• Read more about Update to the Rounding Rule Enforcement Date

This notice is an update to the e-message sent on January 20, 2023. MaineCare is extending its delay of the enforcement of the rounding rule by one month, from April 1, 2023, to May 1, 2023, to allow further time for necessary system changes.

• Read more about Correction: Section 26 Day Health Services: Rate Study Comment Summary

We previously sent this notice on March 30, 2023, with an incorrect link to the summary of comments. We corrected the link below.  

Mar 3, 2023

Since the start of the Mills Administration, the Department of Health and Human Services (DHHS) has prioritized both expanding eligibility for MaineCare and improving how the program pays for services for its members. These efforts have culminated in significant achievements that the Department continues to build on to further promote quality, accessible services for the over 400,000 Maine residents currently served by the program.

• Read more about DHHS Achieves Progress on MaineCare Rate Reform

• Read more about 10-144 CMR Ch. 270, Sample Collection and Drug Testing Rule for Suspected Operating Under the Influence Cases

The Department amended this rule to update requirements for law enforcement agencies and laboratories involved in testing of persons suspected of operating under the influence of intoxicating liquor or drugs (29-A MRS §§ 2431-2528). The adopted rule is consistent with legislative changes enacted by the 129th Maine State Legislature, impacting certification, sample collection and testing for intoxicating substances. This rule ensures accurate testing for forensic purposes and compliance with applicable rules and standards. Adopted routine technical rule changes include the following:

• Read more about Correction: Section 26 Day Health Services: Rate Study Comment Summary

We previously sent this notice with an incorrect link to the summary of comments. We corrected the link below.  

• Read more about Section 26 Day Health Services: Rate Study Comment Summary

In August of 2022, the Office of MaineCare Services initiated a rate determination for Section 26 Day Health Services.

• Read more about Attention Providers of Section 67 Nursing Facilities (NF) and Section 97, Residential Care Facilities (RCFs, PNMI Appendix C): Presented Materials from Provider Rate Methodology Workgroup

On January 12, 2023, MaineCare provided notice that we initiated a rate determination process for Section 67, Nursing Facilities and Section 97, Residential Care Facilities.

• Read more about Pfizer-BioNTech COVID-19 Bivalent Vaccine Booster Authorized for Use in Individuals Aged Six Months to Four Years

In a March 14, 2023 announcement, the Food and Drug Administration (FDA) issued Emergency Use Authorization (EUA) for the use of Bivalent COVID-19 Vaccines from

• Read more about Electronic Visit Verification (EVV) Trainings and Forums

The federal deadline to implement the EVV requirements for Home Health providers delivering services under Section 40 and Hospice providers delivering services under Section 43 happened January 1, 2023.  

We continue to offer weekly provider and aggregator trainings and forums. All trainings and forums are online via Microsoft Teams. 

• Read more about Attention Providers of Section 31, Federally Qualified Health Centers (FQHC): Draft Rate Model Public Review and Comment​ 

The Department and our rate setting vendor, Burns and Associates, A Division of Health Management Associates, are collaborating with interested stakeholders to perform a rebasing of rates for FQHCs pursuant to