The Children’s Behavioral Health Settlement Agreement

The Settlement Agreement requires Maine to make specific improvements in how it identifies, assesses, and services children with behavioral health disabilities. It outlines what the state must do, how progress will be measured, and establishes monitoring and oversight to ensure the required changes are implemented.

Changes required by the Settlement Agreement are being implemented in phases so they can be completed effectively and sustainably. Early implementation began in 2026 and will continue to expand in the coming years.

The Maine Department of Health and Human Services continues to invest in in-home and community-based behavioral health services for children, and families should see continued improvements over time as implementation progresses and the system of care strengthens.

Handouts

Settlement Agreement

Implementation Plan

Data Collection and Analysis Plan

Children’s Behavioral Health Services Quarterly Updates

Settlement Agreement Modifications

On May 27, 2025, the United States and the State of Maine agreed to extend all deadlines in the Settlement Agreement by 30 days. Additional Agreed-upon extensions are summarized below. 

Agreement Section

Deliverable

Original Deadline

Updated Deadline

XI.A.1

Parties jointly select an Independent Reviewer

April 20, 2025

July 1, 2026

IX.B

Submit Implementation Plan

Within 1 week of retaining Independent Reviewer

Within 67 days of retaining Independent Reviewer

IX.C

Submit updates to Implementation Plan

At least 6 months before the end of the second full State fiscal year

February 28, 2027

III.B.8.v

Report to DOJ on children whose services are refused or unavailable in the family home

June 20, 2025

August 19, 2025

VI.I.2

Complete training for Juvenile Community Corrections Officers (JCCOs)

December 20, 2025

February 18, 2026

VI.E

Providers required to adopt contingency plans

December 20, 2025

January 31, 2026

VI.E

Allow multiple providers to serve a child when needed

December 20, 2025

January 31, 2026

Appendix C.B

Submit proposed training policy and curricula to Independent Reviewer

December 20, 2025

Within 1 week of retaining Independent Reviewer

Last updated: March 31, 2026