Attention Providers: System Maintenance Disrupting Provider Maintenance Cases

At this time, providers are not able to submit Maintenance Cases in our enrollment system. The system is undergoing unplanned maintenance. We expect this maintenance to be complete later today, and will send a follow-up message when normal operations resume. Providers may submit New Enrollments and Revalidations as usual during this time.

If you have questions or concerns regarding this, please contact Kenneth Jamison, MaineCare Provider Enrollment Manager.

Disclosures of Organizational Change Reminder

If your organization is going through an organizational change, please contact Gainwell to receive guidance before beginning an enrollment/revalidation/re-enrollment application or maintenance case and prior to submitting the Disclosure of Organizational Change for MaineCare form. This allows Gainwell/MaineCare to review the change and decide what is the best way the provider needs to enroll or update their enrollment.

Please contact the MaineCare Enrollment email box with questions.  

Sections 91 & 93: Health Home Services - Community Care Teams (91) and Opioid Health Home Services (93) – Cost-of Living Adjustments (COLAs)

As noticed earlier today, we are increasing reimbursement rates through 1.0% COLAs for services that are regularly scheduled to receive them in July. This e-message contains additional information specific to services provided under Sections 91 and 93.    

Section 97, Appendix C, Residential Care Facilities (RCFs) Cost-of-Living (COLA) & AAAA Adjustments

As noticed earlier today, this e-message contains additional information specific to services provided under Section 97C.

In alignment with P.L. 2025, Ch. 388, (Part GGG), MaineCare is adjusting the RCF direct care rates to reflect a 1.0% COLA retroactively, effective July 1, 2025.  

Sections 23, 25, 30, 40, 89, 91, 93, 97 B & D, 102: July Cost-of-Living Adjustments (COLAs)

MaineCare is preparing to increase reimbursement rates through a 1.0% COLA for certain services that are regularly scheduled to receive them in July. This COLA was recently appropriated by the Legislature through a budget amendment (with P.L. 2025, Ch. 388, Part GGG).  

Funding for these COLAs will be made available to the Department pending a 90-day waiting period that began with the adjournment of Legislature on June 25, 2025. 

These new rates will be funded retroactively to July 1, 2025, and will reflect a 1.0% COLA.  

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