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Effective January 1, 2026, MaineCare updated reimbursement rates for Sections 68 and 85. These new rates reflect 72.4% of the current Maine Medicare rates.
Initially, the Department uploaded an incorrect fee schedule for both section 68 and 85. Corrected fee schedules are now available on the Rate Setting page of the Health PAS Online Portal.
On February 12, 2026, the Office of MaineCare Services (OMS) held a virtual public kickoff meeting for interested parties of hospice services. At this meeting, MaineCare reviewed project goals, a timeline for the *rate determination process, and presented draft rates with rationale and policy revisions under consideration for public comment.
Pursuant to MaineCare Benefits Manual (MBM), Chapter III, Section 45, the annual maximum amount per SFY that the Department will reimburse in-state acute and critical access hospitals for DAP claims is capped at $1,500,000 (see MBM section 45.02-8). The cap has now been reached for SFY 2025 (July 1, 2024, through June 30, 2025) and no additional payments will be made for DAP claims with Dates of Service (DOS) from July 1, 2024, through June 30, 2025.
10-144 C.M.R. Chapter 301; Supplemental Nutrition Assistance Program (SNAP) Rules;
Sections 111-2 and 444-4
SNAP Rule #241P - Noncitizen Updates
Effective January 1, 2026, MaineCare updated the NDPP reimbursement rate. This new rate reflects 100% of the current year Medicare rates. An updated fee schedule is available on the Rate Setting page of the Health PAS Online Portal.
Please join the Maine Pre-Admission Screening and Resident Review (PASRR) team for one of two upcoming Nursing Facility Provider training events in February.
These informative two-hour sessions will provide a refresher training on PASRR, AssessmentPro, PathTracker, and ServiceMatters. Additionally, there will be plenty of time available for Q&A with our program team.
Identical content will be shared during each session, so use the links below to register for the date and time that best fits your schedule.
Please join the Maine Pre-Admission Screening and Resident Review (PASRR) team for one of two upcoming Hospital Provider training events taking place in February.
These informative two-hour sessions will provide a refresher training on PASRR, AssessmentPro, PathTracker, and ServiceMatters. Additionally, there will be plenty of time available for Q&A with our program team.
Identical content will be shared in both sessions, so use the links below to register for the date and time that best fits your schedule.
MaineCare’s VitalCare for Kids (EPSDT) program allows members under the age of 21 to receive medically necessary services that are not typically covered due to limits on the type, frequency, or duration of the service. The program is designed to ensure children and youth receive early detection and care, so health problems are prevented or diagnosed and treated as early as possible.
AUGUSTA— The Maine Department of Health and Human Services’ Center for Disease Control and Prevention (Maine CDC) is reporting the first case of measles in Maine since 2019. The Maine CDC confirmed the case on February 5, 2026. According to the U.S. Centers for Disease Control and Prevention (U.S. CDC), as of February 5, there were 733 confirmed measles cases reported nationwide in 2026.
Effective January 1, 2026, MaineCare updated reimbursement rates aligned with Medicare in Sections 15, 65, 75, 95, and 101. These new rates reflect 72.4% of the current Medicare rates. Updated fee schedules are available on the Rate Setting page of the Health PAS Online Portal.
Adjustment Guidance for Dates of Service January 1, 2026 – February 3, 2026