MaineCare Provider Enrollment Processing Time Improvements

The Office of MaineCare Services made significant reductions in enrollment case processing time in the last two years. Below is a table beginning with the high wait for case inventory backlog from November 2023, with percentage decreases since then. The table shows the average turnaround time (TAT) for the month identified, and case inventory is the number of cases. TAT is the processing time for Gainwell. It is total time minus any Need More Information (NMI) or suspended time. This is the best metric for assessing processing time.

Date

TAT - days

Average age of open cases - days

Case Inventory

November 2023

64.1

 

1240

December 2023

48.2     (-24.8%)

 

917        (-26%)

November 10, 2024

 

16.2*

 

December 2024

21.2     (-66.9%)

 

570        (-54%)

October 2025

14.8     (-76.9%)

 

 

November 9, 2025

12.6 for 1st 9 days (-80.3%)

10.8

392        (-68.4%)

 

*This is a point in time number.