Final Rate Determination Schedule for Calendar Year 2026 (CY26) and Comment Summary
The Final MaineCare Rate Determination Schedule for CY26 is available on the Rate System Reform webpage.
Reminder – Primary Care Plus (PCPlus) Open Office Hour for PCPlus Practices
The Delivery System Reform Unit (DSRU) will hold a PCPlus Open Office Hour on Tuesday January 27, 2026, from 12:00 PM – 1:00 PM.
The purpose of the Open Office Hour is to provide an accessible online venue for PCPlus providers to ask MaineCare questions regarding the program.
Maine CDC Children & Youth with Special Health Care Needs Webinar
The transition from high school into the world of adulthood is a milestone for all young people. For young people with disabilities, this milestone also means a significant shift in how education and support services are provided. A transition plan should include the three domains of Education, Employment, and Independent Living.
Final Day of Open Enrollment on CoverME.gov for 2026 Coverage
AUGUSTA-- Today is the final day of Open Enrollment for 2026 health insurance coverage through Maine's official Health Insurance Marketplace, CoverME.gov. Maine residents who need coverage are encouraged to enroll by 11:59pm to avoid a gap in coverage. Health coverage obtained today through CoverME.gov would begin on February 1, 2026.
Stewardship and Integrity in Public Programs
Jan 1, 2026
How Maine DHHS Oversees Public Funds and Responds to Allegations of Fraud
The Maine Department of Health and Human Services (DHHS) provides essential health and social services to Maine residents while safeguarding the public resources entrusted to our care. Every dollar we manage represents a commitment to ensure funds are used lawfully, effectively, and in direct support of the programs and people they are intended to serve.
The Maine CDC Works with U.S. and Local Partners to Respond to Penobscot County HIV Outbreak
Jan 1, 2026
As the state agency responsible for responding to emergent public health threats, the Maine Department of Health and Human Services’ Center for Disease Control and Prevention (Maine CDC) has been working in partnership with federal and local partners to address the recent, rising spread of HIV and hepatitis C infections.
Section 65 Cost-of-Living Adjustments: Rates Corrected & Implemented
Last week, MaineCare identified an error in the rate calculations for Section 65 that we implemented with an effective date of January 1, 2026.
Section 67, Nursing Facility (NF) - Quality Bonus Pool (QBP) Payments
On December 22, 2025, we emailed QBP letters to administrators and senior level leadership for NFs that met the 2025 participation criteria to earn a QBP award. Each letter included the anticipated dollar amount for each NF, as described in MaineCare Benefits Manual (MBM), Chapter III, Section 67 (22.6.3). The payment date and confirmation of final amount is contingent on approval from the Centers for Medicare & Medicaid Services. We will send an update upon federal approval and will release payments approximately two weeks after federal approval.
2025 Health Care Reviews
Below are the Certificate of Need healthcare reviews conducted during the year of 2025. You can also view reviews from previous years.
Hospital/Acute Care Reviews
MaineHealth
Integration of York Hospital into MaineHealth
MaineMOM
What is MaineMOM?
MaineMOM is a MaineCare program providing team-based care for pregnant and postpartum individuals with Opioid Use Disorder (OUD‡). Services are provided during pregnancy and through 12 months postpartum* and are designed to support recovery, promote healthy parenting, and improve maternal and infant health outcomes, as shown in the graphic to the right.