Notice of MaineCare Reimbursement Methodology Change: MaineCare Benefits Manual, Section 92, Behavioral Health Home Services

Notice of MaineCare Reimbursement Methodology Change

AGENCY: Department of Health and Human Services, Office of MaineCare Services

SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 92, Behavioral Health Home Services

MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 92, Behavioral Health Home Services and Chapter III, Section 92, Principles of Reimbursement for Behavioral Health Home Services

Notice of Agency Emergency Rule-making Adoption

Agency: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

Chapter Number and Rule Title: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual (“MBM”), Chapter II, Section 92, Behavioral Health Home Services and Chapter III, Section 92, Principles of Reimbursement for Behavioral Health Home Services

Notice of MaineCare Reimbursement Methodology Change: MaineCare Benefits Manual, Section 65, Behavioral Health Services

Notice of MaineCare Reimbursement Methodology Change

AGENCY: Department of Health and Human Services, Office of MaineCare Services

SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Section 65, Behavioral Health Services

NATURE OF PROPOSED CHANGES: The Department plans to begin reimbursing the following effective January 30, 2026:

Description

Procedure Code

Modifier

MaineCare Notice of Agency Rule-making Emergency Adoption: MaineCare Benefits Manual, Chapter I, Section 7, Children’s Behavioral Health Services Global Rule

Notice of Agency Emergency Rule-making Adoption

Agency: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

Chapter Number and Rule Title: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual (“MBM”), Chapter I, Section 7, Children’s Behavioral Health Services Global Rule

Adoption Filing Number:

Concise Summary:

MaineCare Notice of Agency Emergency Rule-making Adoption: MaineCare Benefits Manual, Chapter II, Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations

Notice of Agency Emergency Rule-making Adoption

AGENCY: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

CHAPTER NUMBER AND RULE TITLE: 10-144 C.M.R. Chapter 101, Chapter II, Section 28, Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations

ADOPTION FILING NUMBER:

CONCISE SUMMARY:

MaineCare Notice of Agency Emergency Rulemaking Adoption: MaineCare Benefits Manual, Chapter II, Section 65 and Repeal: Chapter III, Section 65

Notice of Agency Emergency Rule-making Adoption

Agency: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

Chapter Number and Rule Title: 10-144 C.M.R. Chapter 101: Adopt: Emergency Ch. II, Sec. 65 – Behavioral Health Services; and Repeal: Chapter III, Section 65, Behavioral Health Services

Adoption Filing Number:

Concise Summary:

MaineCare Notice of Agency Emergency Rule-making Adoption, MaineCare Benefits Manual, Chapter II, Section 97, Private Non-Medical Institution Services

Notice of Agency Emergency Rule-making Adoption

Agency: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

Chapter Number and Rule Title: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual (“MBM”), Chapter II, Section 97, Private Non-Medical Institution Services

Adoption Filing Number:

Concise Summary:

Section 50, Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Rate Letters for Calendar Year (CY) 2026

The CY 2026, ICF-IID rate letters are now available on the Health PAS Online Portal. You can view them by logging into your Trading Partner Account and following this pathway: File Exchange > Reports > Rate Setting Letters.  

If you have questions about accessing the letters, please contact Provider Services at: 1-866-690-5585. 

For questions about the content of the letters, please contact Rate Setting directly by using the contact listed on the letters.

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