Revised Rates for Section 75, Vision Services, CR - 138461
Effective January 1, 2026, MaineCare revised Section 75 rates, to align with Medicare. The new rates reflect 72.4% of the Maine Medicare rate and were implemented for billing on March 4, 2026.
The fee schedule is updated to reflect these changes and is available on the Rate Setting page of the Health PAS Online Portal.
Adjustment Guidance for Dates of Service January 1, 2026 – March 3, 2026
- Providers are responsible for adjusting claims with charges submitted below the new rates. Per policy, adjustments must be submitted within 120 days of the most recent payment date. The Department recommends adjusting the oldest dates of service first, to avoid timely filing denials..
- MaineCare will adjust paid claims that were submitted with charges at or above the new rates. No provider action is necessary.
For questions, please contact your Provider Relations Specialist.