral Health Services and Chapter 101, MaineCare Benefits Manual, Chapter III, Section 65, Behavioral Health Services
TYPE OF RULE: Routine Technical
PROPOSED RULE NUMBER:
BRIEF SUMMARY:
10-144 C.M.R. Ch. 331; Public Assistance Manual Temporary Assistance for Needy Families (TANF) Manual - Chapter III; TANF Rule #126A - Income Exclusions
10-144 C.M.R. Ch. 331; Public Assistance Manual Temporary Assistance for Needy Families (TANF) Manual
Chapter III
TANF Rule #126A - Income Exclusions
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter I, Section 7, Children’s Behavioral Health Services Global Rule
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, Ch. II, Section 92, Behavioral Health Home 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.
MaineCare Notice of Agency Rule-making Proposal, MaineCare Benefits Manual, Chapter II, Section 66, Crisis Services
Notice of Agency Rulemaking 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 66, Crisis Services
TYPE OF RULE: Routine Technical
PROPOSAL FILING NUMBER:
Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Sections 45 and 46, Psychiatric Hospital 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, Sections 45 and 46, Psychiatric Hospital Services
MaineCare Advisory Committee (MAC)
The MaineCare Advisory Committee (MAC) is a federally mandated committee to ensure that MaineCare is an effective and efficient program informed by the diverse experiences of beneficiaries, their caretakers, and other interested parties.