MaineCare Cost-of-Living Adjustments (COLA) and Medicare Standardization Adjustments: Corrected Link and Fee Schedules Update 

This is a follow-up to the message we sent on June 3, 2022. Under Section 90, we published a link to the Usual and Customary Rate (UCR), while we should have linked to the Section 90 fee schedule. Please see the corrected link below. 

Additionally, the new rates, effective July 1, 2022, linked in the tables below, are now available on the MaineCare website for all Sections noted, including Sections 30 and 101. Look for the file names that include the date of July 1, 2022, in the fee schedule folders.  

For more detail about the COLA increase and Medicare standardization, see the June 3, 2022 e-message

COLA Rate Adjustments: MaineCare Benefits Manual Section/Title 

Section 13 

Targeted Case Management Services  

Section 17 

Community Support Services  

Section 23 

Developmental and Behavioral Evaluation Clinic Services  

Section 28 

Rehabilitative and Community Support Services for Children with Cognitive Impairments and Function Limitations  

Section 30 

Family Planning Services 

Section 40 

Home Health Services  

Section 65 

Behavioral Health Services  

Section 91 

Health Home Services - Community Care Teams  

Section 92 

Behavioral Health Home Services  

Section 93 

Opioid Health Home Services  

Section 97 

Private Non-Medical Institutional Services, Appendix D, Therapeutic Foster Care   

Section 102 

Rehabilitative Services  

  

 Medicare Benchmark Rate Updates: MaineCare Benefits Manual Section/Title 

Section 14 

Advanced Practice Registered Nursing Services 

Section 15 

Chiropractic Services 

Section 30 

Family Planning Services 

Section 68 

Occupational Therapy Services 

Section 75 

Vision Services 

Section 85 

Physical Therapy Services 

Section 90* 

Physician Services (*see exception below for Enhanced Primary Care

Section 95 

Podiatric Services 

Section 101 

Medical Imaging Services 

Section 109 

Speech and Hearing Services 

*Reimbursement for Enhanced Primary Care services under Section 90, Physician Services will receive 100% of the current year Medicare rate.   

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