MaineCare Rate System Reform

Our Goal

To provide a clear and transparent process for MaineCare rate determinations, with opportunities for robust participation from all interested stakeholders.

Get more information on how you can participate and to view our bi-monthly Rate Determination updates.

We continue to update this page with important dates and progress made on past, current, and future rate determination work. Please check in often, as this site is a work in progress.

What is Rate Determination?

Rate Determination is a process conducted by the department to establish the reimbursement rate methodology, base rate amount or payment model for a MaineCare section of policy or for a specific covered service. Rate Determination is done through adoption or adaptation of a benchmark rate or methodology from another payer (e.g., private insurance, Medicare, another Medicaid agency) or developed through a rate study. Determinations may also lead to a rate study.

There are five phases in a Rate Determination: 

Phase 1   Project Kickoff

Phase 2   Provider Data   Collection

Phase 3   Rate Model   Development

Phase 4   Public   Comment

Phase 5   Finalize     Proposed Rates

Typical Rate Determination Process Flowchart (PDF)

Typical Rate Determination Proces Ordered List (PDF)

Annual Rate Determination Schedule Process, Presented Materials, and Associated Notices

As mandated, the Department must annually develop a rate determination schedule in consultation with the Technical Advisory Panel (TAP). The Department must then post the proposed rate determination schedule on its publicly accessible website, provide an opportunity for the public to review and comment on the rate determination schedule, and make available a summary of these comments on its publicly accessible website. The Department then posts the final rate determination schedule.

Calendar Year	Presented Materials and Associated Notices
CY2026	TAP Consultation and Public Comment Forum Invite (E-message) - 10/26/2025 TAP Consultation Recording and Presentation (PDF) - 11/14/2025 Proposed Annual Rate Determination Schedule (PDF) - 11/14/2025 Final Rate Determination Schedule CY26 (PDF)- 1/20/2026 Letter from OMS Director Michelle Probert (PDF) - 01/20/2026 Public and Written Comment Summary (PDF) - 01/20/2026
CY2025	TAP Consultation and Public Comment Forum Invite (E-message) - 2/18/2025 TAP Consultation Recording and Presentation (PDF) - 3/14/2025 Proposed Annual Rate Determination Schedule (PDF) - 1/17/2025 Final Rate Determination Schedule CY 25  (PDF) Letter from OMS Director Michelle Probert (PDF) – 6/17/2025 Public and Written Comment Summary (PDF)
CY2024	TAP Consultation and Public Stakeholder Forum on Draft Rate Determination Schedule E-Message - 09/15/2023 TAP Consultation Recording and Presentation (PDF) - 10/04/2023 Proposed Annual Rate Determination Schedule (PDF) - 10/04/2023 Final Rate Determination Schedule CY24 (PDF) and E-Message - 12/8/2023 Letter from OMS Director Michelle Probert (PDF) - 12/06/2023 Public and Written Comment Summary (PDF)
CY2023	TAP Consultation and Public Stakeholder Forum on Draft Rate Determination Schedule E-Message - 9/30/2022 TAP Consultation Recording and Presentation (PDF) - 10/13/2022 Proposed Annual Rate Determination Schedule (PDF) and E-Message - 10/20/2022 Public Forum Recording and Presentation (PDF) - 10/26/2022 Final Rate Determination Schedule CY 2023 (PDF)  and E-Message - 12/09/2022 Letter from OMS Director Michelle Probert (PDF) - 12/09/2022 Public and Written Comment Summary (PDF) and E-Message - 11/23/2022

 

