MaineCare Cost of Living Adjustments (COLAs) for Sections 12, 13, 17, 18, 19, 20, 21, 26, 28, 29, 65, 92, 96, and 97C

Jun 05, 2025

MaineCare is increasing reimbursement rates through a COLA for certain services that were originally scheduled for January 1, 2025. This COLA is provided in accordance with PL 2025 Ch. 2. The intent of this COLA is to increase reimbursement for direct care workers and help ensure the continuation of essential MaineCare services. The COLA will be effective July 1, 2025, and is equal to an increase of 1.95% above the currently established rates. 

Note: these COLA adjustments only apply to rates specified under these Sections of Policy for eligible services: when a Section of Policy cross-references rates in a separate Section of Policy, the reimbursement provisions in the cross-referenced section of policy dictate the reimbursement amount (e.g. services that are referenced in these policies that refer to reimbursement rates under Section 90 will not receive this COLA).

These COLAs affect rates for eligible services under the following Sections of the MaineCare Benefits Manual (MBM):

COLA Rate Adjustments: MaineCare Benefits Manual Sections and Services
2	Adult Family Care Services
12	Consumer Directed Attendant Services
13	Targeted Case Management Services
17	Community Support Services
18	HCBS for Adults with Brain Injury
19	HCBS for the Elderly and Adults with Disabilities
20	HCBS for Adults with Other Related Conditions
21	HCBS for Members with Intellectual Disabilities or Autism Spectrum Disorder
26	Day Health Services
28	Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations
29	Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
65	Behavioral Health Services
92	Behavioral Health Home Services
96	Private Duty Nursing and Personal Care Services
97C*	Private Non-Medical Institutions, Appendix C, Residential Care Facilities (RCFs)* *This COLA is specific only to a portion of the RCF rate- see description below.

 

Section 97, Appendix C (RCF) – “Part AAAA” Add-on

MaineCare is also increasing the Part AAAA add-on rate for RCFs, reflecting the same 1.95% adjustment, effective July 1, 2025. This COLA is specific to support wage increases for essential workers, to reflect increases to Maine’s minimum wage, and was also originally scheduled for January 1, 2025. This update only impacts the total AAAA add-on for select providers and does not affect Direct, Personal, or Routine Care rates. Adjusted RCF rates will be implemented, and rate letters posted, at the secure Health PAS Online Portal, by July 1, 2025. For questions on rates please contact the individual listed on the rate letters.  

For questions on the implementation of these rates, please contact your Provider Relations Specialist.

*This notice is being sent pursuant to MRS Title 22, §3173-J.