Fiscal Year 2027 (FY27) Rate Correction: Section 97, Appendix C, Residential Care Facilities

MaineCare identified and corrected multiple errors on the FY27 rate letters. Some of these errors resulted in the implementation of new rates effective July 1, 2026. New rates for affected providers were implemented for billing August 25, 2026. Updated rate letters are available on the secure online Health PAS portal. 

Please note that all providers will receive updated rate letters regardless of whether rates have changed or not. 

Adjustment Billing Guidance for Dates of Service July 1, 2026 – August 25, 2026 

  • Providers are responsible for adjusting claims submitted with charges below the new rates. Per policy, and to avoid timely filing denials, adjustments must be submitted within 120 days of the most recent claim payment date.   

For questions, please contact your Provider Relations Specialist.