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As previously noticed, MaineCare is increasing certain hospital reimbursement rates to reflect a 1.0% COLA.
MaineCare will implement new rates for billing when funding for this COLA is available to the Department on September 24, 2025. New rates will be effective retroactively to July 1, 2025.
The following is being adjusted to reflect the COLA increase:
As previously noticed, MaineCare is increasing reimbursement rates for Sections 91 and 93 to reflect a 1.0% COLA.
MaineCare will implement new rates for billing when funding for this COLA is available to the Department on September 24, 2025. New rates will be effective retroactively to June 21, 2025, to align with the regular billing cycle for these services.
Section 97, Appendix F, FY 2026 rate letters will be accessible on the secure Health PAS Online Portal by September 24, 2025. To view them, log into your Trading Partner Account and follow this pathway: File Exchange > Reports > Rate Setting Letters.
If you have questions about accessing the letters, please contact Provider Services at: 1-866-690-5585.
For questions about the content of these letters, please contact the individual listed on the rate letters.
As previously noticed, MaineCare is increasing certain hospital reimbursement rates to reflect a 1.0% COLA.
MaineCare will implement new rates for billing when funding for this COLA is available to the Department on September 24, 2025. New rates will be effective retroactively to July 1, 2025.
The State will apply for newly available funding from the federal Rural Health Transformation Program (RHTP). The RHTP was created within the federal budget reconciliation bill, H.R. 1 (Section 71401 of Public Law 119-21) which was signed into law on July 4, 2025 and makes significant cuts to Medicaid.
The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.
Notice of Agency Rulemaking Proposal
AGENCY: Department of Health and Human Services, Office of MaineCare Services, Division of Policy
CHAPTER NUMBER AND TITLE: 10-144 C.M.R, Chapter 101, Chapter III, Section 45, Principles of Reimbursement for Hospital Services
TYPE OF RULE: Routine Technical
PROPOSAL FILING NUMBER:
The Maine CDC urges protections against mosquito bites
AUGUSTA-- The Department of Health and Human Services' (DHHS) Maine Center for Disease Control and Prevention (Maine CDC) announced today the detection of a locally-acquired case of Eastern Equine Encephalitis virus (EEE) in a Maine resident. This is the first Maine resident to become infected with EEE this year.
This notice includes guidance from Acentra Health in partnership with the Office of MaineCare Services (OMS), on the use of shell cases in Atrezzo.