• Read more about 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.

• Read more about 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. 

• Read more about 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.

• Read more about Rural Health Transformation Program

Maine Awarded $190 million for Year 1

On December 29, 2025 the State of Maine received

• Read more about Home and Community Services

The Home and Community Support Services Program is a regulatory program authorized by

• Read more about MaineCare Notice of Agency Rule-making Proposal, Chapter III, Section 45, Principles of Reimbursement for Hospital 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.

• Read more about MaineCare Notice of Agency Rulemaking Proposal, Chapter III, Section 45, Principles of Reimbursement for Hospital Services

Notice of Agency Rulemaking Proposal

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

CHAPTER NUMBER AND TITLE: 10-144 C.M.R, Chapter 101, Chapter III, Section 45, Principles of Reimbursement for Hospital Services

TYPE OF RULE: Routine Technical

PROPOSAL FILING NUMBER:

• Read more about Locally Acquired Eastern Equine Encephalitis Virus Identified in Maine Resident

The Maine CDC urges protections against mosquito bites

AUGUSTA-- The Department of Health and Human Services' (DHHS) Maine Center for Disease Control and Prevention (Maine CDC) announced today the detection of a locally-acquired case of Eastern Equine Encephalitis virus (EEE) in a Maine resident. This is the first Maine resident to become infected with EEE this year.

• Read more about (EPSDT) Shell Case Guidance for Behavioral Health Providers

This notice includes guidance from Acentra Health in partnership with the Office of MaineCare Services (OMS), on the use of shell cases in Atrezzo.

• Read more about Elimination of Mailing Paper Remittance Advice (RA) and Reduction of Paper Checks, CR 132320

Paper RAs

This fall, the Office of MaineCare Services (OMS) will eliminate the mailing of all paper RAs to providers. This is a cost-saving initiative for the Department. We encourage those who receive paper RAs to reference the electronic PDF versions posted on the Health PAS Online Portal. Advantages of using the PDF version include easier member and claim searching and access to previous RAs.