Rate Determinations - in Progress

Note: As rate determinations are completed, they will be moved to 'Rate Determinations - Completed'
Public Notices	Presented Materials and Other Documents	Other Information
46, Institutions for Mental Disease (IMD)
Initiation 10/7/2022		Services: All Effective Date: TBD
30 Family Planning (New Alternative Payment Model)
Initiation 11/17/2022 Kickoff 1/26/2023 Public Forum 10/20/2023 Presented Materials and Comment Deadline  11/28/2023	Kickoff Meeting Presentation (PDF) and Recording - 1/26/2023 APM Draft Rate & Service Model Public Review & Comment Version 2 (PDF) & (Corrected) Version 3 (PDF) & Recording - 11/20/2023	Services: All Effective Date: TBD
67, Nursing Facilities: Individuals with Brain Injury or Medical-Psychiatric Needs
Initiation 1/12/2023 Kickoff 2/1/2023 Listening Session Invite - 4/28/2025 Specialty NF - Present Draft Rates and Models - 8/20/2025	Kickoff Meeting Presentation (PDF) and Recording - 2/1/2023 Specialty Care Listening Session (PDF) and Recording  - 5/1/2025 Draft Rate Model presentation (PDF) and NF Value Based Purchasing update (PDF) with recording - 9/3/2025	Services: Individuals with Brain Injury or Medical-Psychiatric Needs Effective Date: TBD
97, Appendix C, Private Non-Medical Institutions (PNMI), Medical & Remedial Facilities (RCFs)
Initiation - 1/12/2023 Kickoff 2/1/2023 Provider Rate Method Workgroup #1 Presented Materials Notice 3/28/2023 Provider Rate Method Workgroup #2 Presented Materials Notice 4/24/2023 Provider Rate Method Workgroup #3 Presented Materials Notice - 5/22/2023 Provider Rate Method Workgroup #4 Presented Materials Notice - 6/9/2023 Provider Rate Method Workgroup #5 Presented Materials Notice - 6/30/2023	Kickoff Meeting Presentation (PDF) and Recording - 2/1/2023 Interested Parties Rates Workgroup Meetings: Rates Workgroup Meeting #1 Introduction & Rate Discussion Presentation (PDF) and Recording – 3/13/2023 Rates Workgroup Meeting #2 Direct/Indirect & Capital Costs Presentation (PDF) and Recording - 4/12/2023 Rates Workgroup Meeting #3 Trend Discussion Presentation (PDF) and Recording - 5/17/2023 Rates Workgroup Meeting #4 Risk Adjustment Discussion Presentation (PDF) and Recording - 6/5/2023 Rates Workgroup Meeting #5 VBP and APM Discussion Presentation (PDF) and Recording - 6/26/2023	Services: All Effective Date: TBD, pending rate determination
TBD - Palliative Care (New Service)
Initiation - 10/13/2023 Kickoff - 3/11/2024	Kickoff Meeting Presentation and Recording - 3/27/2024	Services: New Section/Service Effective Date: TBD
Ch. VI, Section 3 Primary Care Plus (PCPlus)
Initiation - 12/4/2023 Model Advancement Meeting (Postponed) - 6/30/2025 RESCHEDULED: Kickoff Meeting Invite- 7/29/2025 Model Advancement Update Meeting Invite - 3/2/2026	Kickoff Meeting recording and presentation (PDF) - 8/4/2025 Model Overview and Findings of MaineCare Primary Care Services Utilization and Spending Analysis recording and presentation (PDF) - 8/11/2025 Model Advancement Update and Engagement presentation (PDF) and recording - 3/25/2026	Services: All Effective Date: TBD
93 - Opioid Health Home, Includes New Model for Other SUDs
Initiation - 11/8/2023 Kickoff Meeting Invite - 4/23/2024	Kickoff Presentation (PDF) and Recording - 5/7/2024	Services: All Effective Date: TBD
TBD - Community Paramedicine (New Service)
Initiation - 11/8/2023		Services: New Service (tentatively planned to be incorporated into Section 5 of the MaineCare Benefits Manual) Effective Date: TBD
12, 18, 19, 20, 21, 29, 40, 96, and 102, Home & Community Based Services (HCBS) Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology and Personal Support Services
Initiation - 6/4/2024 Amendment to Initiation Notice - 8/8/2024 Kickoff Meeting Invite - 8/5/2024 Kickoff Presented Materials Notice with Registration Links to Upcoming Engagement Sessions - 8/30/2024 Engagement Sessions Presented Materials Notices: Assistive Technology Care Coordination  Clinical Nursing  Clinical Therapy Supportive Skills Building Therapeutic Intervention Personal Support Rehabilitative Engagement Sessions, Questions & Answers Notice - 9/30/2024  Survey Notice - 10/22/2024 Survey Reminder - 10/29/2024 Survey Re-opened - 11/12/2024 Draft Rates Public Review & Comment Invite - 5/26/2026 Presented Materials and Comment Deadline – 6/25/2026 Presented Materials and Comment Deadline – 6/26/2026 Presented Materials and Comment Deadline – 6/29/2026	Code and Service Category List (PDF) Kickoff Meeting Recording and Presentation (PDF) - 8/28/2024 Interested Parties Engagement Series:  Assistive Technology Devices & Services: September 4, 2024, 11AM - 12PM EST Recording and Presentation (PDF) Care Coordination: September 6, 2024, 9AM - 10AM EST               Recording and Presentation (PDF) Clinical Nursing Services: September 11, 2024, 11AM - 12PM EST Recording and Presentation (PDF) Clinical Therapy Services: September 13, 2024, 9:30AM - 10:30AM EST Recording and Presentation (PDF) Supportive Skill Building: September 25, 2024, 11AM - 12PM EST Recording and Presentation (PDF) Therapeutic Interventions: September 27, 2024, 9:30AM - 10:30AM EST Recording and Presentation (PDF) Personal Support Services: October 7, 2024, 3PM - 4PM EST Recording and Presentation (PDF) Rehabilitative Services: October 9, 2024, 10:30AM - 11:30AM EST Recording and Presentation (PDF) Engagement Series Questions & Answers (PDF) - Updated 10/29/20024 Survey Training Recording - 10/22/2024 Draft Rate Public Review & Comment Providers of Sections (12, 18, 19, 20, 29, and 96), Care Coordination, Personal Support Services, Supportive Skills Building: June 25, 2026 Recording, Presentation (PDF) & Rate Study Appendix 1 (PDF) Providers of Sections 19, 20, 21,40, 96, and 102, Clinical Services and Clinical Therapy Services: June 26, 2026 Recording,  Presentation (PDF) & Rate Study Appendix 2 (PDF) Providers of Sections 18, 19, 20, 21, 29, and 40, Therapeutic Interventions and Assistive Technology: June 29, 2026 Recording & Presentation (PDF) & Rate Study Appendix 3 (PDF)	Services: Clinical, Therapy, Care Coordination, Supportive Skills Building, Assistive Technology, and Personal Support Services.  Effective Date: TBD
Ch. I, Section 1, Interpreter Services
Initiation - 12/16/2024 Kickoff Invite - 2/24/2025 Kickoff Presented Materials - 3/31/2025	Kickoff Meeting Recording and Presentation (PDF) - 3/31/2025	Services: Interpreter Services Effective Date: TBD
65, Multi-Dimensional Family Therapy (MDFT) (New Service)
Initiation - 7/2/2025 Public Kickoff Notice  - 10/26/2025 Presented Materials Notice - 11/12/2025 Draft Rate & Public Comment Forum -  3/13/2026 Presented Materials Notice - 3/31/2026	MDFT Kickoff Recording Presentation (PDF) - and Survey - 11/10/2025 Draft Rate Presentation (PDF),  Draft Rate Model & Assumptions (PDF) and video recording - 3/30/2026	Services: School-Health Related and MDFT Effective Date: TBD
New Section: 106, School Health-Related Services
Initiation - 7/2/2025 Kickoff Meeting and Survey Overview Invite - 5/15/2026 May 27, 2026, Meeting: Presented Materials and Survey Link - 5/28/2026 June 4, 2026, Meeting:  Presented Materials  School Health-Related Feedback Survey (School Health Clinic Services) - 7/28/2026 School Health-Related Services – Draft Rates Public Review and Comment – 9/25/2026 School Health-Related Services - Draft Rates Public Review and Comment Presented Materials - 10/09/2026	Kickoff Meetings with Survey Overview.  Recording and Presentation (PDF) - 5/27/2026 Recording and Presentation (PDF) - June 4, 2026 Draft Rates Public Review and Comment Forum - 10/09/2026 Recording and Presentation (PDF) Draft Rate Summary & Assumptions Detailed Rate Exhibits	Services: School Health-Related Effective Date: TBD
TBD - Doula Services (New Service)
Initiation - 12/30/2025		Services: Doula Effective Date: TBD
Section 55, Laboratory Services
Initiation - 4/15/2026 Kickoff & Draft Rate Public Forum - 6/10/2026 Draft Rates Presented Materials and Comment Deadline - 6/24/2026	Kickoff & Draft Rates - Public Review & Comment Forum #1: Presentation & Recording - 6/24/2026	Services: Medicare aligned laboratory services Effective Date: TBD
Section TBD, Coordinated Specialty Care
Initiation Notice - 4/28/2026		Services: Coordinated Specialty Care Effective Date: TBD

