• Read more about Additional Drug Rate Updates, CR 106867

Due to the Centers for Medicare & Medicaid Services’ (CMS) rate update, we updated the rates for some drug codes retroactively to January 1, 2021, or July 1, 2021.   

See the table below for the effective dates and rates.   

• Read more about Linked files

• DRAFT GME Add-On
• CFP_2024_FINAL.pdf

• Read more about End of the 2022-2023 Seasonal Coverage for Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection

The Office of MaineCare Services (OMS), in coordination with their Pharmacy Benefits Manager, Change Healthcare (CHC), reviews data from the Maine Center for Disease Control and Prevention (Maine CDC) to track the epidemic season for respiratory syncytial virus (RSV). The Maine CDC data is used for decision making because it includes a more robust and geographically diverse data set than that provided by the National Respiratory and Enteric Virus Surveillance System (NREVSS).  

• Read more about End of the 2022-2023 Seasonal Coverage for Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection

The Office of MaineCare Services (OMS), in coordination with their Pharmacy Benefits Manager, Change Healthcare (CHC), reviews data from the Maine Center for Disease Control and Prevention (Maine CDC) to track the epidemic season for respiratory syncytial virus (RSV). The Maine CDC data is used for decision making because it includes a more robust and geographically diverse data set than that provided by the National Respiratory and Enteric Virus Surveillance System (NREVSS).  

• Read more about End of the 2022-2023 Seasonal Coverage for Use of Palivizumab Prophylaxis to Prevent Hospitalization from Severe Respiratory Syncytial Virus (RSV) Infection

The Office of MaineCare Services (OMS), in coordination with their Pharmacy Benefits Manager, Change Healthcare (CHC), reviews data from the Maine Center for Disease Control and Prevention (Maine CDC) to track the epidemic season for respiratory syncytial virus (RSV). The Maine CDC data is used for decision making because it includes a more robust and geographically diverse data set than that provided by the National Respiratory and Enteric Virus Surveillance System (NREVSS).  

• Read more about Data Request Form

• Read more about Attention Providers of Section 65, Behavioral Health Services, Crisis Resolution and Response: Draft Service Model and Provider Survey Tool Presented Materials ​ 

Last fall, MaineCare formally noticed that we initiated a rate determination for Section 65 Crisis  Resolution and Response services. The Department’s vendor , Burns and Associates is conducting this rate determination. We kicked off this work in May of 2022.

Mar 3, 2023

This month, an extra amount of Federal food support that was provided during the COVID-19 pandemic will end in Maine and other states. The extra amounts, known as Emergency Maximum Allotments in the Supplemental Nutrition Assistance Program (SNAP), were funded by Congress and the President in response to the COVID-19 pandemic in March 2020. A recent Federal law directed that the extra benefits end in March, returning benefits to normal levels.

• Read more about Help with Food Costs as Extra COVID SNAP Funds End

• Read more about Hospital Price Transparency

Effective January 1, 2021, CMS §180.10 requires each hospital operating within the United States to make public a list of the hospital’s standard charges for all items and services provided.

Standard charges must be posted in two ways:

• Read more about Hospital Price Transparency

Effective January 1, 2021, CMS §180.10 requires each hospital operating within the United States to make public a list of the hospital’s standard charges for all items and services provided. 

Standard charges must be posted in two ways: