Impact of Federal Medicaid Proposals on Maine
May 5, 2025
For a more up-to-date summary of impact, we encourage you to refer to a more recent blog post on this topic.
Federal Proposals Threaten Health Coverage, Nutrition Assistance, and Marketplace Stability in Maine
Payment Error Rate Measurement (PERM) Reporting Year (RY) 2024 Errors
All errors found during a PERM audit are considered improper payments.Maine is required to reimburse the federal government for all improper payments and has the right to seek recoupment from providers for improper payments resulting from provider error.
The most common errors found in the RY 2024 PERM Audit cycle are listed below. The most common errors from the previous two PERM cycles are also included in the list. Before submitting a claim, check that the information for the member and the services provided are accurate and complete.
Vital Records Fees, 10-146 CMR Ch. 7
CONCISE SUMMARY: Maine’s Department of Health and Human Services Maine Center for Disease Control and Prevention is adopting this rule to coincide with the expiration of the rule adopted on an emergency basis (effective January 31, 2025), ensuring the additional $5.00 for burial-transit permits issued in Maine remains in rule as required by Public Law 2023, Chapter 677, § 4. This routine technical rule adopts changes that reflect the collection of an additional $5.00 above the current fee charged for the permit required for the transportation, temporary storage, disinterment, or final dispo
Vital Records Fees, 10-146 CMR Ch. 7
CONCISE SUMMARY: Maine’s Department of Health and Human Services Maine Center for Disease Control and Prevention is adopting this rule to coincide with the expiration of the rule adopted on an emergency basis (effective January 31, 2025), ensuring the additional $5.00 for burial-transit permits issued in Maine remains in rule as required by Public Law 2023, Chapter 677, § 4. This routine technical rule adopts changes that reflect the collection of an additional $5.00 above the current fee charged for the permit required for the transportation, temporary storage, disinterment, or final dispo
Transportation, Storage and Final Disposition of Dead Bodies Rule, 10-146 CMR Ch. 1
This rule adoption includes the additional $5.00 fee for burial-transit permits issued for the transportation, temporary storage, disinterment, or final disposition of a dead human body, pursuant to Public Law 2023, chapter 677, section 4, and replaces the outdated reference to a repealed statute (30 MRS § 2352) with the correctly referenced statute, 30-A MRS § 2652. Additionally, the amended rule includes technical changes to the format to conform to agency standards.
ASPIRE-TANF Rule #29 - LD 1748
10-144 C.M.R. Chapter 607; ASPIRE-TANF Program Rules, All Sections
ASPIRE-TANF Rule #29P – LD 1748
MaineCare Rule #312A - Part 9 and Chart 3.8 Premium Updates
10-144 C.M.R. Ch. 332; MaineCare Eligibility Manual – Part 9: LIMITED BENEFITS GROUP and Chart 3.8: Premiums for Special Benefits Waiver [Maine Section 1115 Health Care Reform Demonstration for Individuals with HIV/AIDS]
Rule #312A – Part 9 and Chart 3.8 Premium Updates
Section 60, Durable Medical Equipment (DME) and Supplies: Annual Rate Adjustment - CR 130241
Effective January 1, 2025, MaineCare updated DME rates benchmarked to Medicare, to reflect 100% of current year Medicare rates. You may view the new rates on the Rate Setting page of the Health PAS Online Portal.
Comment Deadline Extended: Home and Community Based Supports (HCBS) Sections 18, 20, 21, 29, and New Lifespan Waiver
The Department is extending the deadline for written comments on the HCBS Sections 18, 20, 21, 29 and New Lifespan Waiver rate determination to May 6, 2025. Please see the presented materials notice that followed the forum for more information.
Please submit comments to our vendor HMA – Burns: OADSRateStudy@healthmanagement.com
Nursing Facility (NF) Listening Session on Rates for Individuals with Brain Injury or Medical-Psychiatric Needs
Following two years of discussions with interested parties, we implemented a new approach to MaineCare NF payments for 2025. Phase I of NF rate reform establishes a new pricing model for general care in NFs.