Rate Determinations - Upcoming

Public Notices	Presented Materials and Other Documents	Other Information
25, Dental Services
		Services: Limited Effective Date:
45, Hospitals (Professional Reimbursement)
	Internal Planning	Services: Effective Date:
60, Non-Medicare Durable Equipment
		Services: N/A Effective Date:
67, Maine Veterans Homes
		Services: Effective Date:
80, Services by Pharmacists (e.g. Vaccines, Smoking Cessation, HIV PrEP)
		Services: Effective Date:
97, Appendix D, Children’s Residential Facilities
		Services:TBD Effective Date:
97, Appendix E, Residences for Persons with Mental Illness (PNMI E)
	Service Model Design	Services: Effective Date:
97, Appendix F- Non-Case Mixed Medical and Remedial Facilities (PNMI F)
		Services: Effective Date:
TBD, Lactation Services
		Services: Limited, new service Effective Date:
TBD, Maternity Services Payment Model
		Services: Effective Date:

Rate Determinations - Completed 

Public Notices	Presented Materials and Other Documents	Other Information
80 Pharmacy (Specific to Pharmacy Dispensing Fees)
Initiation - 12/2/2024 Kickoff Meeting and Draft Rates Public Review & Comment - 5/11/2026 Presented Materials and Comment Deadline - 5/27/2026 Final Draft Rate and Comment Summary Notice - 8/27/2026	Kickoff Meeting & Draft Rate Presentation with Public Comment Recording and Presentation (PDF) - May 27, 2026 Meyers and Stauffer LC, Cost of Dispensing Medicaid Prescriptions Summary Reports: 2024, Participating New England State Pharmacies (PDF) 2025, Participating MaineCare Pharmacies (PDF) Comment Summary (PDF) and Final Draft Rates (PDF) - 08/27/2026	Rationale: Per CMS rule, Medicaid agencies must update the dispensing fees to reflect the pharmacist's professional services and costs of dispensing drugs.  Services: Pharmacy Dispensing Fees Effective Date: TBD
Section 43, Hospice Services
Initiation - 12/30/2025 Kickoff & Draft Rates Public Review & Comment Invite - 1/27/2026 Presented Materials and Comment Deadline - 2/12/2026 Final Draft Rate Recommendations and Comment Summary - 3/31/2026	Kickoff & Draft Rates Public Review and Comment presented materials (PDF) and transcript (PDF) - 2/12/2026 Final DRAFT rates (PDF) and Comment Summary (PDF) - 3/26/2026	Rationale: Anticipated Cost Savings: Improve parity and consistency across services and align all hospice services to the same % of Medicare. Passed as part of P.L. 2025, Ch. 388.  Services: All Effective Date: Pending Rulemaking
18, 20, 21, 29, HCBS for Individuals with Intellectual & Developmental Disabilities or Autism & New Lifespan Waiver
Initiation and Kickoff Notice - 9/8/2023 Amendment to Initiation and Kickoff Presented Materials Notice - 9/26/2023 Cost Survey Tool 12/15/2023 Deadline Extended: Cost Survey Tool - 12/26/2023 Draft Rate Public Review and Comment Invite - 3/28/2025 Presented Materials & Comment Deadline - 4/15/2025 Comment Deadline Extension - 4/28/2025 Review of Final Draft Rates and Models - 8/29/2025 Comment Summary with Department Response and Final Draft Rate Models - 2/4/2026	Kickoff Meeting Presentation (PDF) - 9/15/2023 Kickoff Meeting Recording - 9/15/2023 Survey Analysis (PDF) - 4/2/2024 Draft Rate Model Public Review & Comment Presented Materials - 4/14/2025 Recording  PowerPoint Presentation (PDF)  Proposed Rate Models: Lifespan Proposed Rate Models: 18, 20, 21, 29 Final Draft Rate Model Public Review Materials - 9/11/2025 Recording  PowerPoint Presentation (PDF) Final Recommended Rate Models: Lifespan (PDF) Final Recommended Rate Models: 18, 20, 21, 29 (PDF) Comment Summary with Responses (PDF) - 2/4/2026	Rationale: P.L. 2023, Ch.412, Part LLLLL. Authorizes the new Lifespan program and directs the Department to facilitate federal approval of the new program and adopt rules implementing it. Because many Lifespan services will be similar to current Section 21 and Section 29 services, development of Lifespan rates requires existing Sections 18, 20, 21 and 29 rates to be reviewed. Services: Lifespan, HCBS and Support services for Members with Intellectual Disabilities or Autism Spectrum Disorder   Effective Date: Pending Rulemaking
65 Mobile Crisis Response Teams
Initiation 9/01/2022 Kickoff and survey overview 3/11/2022 Draft Service Model and Survey Invite 2/21/2023 Draft Service Model and Rate Forum Invite 1/2/2024 Final Draft Rates & Model Review Invite - 7/2/2025 Final Draft Rate Model Presented Materials, Comment Summary and Final Draft Rates - 7/24/2025	Kickoff recording and presentation (PDF) - 5/12/2022 Draft Service Model Presentation (PDF) and Draft Service Model and Survey Tool Recording - 2/24/2023 Draft Service Model and Rates, Public Forum HMA-Burns Presentation, DHHS Presentation, Draft Rate Models and Recording -1/12/2024 July 15, 2025, Presentation of revisions to previously proposed service rates and models: Video Recording PowerPoint Presentation (PDF) Final Rate Models (PDF) Utilization reconciliation example (XLS) and guidance (PDF) for reporting encounters and other relevant data Public Comments with Department Response (PDF) - 7/21/2025	Rationale: The American Rescue Plan Act of 2021 (ARP) amended Title XIX of the Social Security Act by adding after section 1946 (42 U.S.C. 1396w–5) the following new section: SEC. 1947. "State Option to Provide Qualifying Community-Based Mobile Crisis Intervention Services.” DHHS is reforming mobile crisis services to improve the service and align with this new federal opportunity. Services: Mobile Crisis/Resolution Effective Date: July 1, 2026   Next Rate Adjustment: TBD Further Section Change Needed: None
107 Psychiatric Residential Treatment Facility
Initiation Draft Rate Model Public Review and Comment 5/26/2023 Public Forum Presented Materials and Comment Deadline - 6/16/2023     (Please see CORRECTION to the         above notice)  Revised Draft Rates Public Review and Comment Invite - 10/22/2024       Public Review Postponed -    11/5/2024    Rescheduled Public Review -   12/6/2024 Presented Materials and Comment Deadline - 1/10/2025	Draft Rate/Public Forum Presentation Recording - 6/15/2023 Draft Rate/Public Forum Presentation (PDF) - 6/15/2023 Revisions to Draft Rates and Models/Public Forum Presentation (PDF) and Recording - 1/9/2025 Final Draft Rates (PDF) - 2/20/2025 Comment Summary with Department Responses (PDF) - 2/21/2025	Rationale:  P.L. 2021, Ch. 635 Services: All Effective Date: Pending Rulemaking   Next Rate Adjustment: TBD Further Section Change Needed: None
97 - Appendix D Private Non-Medical Institution (Specific to Children’s Therapeutic Foster Care)
