Members at a Glance
The MaineCare Members at a Glance report summarizes enrollment and claims data to provide key metrics to help define who our members are. The report includes stratifications by member demographic factors like age, gender, county of residence, race and ethnicity.
Download a copy of the report.
- Miscellaneous and Required Reports
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To comply with the CMS Interoperability and Prior Authorization (PA) final rule, MaineCare is required to report aggregated PA metrics on our website annually. Specifically, this includes a list of all medical items and services (excluding drugs) that require PA, as well as data on PA requests for those items and services (e.g., approvals, denials, etc.) over the previous calendar year. Public reporting of these metrics promotes transparency and accountability, helps patients understand PA processes, and enables providers to evaluate payer performance. In addition, metrics can be used to compare plans, programs, and payers.
- MaineCare Behavioral Health Prior Authorizations Data (PDF)
- MaineCare Prior Authorizations Data (PDF)