• Read more about Payment Error Rate Measurement (PERM) Update for Reporting Year (RY) 2027 and PERM RY 2024 Errors

For the PERM RY 2027 cycle, which covers claims for the current state fiscal year, PERM auditors will not be conducting the Medical Review portion of the audit. As a result, the PERM auditors will not outreach providers to collect claims documentation as they usually do. This does not change the documentation requirements as listed in the MaineCare Benefits Manual, but it does mean that this PERM audit will not require provider participation. For the next PERM cycle, covering claims from July 1, 2028, to June 30, 2029, we anticipate that Centers for Medicare and Medicaid Services (CMS) will

• Read more about Section 65, Multi-Dimensional Family Therapy (MDFT): Rate Determination Kickoff Meeting Presented Materials & Survey

On November 10, 2025, MaineCare with our vendor Milliman kicked off a rate determination process for a new MDFT service with interested parties. At this meeting, we introduced the project team and reviewed project goals, work plans, an initial timeline, and a survey.

Nov 11, 2025

The Office of Behavioral Health (OBH) is committed to supporting a complete and coordinated behavioral health continuum of care. Children’s Behavioral Health Services (CBHS), within OBH, is working to expand services that help children with behavioral health disabilities get the right support at the right time and in the right place. When children can receive care at home and in their communities, they stay connected to the people and places that matter most. Being surrounded by family, friends, and familiar routines helps children heal, grow, and thrive. 

• Read more about CBHS: Building a Stronger Future for Maine’s Children and Families

• Read more about Rural Health Transformation Program (RHTP) Application Update

The State of Maine submitted an application for funding through the RHTP to support the health of rural communities through innovation and collaboration. The application was shaped by feedback from health providers, MaineCare members, partners, and others across the state.  

• Read more about General Assistance Rule #27P - P.L. 2025, Chapters 2 Part SS, 149, and 449

10-144 C.M.R. Chapter 323; Maine General Assistance (GA) Manual, Sections III, XII, and XIII

GA Rule #27 – P.L. 2025, Chapters 2 Part SS, 149, and 449

Nov 11, 2025

This year marks a major milestone for the Higher Opportunity for Pathways to Employment (HOPE) parent empowerment program: five years of helping Maine parents with low incomes gain access to education and opportunity.

• Read more about Celebrating Five Years of HOPE: New Data, New Graduates, and a Stronger Future

• Read more about Annual 1115 Substance Use Disorder (SUD) Waiver Post Award Forum

MaineCare will host the annual Post Award Forum, where we will review the 1115 SUD waiver, provide updates on implementation, and seek public comment. The Post Award Forum will cover the current 1115 SUD waiver and will not include information concerning the pending application for the 1115 Whole Person waiver.

Date: November 24, 2025

Time: 1:30 PM - 2:30 PM

Where: https://mainestate.zoom.us/meeting/register/pmvvGAyjRm62Aj5S2lBWdA

Waiver Background

• Read more about CoverME.gov's Fifth Annual Open Enrollment Begins November 1

Maine residents encouraged to explore 2026 plans for quality health coverage and free enrollment help

• Read more about 10-144 C.M.R. Ch. 331; Public Assistance Manual Maximum Benefit and Standard of Need Chart

10-144 C.M.R. Ch. 331; Public Assistance Manual

Maximum Benefit and Standard of Need Chart

TANF Rule #125A – COLA Updates

• Read more about 10-144 C.M.R. Chapter 302; Summer Electronic Benefit Transfer Program Rules (SUN Bucks)

10-144 C.M.R. Chapter 302; Summer Electronic Benefit Transfer Program Rules (SUN Bucks)

Summer EBT Rule #1 - SUN Bucks