Initiation - 6/9/2023 Draft Rate Model, Public Comment - 11/17/2023 Draft Rate Model Presented Materials & Comment Deadline - 12/8/2023 Comment Deadline Extended - 12/22/2023 Final Draft Rates and Comment Summary with Department Response - 10/21/2024	Draft Rate Model Public Review & Comment (PPT) and Recording - 12/6/2023 Comment Summary (PDF) and Final Draft Rates  - 10/21/2024 March 2026, Update to Final Draft Rate Model (PDF)	Rationale: Address U.S. Dept. of Justice June 2022 findings that state there is a lack of support for foster parents and address barriers to access children’s behavioral health needs in the community and be less reliant on residential facilities/institutions Services: Therapeutic Foster Care Effective Date: Pending Rulemaking Next Rate Adjustment: TBD Further Section Change Needed: None. This service will move to section 98
Demonstration - Certified Community Behavioral Health Clinics (CCBHC)
Initiation - 6/20/2023 Kickoff - 9/11/2023 Prospective Payment System Cost Report Training Session Presented Materials - 11/6/2023 Deadline for Cost Report Submissions Extended to December 15, 2023 - 11/17/2023 CCBHC Certification Documentation Due September 6, 2024 - 8/16/2024 Public Review and Comment Invite - 10/15/2024 Comment Summary Notice - 1/27/2025	Kickoff Meeting Recording - 9/25/2023 Kickoff Meeting Presentation (PDF) - 9/25/2023 Prospective Payment System Cost Report Training Session: Recording and Presentation (PDF)- 10/31/23 Draft Rate Methodology Public Review, Recording and Presentation (PDF) Comment Summary with Department Responses (PDF) - 1/8/2025	Rationale: Department goal to increase access to high-quality, comprehensive behavioral health services Services: Behavioral Health  Effective Date: 3/1/2025 Next Rate Adjustment: TBD Further Section Change Needed: TBD - This is a Demonstration Program
97, Appendix D, Private Non-Medical Institutions (PNMI), Temporary High Intensity Services
Initiation Notice and Draft Rate Presentation Invite - 1/23/2025 Draft Rate Presented Materials and Comment Period Notice - 2/18/2025	Draft Rate and Model Presentation (PDF) and Recording - 2/14/2025 Comment Summary (PDF), and Final Rate and Model (PDF) - 4/3/2025	Rationale: This service was not included in the Rate Determination work that was implemented in November 2021. Services: Temporary High Intensity Services Effective Date: 4/1/2025 Next Rate Adjustment: TBD Further Section Change Needed: none
14, 30, 31, 45, 90, 103, Certain Medicare Covered Family Planning Services & Long-Acting Reversible Contraception (LARCs)
Initiation - 5/28/2024 Draft Rates Public Review & Comment Invite - 9/16/2024 Draft Rate Public Review and Comment Presented Materials and Comment Deadline - 9/30/2024 Final Draft Rates Notice - 1/16/2025	Draft Rates Public Review & Comment Presentation (PDF) and Recording -9/30/2024 There is no comment summary, as no written comments were submitted.  Final Rate Methodology and Rates (PDF) -1/14/2025	Rationale: The Department is conducting this rate determination to maintain member access to Family Planning Services.  Services: Certain Medicare Covered Family Planning Services and Long-Acting Reversible Contraception (LARCs) Effective Date:  July 1, 2024 (Retroactive) Next Rate Adjustment: TBD
67, Nursing Facilities - General Care
Initiation 1/12/2023 Kickoff 2/1/2023 Provider Rate Method Workgroup #1 Presented Materials Notice 3/28/2023 Provider Rate Method Workgroup #2 Presented Materials Notice 4/24/2023 Provider Rate Method Workgroup #3 Presented Materials Notice - 5/22/2023 Provider Rate Method Workgroup #4 Presented Materials Notice - 6/9/2023 Provider Rate Method Workgroup #5 Presented Materials Notice - 6/30/2023 Draft Rate Methodology Public Review and Comment for NF's - 2/23/2024 Comment Deadline Extended - 3/25/2024 Comment Deadline Extended - 4/17/2024 Revised Draft Rates and Methodologies Invite - 10/9/2024 Revised Draft Rates and Methodologies Comment Deadline & Presented Materials Notice - 10/24/2024 Final Draft Rates and Comment Summary - 11/27/2024 Navigating NF Rate Reform Billing Changes: Register for Open Office Hours - 1/10/2025	Kickoff Meeting Presentation (PDF) and Recording - 2/1/2023 Interested Parties Rates Workgroup Meetings: Rates Workgroup Meeting #1 Introduction & Rate Discussion Presentation (PDF) and Recording – 3/13/2023 Rates Workgroup Meeting #2 Direct/Indirect & Capital Costs Presentation (PDF) and Recording - 4/12/2023 Rates Workgroup Meeting #3 Trend Discussion Presentation (PDF) and Recording - 5/17/2023 Rates Workgroup Meeting #4 Risk Adjustment Discussion Presentation (PDF) and Recording - 6/5/2023 Rates Workgroup Meeting #5 VBP and APM Discussion Presentation (PDF) and Recording - 6/26/2023 Draft Rate Methodology Public Review and Comment for Section 67, Nursing Facilities Part I, Presentation and Recording - 3/7/2024 Draft Rate Methodology Public Review & Comment for Section 67 Nursing Facilities Part II, Presentation and Recording - 3/8/2024 Questions & Answers on Draft Rate Model - 4/5/2024 Comments & Department Responses Following March 2024 Forums (PDF) - 10/30/2024 Revised Draft Rate Methodology (PPT) - 10/23/2024 November 2024 Updates to March 2024 Comments (PDF) - 11/27/2024 Value-Based Purchasing Updates Presentation (PDF) and Recording - 10/15/2025 Billing Resources Billing Guide (PDF) for Nursing Component of the Patient Driven Payment Model (PDPM) - 1/8/2025 Open Office Hours - Billing for Nursing Component of the Patient Driven Payment Model (PDPM) January 16, 2025, Recording  January 28, 2025, Recording  Nursing Component PDPM Groups: MaineCare Standardized Case Mix Weights (PDF) - 1/30/2025 QuEST: Quality, Excellence, Staffing and Teamwork Making Sense of VBP - Quest for Quality (PDF) and Recording  - 2/19/2025 Dementia Care Kickoff (PDF) and Maine Partnership to Improve Dementia Care in Nursing Homes (PDF) with Recording - 3/26/2025 Culture Change Coalition Kickoff: Artifacts of Culture Change 2.0 (PDF) and Maine Veteran Homes Augusta Journey (PDF) with Recording- 4/30/2025 Why Quality Matters/How its Measured (PDF) and Approach and Elements of VBP (PDF) with Recording - 5/28/2025  Dementia Care Partnership - Inspiring Change presentation (PDF) & Recording - 6/25/2025 QuEST CCC It Starts With Why Recording and Presentation (PDF) - 7/24/2025 QuEST VBP Update (PDF) & PBJ Pitfalls (PDF) with recording - 8/28/2025 QuEST DCP Dashboards & the 5-Star Rating System (PDF) & Recording - 9/24/2025 QuEST CCC a Culture of Communication (PDF) & Recording - 10/27/2025 QuEST VBP from Data to Insight (PDF) & Recording - 11/19/2025 QuEST DCP Competancies (PDF), CoreQ Updates (PDF) & Recording - 12/17/2025 Strengthening Culture & Connection: Practical Strategies to Reduce Nursing Turnover (PDF) & Recording - 2/25/2026 Agency Reduction Strategy: Growing a Stronger, Stable Workforce. Presentation (PDF) & Recording - 4/29/2026 QuEST: Understanding Your Quality Measures (PDF) & Recording - 6/24/2026	Rationale: Public Commitment. Cost settlement system is administratively burdensome and does not incent quality of care or reward cost effectiveness. Services: All except BI and MPC  Effective Date: January 1, 2025 Next Rate Adjustment:  Further Section Change Needed: NF reform is ongoing with Specialty Care specific to BI and MPC currently in progress. (Bariatric Care was addressed with NF General Care).
