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.
Adjustment of Claims
MaineCare will adjust claims that were submitted at or above the new rates, for dates of service January 1, 2025, through March 26, 2025. No provider action is needed.
Providers will be responsible for adjusting claims with charges that were submitted below the new rates, for the same date span noted above. Per policy, and to avoid timely filing denials, adjustments must be submitted within 120 days of the original claim payment date.
For questions, please contact your Provider Relations Specialist.