• Read more about Home and Community Based Supports (HCBS) Sections 18, 20, 21 and 29, and New Lifespan Waiver: Draft Rate Public Review and Comment

Public Review & Comment

On April 14, 2025, the Department is hosting a public forum with our vendor, Burns and Associates (HMA-Burns), to present the recommended draft rates and rate models in addition to rationale for Sections 18, 20, 21, 29, and the new Lifespan waiver.

Interested parties will have the opportunity to provide public comment. Following the presentation, the draft rates and models will be available online, and HMA-Burns will accept written comments.

• Read more about 10-144 C.M.R. Chapter 301; Supplemental Nutrition Assistance Program (SNAP) Rules; Section 111-7

10-144 C.M.R. Chapter 301; Supplemental Nutrition Assistance Program (SNAP) Rules; Section 111-7

SNAP Rule #238 – ABAWD Update

PRINCIPAL REASON(S) OR PURPOSE FOR PROPOSING THIS RULE: The Department proposes routine technical changes to amend 10-144 C.M.R. Chapter 301; Supplemental Nutrition Assistance Program (SNAP) Program Rules to ensure consistency with 7 C.F.R. § 273.24(c).

• Read more about Attention Primary Care Practices: Primary Care Plus (PCPlus) Program Reorientation Meeting

Please join us on March 28, 2025, for a PCPlus Program Reorientation Meeting on the following topics:

• Structure and goals of the current service model
• Status of the program
• Aims of MaineCare’s upcoming work to evolve and advance the program and its Alternative Payment Model (APM)

Date: March 28, 2025

Time: 12:00 to 1:00 PM

Registration link: Please register prior to the meeting.

• Read more about Section 90, Physician Services Rate Update, CR 129756

Effective January 1, 2025, MaineCare updated Section 90, Physician Service rates. You may view the updated fee schedule on the rate setting page of the Health PAS Online Portal.

• Read more about Primary Care Providers (PCPlus) Quality Measure Webinar: Cervical Cancer Screening

PCPlus providers are invited to a webinar series about best practices regarding quality measures in the PCPlus program. This series is intended to educate practices on how to optimize their performance, and payment, while aligning with industry best practices for population and patient health. We will host approximately one webinar a month during 2025.

• Read more about Attention Primary Care Plus (PCPlus) Practices: PCPlus Application and Recertification to Open in April

MaineCare Services is excited to notify you that in April, the PCPlus application will open for new and recertifying primary care practice applicants. During the open application period, primary care practices that are not currently participating in PCPlus will have an opportunity to apply to participate. MaineCare will send another notification once the application for PCPlus is open.

• Read more about Notice of MaineCare 1115 Waiver Renewal Application, “Maine Substance Use Disorder (SUD) Care Initiative”

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage.  This website keeps the proposed rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes.  The MaineCare Benefits Manual is available on-line at the Secretary of State’s website. 

• Read more about Attention Primary Care Practices: Primary Care Plus (PCPlus) Program Reorientation Meeting

Please join us on March 28, 2025, for a PCPlus Program Reorientation Meeting on the following topics:

• Structure and goals of the current service model
• Status of the program
• Aims of MaineCare’s upcoming work to evolve and advance the program and its Alternative Payment Model (APM)

Date: March 28, 2025

Time: 12:00 to 1:00 PM

Registration link: Please register prior to the meeting.

• Read more about Attention MaineCare Providers: Status of Temporary MaineCare Payment Holds

On March 5, 2025, MaineCare announced the Department would need to temporarily hold certain provider payments beginning with the payment cycle that ran on March 12, 2025.  As of the time of this message, the Legislature has not approved the necessary funding, by way of an emergency supplemental budget, to avoid these measures.

• Read more about MaineCare Notice of Agency 1115 Waiver Renewal Application, "Maine Substance Use Disorder (SUD) Care Initiative"

Notice of Agency Waiver Renewal

AGENCY: Department of Health and Human Services (DHHS), Office of MaineCare Services

RULE TITLE OR SUBJECT: 1115 Waiver Renewal Application

WAIVER: Section 1115(a) waiver demonstration, “Maine Substance Use Disorder (SUD) Care Initiative"