25 - Dental (Benchmark Assessment)
Initiation - 10/13/2023 Kickoff - 10/26/2023 Benchmark Results and Draft Rates: Public Review & Comment - 3/14/2024 Public Review Rescheduled - 3/26/2024 Public Review Presented Materials and Comment Deadline - 4/16/2024 Comment Deadline Extended - 4/23/2024 Benchmark Assessment Results and Comment Summary - 7/19/2024	Kickoff Presentation (PDF) and Recording - 11/29/2023 Benchmarking Results and Draft Rates, Forum Recording and Presentation (PPT) - 4/12/2024 Comment Summary (PDF) - July 9, 2024	Rationale: Public Law Ch.639 requirement for services benchmarked to alternate payor source, update rates to most current year every 2 years Services: All Effective Date: 7/1/2024 Next Rate Adjustment: TBD
45 Hospitals (Inpatient & Outpatient Facility Reimbursement)
Initiation 6/23/2023 Draft Rate Model Public Forum Invite 11/29/2023 Draft Reimbursement Methods Public Forum Invite - 2/12/2024 Draft Rates & Methodologies Public Review and Comment Invite - 3/22/2024     Public Review Rescheduled - 4/2/2024     Public Review Postponed - 5/1/2024 Public Review Rescheduled - 5/31/2024 Public Forum Presented Materials & Comment Deadline - 6/13/2024 Comment Summary - 8/9/2024	Draft Rate Methodology Public Review: Inpatient Presentation (PDF) and Recording - 12/11/2023 Draft Reimbursement Methodology Public Review: Outpatient Presentation (PDF) and Recording - 2/26/2024 Public Review and Comment: Forum Recording and PPT Presentation (PDF) - June 11, 2024 Clarifications from June 11, 2024, Public Review and Comment Forum (PDF) - 6/18/2024 Updates Following June 11, 2024, Forum (PDF) - 7/25/2024 Comment Summary with Department Responses (PDF) - 8/9/2024	Rationale: Public Commitment. Outdated reimbursement methodology, incent quality/cost effectiveness Services: Inpatient/Outpatient Facility Effective Date: July 1, 2024 (DRG & APC changes) and January 1, 2025 (Outlier Payment Methodology) Next Rate Adjustment: TBD Further Section Change Needed: Hospital Reform is ongoing
Section 23, Developmental and Behavioral Clinic Services - Child Abuse Evaluations
Initiation and Public Forum Invite - 5/13/2024 Comment Deadline - 5/17/2024	Draft Rate Public Forum Draft Rate Model (PDF) and Recording - 5/17/2024 Comment Summary with Department Response (PDF) and Final Draft Rate (PDF) - 5/30/2024	Rationale: The Department is conducting this rate determination to improve member access to this service.  Services: Child Abuse Evaluation Service  Effective Date: July 3, 2024 Next Rate Adjustment: TBD Further Section Change Needed: None
Section 23, Developmental and Behavioral Clinic Services, New Service - Foster Care Comprehensive Assessments
Initiation 10/14/2022 Draft Rate, public comment  11/23/2022 Draft Rates Posted and Comment Deadline 12/2/2022 Final Draft Rates and Comment Summary  1/11/2024	Foster Care Comprehensive Health Assessment Forum Presentation (PDF) 11/30/2022 Section 23 Forum Recording 11/30/2022 Final Draft Rate Model (PDF) 1/11/2024 Comment Summary 1/11/2024	Rationale: New service to conform with 22 MRSA Section 4063-A (3) requirement that the comprehensive assessment at the time a child enters state custody be reimbursed under MaineCare Services: Foster Care Comprehensive Health Assessment  Effective Date: July 3, 2024 Next Rate Adjustment: TBD Further Section Change Needed: None
Section 71, National Diabetes Prevention Program
Initiation 12/16/2022 Draft Rate/Public Comment Invite - 12/29/2022 Posting of Final Draft Rate and Comment Summary 4/28/2023 UPDATED Proposed Rates - 9/1/2023 Notice of Agency Rulemaking Adoption 11/8/2023	Draft Rate/Public Comment (PDF) - 2/6/2023 Draft Rate/Public Comment Recording - 2/6/2023 Comment Summary with Department Response (PDF) - 4/25/2023 Final Draft Rates (PDF) - 4/25/2023	Rationale: P.L. 2021, Ch. 398, Sec. A-17 Services: All Effective Date: November 8, 2023 Next Rate Adjustment: In coordination with Medicare Further Section Change Needed: None
45, Specific to Acute Inpatient Distinct Psychiatric & SUD Units (for medically supervised withdrawal)
Initiation 10/7/2022 Hospital Informational Forum 12/5/2022 Public Forum Presented Materials and Comment Deadline 1/26/2023 Rate Determination Update 6/16/2023 Final Draft Rates Notice - 7/14/2023 Comment Summary - 5/10/24	Hospital Informational Forum Presentation (PDF) 12/19/2022 Hospital Informational Forum Recording  12/19/2022 Draft Public Forum Presentation (PDF) - 1/12/2023 Draft Rate Determination Forum Recording - 1/12/2023 Comment Summary with Department Response (PDF) - 5/8/2024 Final Rates & Methodology (PDF) - 5/8/2024	Rationale: P.L. 2021, Ch. 635 Services: Inpatient Distinct Psychiatric and Substance Use Disorder Units Effective Date: July 1, 2023 Next Rate Adjustment: Annual COLA July Further Section Change Needed: Hospital Reform is ongoing
Section 2, Adult Family Care Homes
Initiation 8/11/2022 Kickoff and survey overview (direct email) 8/11/2022 Survey results (direct email) 10/24/2022 Draft Rate Public Review and Comment 11/22/2022 Comment Summary with Department Response and Final Draft Rates 4/18/2023 Implementation of January 1, 2023 Rate Study Increases 4/20/2023	Kickoff Recording & Presentation (PDF) - 8/31/2022 Survey Results (PDF) - 10/22/2022 Draft Rate/Public Comment Recording - and Presentation (PDF) - 1/12/2023 Comment Summary (PDF) - 4/14/2023 Final Draft Rate Model (PDF) - 4/14/2023	Rationale: P.L. 2021 Ch.398, Part AAAA Services: All Effective Date: 1/1/2023 implementation of AAAA rate Next Rate Adjustment:  COLA Annually in January Further Section Change Needed: None
