Date posted:
Attachment(s):
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: The MaineCare Accountable Communities (AC) Program
NATURE OF PROPOSED CHANGES: For the shared savings payments related to Performance Year 10 (July 1, 2023- June 30, 2024), anticipated in October 2026, the Department will continue to remove COVID-19 testing, vaccine, and treatment costs and will adjust risk scores and member months accordingly to account for the removal of these costs.
REASON FOR PROPOSED CHANGES: All changes are pursuant to Department discretion, including data analysis and review of other state and national accountable care models.
ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will be cost neutral in federal fiscal years 2026 and 2027.
ACCESS TO PROPOSED CHANGES AND COMMENTS TO PROPOSED CHANGES: The public may review the proposed methodology changes and written comments at any Maine DHHS office in every Maine county. To find out where the Maine DHHS offices are located, call 1-800-452-1926.
CONTACT INFORMATION
FOR RECEIPT OF COMMENTS: Kristin Merrill
AGENCY NAME: Office of MaineCare Services
ADDRESS: 109 Capitol Street, 11 State House Station
Augusta, Maine 04333-0011
TELEPHONE: (207) 624-4006 FAX: (207) 287-6106
TTY: 711 Maine Relay (Deaf or Hard of Hearing)
See https://www.maine.gov/dhhs/about/rulemaking for rules and related rulemaking documents.
State Plan Amendment
Office: MaineCare Services
Email: Kristin.Merrill@maine.gov
Comment deadline:
On