DHHS → node
Earlier this month, MaineCare issued supplemental payments to nine hospitals rewarding the high levels of primary care utilization for MaineCare members in their Hospital Service Areas (HSAs). The table below shows how the top eight (8) HSAs, which include nine (9) hospitals, surpassed the statewide average of 57% of MaineCare members within the HSA with a primary care visit in 2024.
Jun 6, 2025
The recently passed FFY 2025 budget reconciliation bill (the "One Big Beautiful Bill Act") contains significant Medicaid (MaineCare) policy changes, including a mandatory work requirement provision for Medicaid expansion members and the removal of good faith waivers for Payment Error Rate Measurement (PERM) and Medicaid Eligibility Quality Control (MEQC) audits with error results above a certain low threshold. This document provides an overview of the potential impacts to Maine's Medicaid program.
This emergency routine technical rulemaking is necessary to comply with Federal Rule updates according to 42 U.S.C. 9858 et seq., 45 C.F.R. Pt. 98, which makes multiple changes to the payment structure of the Child Care Affordability Program, including:
This routine/technical rulemaking is necessary to comply with Federal Rule updates according to 42 U.S.C. 9858 et seq., 45 C.F.R. Pt. 98. The Department adopted the changes outlined below on an emergency basis on 5/19/25, and this proposed rulemaking will adopt these changes before the emergency rule expires on 8/17/25 at 11:59pm EST (U.S. and Canada). This rulemaking proposes to promulgate on a non-emergency basis changes to the payment structure of the Child Care Affordability Program, including:
All MaineCare services delivered via Telehealth must comply with Ch I, Section 4 of the MaineCare Benefits Manual (MBM). Unless otherwise specified, all services must be billed in accordance with applicable sections of the MBM. Providers must also submit claims in accordance with Department billing instructions.
Annual survey shows over 97 percent of children attending Maine's public and private schools have received required vaccines
AUGUSTA-- The Maine Department of Health and Human Services' Maine Center for Disease Control and Prevention (Maine CDC) announced today that more than 97 percent of school-age children have received all required vaccines, the second consecutive year that Maine has exceeded the "herd immunity" threshold since reporting began in 2011.
This notice provides joint guidance from the Office of MaineCare Services and the Division of Licensing and Certification (DLC).
Providers delivering IOP services covered under Chapter II, Section 65, Behavioral Health Services, must be licensed by the DLC under 10-144 C.M.R. Ch. 123 to deliver medication management because IOP services include medication management, as needed, in accordance with 65.05-5(A)(2)(d).
As a result, to be appropriately licensed to deliver IOP services, the following applies:
As we communicated yesterday, we are increasing reimbursement rates for some services that we originally planned to implement for January 1, 2025 through a COLA.
Effective June 21, 2025, Section 92 services will receive this increase, to align with the regular billing cycle. This rate adjustment is equal to an increase of 1.95% above the current rates.
The State of Maine Department of Health and Human Services aims to improve HCBS. We would like to hear about Medicaid beneficiary experiences with waiver services. For the third consecutive year, the State of Maine’s Office of Aging and Disability Services (OADS) is completing the CAHPS® HCBS survey. Knowledge Services, a survey vendor, will again assist the State with survey administration.