Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Section 97 - Private Non-Medical Institution (PNMI) Services

Date posted:

Attachment(s):

Notice of MaineCare Reimbursement Methodology Change

AGENCY: Department of Health and Human Services, Office of MaineCare Services

SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 97 - Private Non-Medical Institution (PNMI) Services

NATURE OF PROPOSED CHANGES: The Department plans to submit a state plan amendment to increase reimbursement rates for Appendix B - Substance Use Treatment Facilities and Appendix D - Children's Residential Care Facilities by a 3.07% cost-of-living adjustment (COLA) which was appropriated by the Maine State Legislature.

REASON FOR PROPOSED CHANGES: All changes are pursuant to Maine P.L. 2025, Ch. 752 - An Act to Correct Technical Errors in Public Law 2025, Chapter 650

ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will cost $601,890 in federal fiscal year 2026 which includes $419,634 in federal funds and $182,256 in state funds, and will cost $2,367,441 in federal fiscal year 2027 which includes $1,642,650 in federal funds and $724,791 in state funds.

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  

Kristin.Merrill@maine.gov

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:

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