Section 31, Federally Qualified Health Centers (FQHCs) Retroactive Cost-of-Living Adjustment (COLA)
As noticed earlier today, this e-message contains additional information specific to services provided under Section 31.
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 45 Hospitals: Cost-of-Living Adjustments (COLAs)
As noticed earlier today, this e-message contains additional information specific to services provided under Section 45.
In alignment with P.L. 2025, Ch. 388, (Part GGG), MaineCare is increasing certain hospital reimbursement rates to reflect a 1.0% COLA retroactively, effective July 1, 2025.
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.
Status of 1.95% Cost-of-Living Adjustments (COLAs) for Sections 2,12,13,17,18,19, 20, 21, 26, 28, 29, 65, 96, 97C
As previously noticed on June 5, 2025, MaineCare is increasing reimbursement rates through a COLA for certain services that were originally scheduled for January 1, 2025.
Final Rate Model: Section 65, Mobile Crisis Intervention Response Service
On July 15, 2025, the Department will present revisions to the previously proposed community-based Mobile Crisis Intervention Response service rates and model.
Meeting Details
Date/Time: Tuesday, July 15, 2025, 11:00 AM – 12:00 PM
Zoom Information: https://healthmanagement.zoom.us/j/96793415793
10-144 C.M.R. Ch. 609; Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) Rules - SNAP E&T Rule #8 - Provider Determination
10-144 C.M.R. Ch. 609; Supplemental Nutrition Assistance Program Employment and Training (SNAP E&T) Rules
SNAP E&T Rule #8 – Provider Determination
10-144 C.M.R. Ch. 331; Public Assistance Manual Temporary Assistance for Needy Families (TANF) Manual - TANF Rule #124 - COFA Update
10-144 C.M.R. Ch. 331
Public Assistance Manual Temporary Assistance for Needy Families
(TANF) Manual
Chapter II
TANF Rule #124 – COFA Update
Rate Determination Initiation Notice: New Section, 106 School Health-Related Services and New Service, Section 65 Multi-Dimensional Family Therapy (MDFT)
The Department initiated a Rate Determination Process* for School Health-Related Services and Multi-Dimensional Family Therapy. School Health-Related Services will be a new section of the MaineCare Benefits Manual (MBM).