Section 13, Targeted Case Management
Initiation 9/01/2022 Kickoff and survey overview 3/11/2022 Survey distributed 4/22/2022 Draft Rate, public comment 9/01/2022 Draft Rate Presentation Posted and Comment Deadline Reminder - September 27, 2022 Final Draft Rates Posted - December 30, 2022	Kickoff Recording (included all BH sections) - May, 2022 Survey Results (PDF) - 10/5/2022 9/20/2022: Draft Rate Models (PDF) Draft Rate/Public Comment Recording Draft Rate/Public Comment Presentation (PDF) Comment Summary with Department Response (PDF) - 5/22/2023 Final Rate Model (PDF) - 5/22/2023	Rationale: Department priority (appropriation in P.L. 2021, Ch. 635) Services: All Effective Date: 1/1/2023 Next Rate Adjustment: COLA Annually in January Further Section Change Needed: None
Section 17, Community Support
Initiation 9/1/2022 Kickoff and survey overview 3/11/2022 Survey distributed 4/22/2022 Draft Rate,public comment invite 9/1/2022 Draft Rate Presentation Posted and Comment Deadline Reminder - September 27, 2022 Final Draft Rates Posted - December 30, 2022	Kickoff Recording (included all BH sections) - May, 2022 Survey Results (PDF) - 10/5/2022 (13, 17, & 92) 9/20/2022: Draft Rate Models (PDF) Draft Rate/Public Comment Recording Draft Rate/Public Comment Presentation (PDF) (17, 28 & 65 Community-Based MH & SUD) 9/23/2022: Draft Rate/Public Comment Recording Draft Rate/Public Comment Presentation (PDF) Draft Rate Models (PDF) Comment Summary with Department Response (PDF) - 5/22/2023 Final Rate Model (PDF) - 5/22/2023 Sections 17, 28, and 65 Rate Adjustment FAQ (PDF) - Updated February 8, 2024	Rationale: P.L. 2021, Ch. 398, Part AAAA; P.L. 2021, Ch. 635 Services: All Effective Date: 1/1/2023 Next Rate Adjustment: COLA Annually in January Further Section Change Needed: None
Section 26, Day Health Services
Initiation 8/11/2022 Kickoff and survey overview (direct email) 8/11/2022 Survey results (direct email) 10/24/2022 Draft Rate Public Review and Comment 11/2/2022 Comment Summary with Department Response 4/3/2023	Kickoff Recording and Presentation (PDF) - 8/31/2022 Survey Results (PDF) - 10/24/2022 Draft Rate/Public Comment Recording and Presentation (PDF) - 11/17/2022 Comment Summary - 3/16/2023 Final Draft Rates - 12/27/2022	Rationale: P.L. 2021 Ch.398, Part AAAA Services: All Effective Date: 1/1/2023 Next Rate Adjustment: COLA Annually in January Further Section Change Needed: None
Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations
Initiation 9/01/2022 Kickoff and survey overview 3/11/2022 Survey distributed 4/22/2022 Draft Rate, public comment 9/01/2022 Draft Rate Presentation Posted and Comment Deadline Reminder - September 27, 2022 Final Draft Rates Posted - December 30, 2022	Kickoff Recording (included all BH sections) - May, 2022 Survey Results (PDF) - 10/5/2022 17, 28 & 65 Community-Based MH & SUD 9/23/2022: Draft Rate/Public Comment Recording Draft Rate/Public Comment Presentation (PDF) Draft Rate Models (PDF) Comment Summary with Department Response (PDF) - 5/22/2023 Final Rate Model (PDF) - 5/22/2023	Rationale: P.L. 2021, Ch. 398, Part AAAA; P.L. 2021, Ch. 635 Services: All Effective Date: 1/1/2023 Next Rate Adjustment: COLA Annually in January Further Section Change Needed: None
Section 60 DME (Phase I)
Initiation - 9/27/2022 Draft Rate, public comment - 11/22/2022 Draft fee schedule and methodology - 11/23/2022 Summary of Comments with Department Response - 2/06/2023 Billing Guidance and Corrections - 3/23/2023	Public Forum Presentation (PDF) 12/01/2022 Public Forum Recording 12/01/2022 Draft Rate Methodology (PDF) 12/01/2022 Draft Fee Schedule (PDF) 12/01/2022 Rate Forum Comments and Responses (PDF) 2/6/2023 Final Draft Fee Schedule (1/5/2023)	Rationale: Department priority (appropriation in P.L. 2021, Ch. 635) Services: 100% of Medicare, rural/non-rural, and DME index COLA for non Medicare Effective Date: 1/1/2023 Next Rate Adjustment: annually, in coordination with Medicare. Further Section Change Needed: Non-Medicare covered codes
Section 65, Behavioral Health
Initiation 9/01/2022 Kickoff and survey overview 3/11/2022 Survey distributed 4/22/2022 Draft rate, public comment 9/01/2022 Draft Rate Presentation Posted and Comment Deadline Reminder - September 27, 2022 Final Draft Rates Posted - December 30, 2022	Kickoff Recording (included all BH sections) - May, 2022 Survey Results (PDF) - 10/5/2022 65 Adult and Children Outpatient & School Health Related Services 9/21/2022: Draft Rate Models (PDF) Draft Rate/Public Comment Presentation (PDF) Draft Rate/Public Comment Recording 17, 28 & 65 Community Based Mental Health & SUD Services 9/23/2022: Draft Rate Models (PDF) Draft Rate/Public Comment Presentation (PDF) Draft Rate/Public Comment Recording Comment Summary with Department Response (PDF) - 5/22/2023 Final Rate Model (PDF) - 5/22/2023	Rationale: P.L. 2021, Ch. 398, Part AAAA; P.L. 2021, Ch. 635 Services: All Effective Date: 1/1/2023 Next Rate Adjustment: COLA Annually in January Further Section Change Needed: None
Section 65, Crisis Residential and Resolution
Initiation 9/01/2022 Kickoff and survey overview 3/11/2022 Survey distributed 4/22/2022 Draft rate public review, written comment 11/16/2022 Draft Rate Presentation Posted and Comment Deadline Reminder - September 27, 2022 Final Draft Rates Posted - December 30, 2022	Kickoff Recording (included all BH sections) - May, 2022 Crisis Survey Analysis 11/7/2022 Draft Rate Model (PDF) - 11/22/2022 Draft Rate Public Review Recording - 11/22/2022 Comment Summary with Department Response (PDF) - 5/22/2023 Final Rate Model - 5/22/2023	Rationale: P.L. 2021, Ch. 398, Part AAAA; P.L. 2021, Ch. 635 Services: Crisis Services Effective Date: Crisis Residential only 1/1/2023 Next Rate Adjustment: TBD Further Section Change Needed: Work on Crisis Resolution is ongoing into 2023 (Crisis Mobile Teams)
Section 92, Behavioral Health Homes
Initiation 9/01/2022 Kickoff and survey overview 3/11/2022 Survey Distributed 4/22/2022 Draft Rate, public comment 9/01/2022 Draft Rate Presentation Posted and Comment Deadline Reminder - September 27, 2022 Final Draft Rates Posted - December 30, 2022	Kickoff Recording (included all BH sections) - May, 2022 Survey Results (PDF) - 10/5/2022 (13, 17, & 92) 9/20/2022: Draft Rate Models (PDF) Draft Rate/Public Comment Recording Draft Rate/Public Comment Presentation (PDF) Comment Summary with Department Response (PDF) - 5/22/2023 Final Rate Model (PDF) - 5/22/2023	Rationale: Ensure equitable rates across behavioral health sections and help address DOJ findings. Services: All Effective Date: 1/1/2023 Next Rate Adjustment: COLA Annually in January Further Section Change Needed: None
