Comments Closed on the Rural Health Transformation Program

The public comment period to inform Maine’s RHTP plan and application has closed. Thank you to the many people who took the time to share their ideas, expertise, and experiences. Your feedback is helping guide how these important funds can best support rural health in Maine.   The State of Maine has now moved into the next stage – working more closely with partners and communities across rural Maine – as we prepare an application due on Nov. 5, 2025.

Attention Referents of Section 97 Appendix E Private Non-Medical Institution (PNMI) Services

Effective September 16, 2025, referrals for Section 97, Appendix E, PNMI Services will not undergo clinical review until referents submit all required documentation through the Atrezzo system. Acentra will place incomplete referrals on an administrative hold for up to seven days.

Ensuring Referral Processing

Section 31, Federally Qualified Health Centers (FQHCs): Cost-of-Living Adjustments (COLAs) Implementation Plan CR134712

 

As previously noticed, MaineCare is increasing all in-state FQHC rates to reflect a 1.0% COLA.

MaineCare will implement new rates for billing when funding for this COLA is available to the Department on September 24, 2025. New rates will be effective retroactively to July 1, 2025.

Section 97, Appendix C, Residential Care Facilities (RCFs) Cost-of-Living Adjustments (COLAs) Implementation Plan CR 134858

As previously noticed, MaineCare is adjusting the RCF direct care rates to reflect a 1.0% COLA.

MaineCare will implement new rates for billing when funding for this COLA is available to the Department on September 24, 2025. New rates will be effective retroactively to July 1, 2025.

Section 45 Hospitals: Cost-of-Living Adjustments (COLAs) Implementation Plan - CRs 134737 & 134738

As previously noticed, MaineCare is increasing certain hospital reimbursement rates to reflect a 1.0% COLA.

MaineCare will implement new rates for billing when funding for this COLA is available to the Department on September 24, 2025. New rates will be effective retroactively to July 1, 2025.

The following is being adjusted to reflect the COLA increase:

Section 91, Health Home Services - Community Care Teams (CCTs) & Section 93, Opioid Health Home Services: Cost-of-Living Adjustments (COLAs) Implementation Plan

As previously noticed, MaineCare is increasing reimbursement rates for Sections 91 and 93 to reflect a 1.0% COLA.

MaineCare will implement new rates for billing when funding for this COLA is available to the Department on September 24, 2025. New rates will be effective retroactively to June 21, 2025, to align with the regular billing cycle for these services.

Section 97, Private Non-Medical Institutions (PNMI) Appendix F: Rate Letters for Fiscal Year (FY) 2026, CR 134858

Section 97, Appendix F, FY 2026 rate letters will be accessible on the secure Health PAS Online Portal by September 24, 2025. To view them, log into your Trading Partner Account and follow 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 these letters, please contact the individual listed on the rate letters. 

Sections 23, 25, 30, 40, 89, 97 B & D, 102: Cost-of-Living Adjustments (COLAs) Implementation Plan

As previously noticed, MaineCare is increasing certain hospital reimbursement rates to reflect a 1.0% COLA.

MaineCare will implement new rates for billing when funding for this COLA is available to the Department on September 24, 2025. New rates will be effective retroactively to July 1, 2025.

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