31 Federally Qualified Health Centers (Rebasing)
Initiation 9/27/2022 Provider Kickoff (direct invite to MPCA) 10/17/22 Draft Rates/Public Comment Invite 3/27/2023 Billing Guidance & Implementation Timing for Updated Payment Methodology 5/01/2023 Implementation of 3/01/2023 rates 5/12/2023	Kickoff Meeting Recording - 10/17/2022 LD 1787 Presentation (PDF) - 1/18/ 2023 LD 1787 Meeting Recording - 1/18/2023 Stakeholder Infomational Recording - 2/1/2023 Stakeholder Informational Presentation (PDF) - 2/1/2023 Stakeholder Informational Recording - 2/21/2023 Draft Public Forum Presentation (PDF) - 3/30/2023 Draft Public Forum Presentation Recording - 3/30/2023 Comment Summary with Department Response (PDF) - April 23, 2024	Rationale: P.L. 2021 Ch. 747 Services: All Effective Date: 3/1/2023 Next Rate Adjustment: Annually in July Further Section Change Needed: None
Section 5 Ambulance Services
Ambulance Reimbursement Effective 4/1/2022 and Billing Guidance 3/16/2022	(This update occurred prior to MRS Title 22, §3173-J becoming effective)	Rationale: Legislation, 2021 Resolve, Ch. 118 Resolve to provide add on payments for ambulance services reimbursed by MaineCare. Services: Medicare Covered Services Effective Date: 4/01/2022 Next Rate Adjustment:  Updated annually in January in Coordination with Medicare Further Section Change Needed: Non-Medicare Codes/Services
Sections 13, 17, 23, 28, 30, 40, 65, 91, 92, 93, 97-App D Therapeutic Foster Care, 102
MaineCare Cost of Living Adjustments and Medicare Standardization Effective July 1, 2022 – 6/03/2022	(This update occurred prior to MRS Title 22, §3173-J becoming effective)	Rationale: Legislation, PL. 2021, Ch 635, Part A. Services: COLA Rate Adjustments (4.94% equal to the percentage increase in the state minimum wage for January 1, 2022) Effective Date: July 1, 2022 Next Rate Adjustment: Annual COLA in January (sections 13, 17, 28, 65, 92.) Annual COLA in July (sections 23, 30, 40, 91, 93, 97 B&D & 102) Further Section Change Needed: All behavioral health sections have been addressed in a recently closed 2022 Rate Study. Other sections are currently in progress or upcoming for rate determinations in CY 2023 (except for section 91 Health Home Services).
Sections 14, 15, 68, 75, 85, 90, 95, 101, 109
MaineCare Cost of Living Adjustments and Medicare Standardization Effective July 1, 2022 – 6/03/2022	(This update occurred prior to MRS Title 22, §3173-J becoming effective)	Rationale: Comprehensive Rate Study Evaluation: areas of greatest need, Inconsistent, inequitable reimbursement across sections, and Standardized percentage of Medicare (72.4%) and use of current year’s rates Services: Medicare covered services Effective Date: July 1, 2022 Next Rate Adjustment: Annually in January in Coordination with Medicare Further Section Change Needed: Non-Medicare codes need to be addressed
Section 25, Dental
Notice of Dental Rate Reform Notice of Dental Policy Forum	(This update occurred prior to MRS Title 22, §3173-J becoming effective) Draft Dental Reform Methodology (PDF) Draft Dental Rates (PDF) Dental Provider Forum Presentation (PDF) Dental Rate Forum Presentation (PDF) and Recording   Dental Policy Forum Presentation (PDF) and Recording	Rationale: Comprehensive Rate Study Evaluation: areas of greatest need Services: Comprehensive adult and children’s dental Effective Date: July 1,2022 Next Rate Adjustment: July: benchmark assessment biennially. COLA (biennially).   Further Section Change Needed: None needed. Benchmarks will be assessed biennially.
Section 67, Nursing Facility Services
NF/RCF Rate Letters and 125% Minimum Wage Adjustments - 6/30/2022	(This update occurred prior to MRS Title 22, §3173-J becoming effective)	Rationale: Legislation: Section AAAA-5, 2021 P.L. Ch. 398 Services: 125% min wage adjustment Effective Date: July 1, 2022 Next Rate Adjustment: Annually in January (AAAA adjustment), Annually in July, (COLA) Further Section Change Needed: Upcoming Rate Study to address the current administratively burdensome cost settlement system and to address lack of incentive for quality of care and to reward cost effectiveness.
Section 97, Appendix C, Medical Remedial (RCF)
NF/RCF Rate Letters and 125% Minimum Wage Adjustments6/30/2022	(This update occurred prior to MRS Title 22, §3173-J becoming effective)	Rationale: Legislation Services: RCF 125% min wage adjustment Effective Date: July 1, 2022 Next Rate Adjustment: January 1, 2023 (AAAA adjustment-not inflation) Further Section Change Needed: Upcoming Rate Study to address the current administratively burdensome cost settlement system and to address lack of incentive for quality of care and to reward cost effectiveness.
Section 97, Appendix B, Substance Use Disorder Residential Services
PNMI B Final Draft Rates Notice - 8/27/2021	(This update occurred prior to MRS Title 22, §3173-J becoming effective) Survey Analysis (PDF) Cost Report Analysis (PDF) Proposed Rate Models (PDF) Response to Comments (PDF) Final Rate Models (PDF)	Rationale: 1115 Demonstration Waiver (Maine's Substance Use Disorder Care Initiative) Services: All Effective Date: November 1, 2021 Next Rate Adjustment: Annual COLA in July Further Section Change Needed: none
Section 97, Appendix D, Children's Residential Care Facility
PNMI D Proposed Changes and Final Draft Rate Notice 8/13/2021	(This update occurred prior to MRS Title 22, §3173-J becoming effective) Survey Analysis (PDF) - 3/03/2021 Cost Report Analysis (PDF) - 3/03/2021 Response to Public Comments (PDF) - 8/06/2021 Final Rate Models (PDF) - 8/06/2021	Rationale: Outdated legacy rate models and new federal quality standards Services: Residential Care Effective Date: November 1, 2021 Next Rate Adjustment: Annual COLA in July Further Section Change Needed: Therapeutic Foster Care (Planned study 2023) and Temporary High Intensity Services (In progress January 2025)
Section 89, MaineMOM (New Service)
Informational Session on Proposed MaineMOM Services and Reimbursement 3/18/2022 Notice of Agency Rulemaking Adoption 12/6/2023	(This update occurred prior to MRS Title 22, §3173-J becoming effective) MaineMOM Advisory Group Presentation (PDF) 9/15/2020	Rationale: New service Services: Integrated opioid tx and perinatal care for pregnant/ postpartum people/ their infants Effective Date:  Next Rate Adjustment: To Be Determined Further Section Change Needed: None needed

Cost-of-Living Adjustments (COLA) and Medicare Standardization

• July 2026, COLA E-message - 6/1/2026
• January 2026, Medicare Standardization E-Message
• January 2026, COLA E-Message
• July 2025, COLA E-Message 
• June 2025, COLA E-Message
• January 2025, Medicare Standardization E-Message
  • January 2025, Revised - 1/16/2025
• May 2024, COLA E-Message
• January 2024 Medicare Standardization E-Message
• January 2024, COLA E-Message
• May 2023, COLA E-Message 
• January 2023 Medicare Standardization E-Message
• January 2023 COLA E-Message
• June 2022 COLA and Medicare Standardization E-Message

Background

In 2019, DHHS and MaineCare launched a Comprehensive Rate System Evaluation (CRSE) to serve as the basis to inform policy making and improve members’ health and the program’s sustainability by comprehensively evaluating rates and promoting high-value services.The evaluation found that many rates were outdated and inconsistent, some with no known basis or methodology. It also found significant inconsistencies in methodology and timelines for rate adjustments between services.

The evaluation made a number of recommendations that were ultimately codified into law in MRS Title 22, §3173-J, which was enacted in 2022. Specifically, this law:

1. Sets a schedule for regular rate review and adjustment.
2. Establishes the MaineCare Rate Reform Expert Technical Advisory Panel (TAP) for consultative purposes.
3. Establishes a rate system sub-committee to the MaineCare Advisory Committee (MAC).
4. Formalizes a clear and transparent process for rate determination via public notice, presentation, and comments (as well as public response to comments) on proposed rates.
5. Ensures review of relevant state and national data to inform rate amounts and payment models, with emphasis on models that promote high value services by connecting reimbursement to performance.

Other Information

Service Provider Tax Repeal Affected Code List (PDF)

Service Provider Tax Repeal FAQs (PDF)