When there are code rate updates affecting MaineCare providers, we send e-message notifications. Sign up for notifications here. Because sometimes there are many codes involved in the rate changes, the rate updates are provided below in spreadsheets. These spreadsheets do not reflect all rate and code changes. See the Provider Fee Schedules for more detail.
Adjusting Claims for Retro Rate Increases
For guidance about adjusting verses straight reversing claims and instructions on how to do each, see the How to Adjust Claims for Retro Rate Increases (PDF).
2022 Rate Updates
- 2022 Annual Updates Section 90 (PDF) - August 30, 2022
- 2022 Annual Updates Section 90 Additional Changes (PDF) - August 30, 2022
- Section 60 DME Cures Act Codes, CR 109579 - July 7, 2022
- 2022 Rate Updates for Medical Imaging Codes, CR 107225 (PDF) - April 8, 2022
- Quarterly Drug Rates Update, CR 106861 (PDF) - April 8, 2022
- Rate Update for 2022 Ambulatory Surgical Centers (ASC) Rates, CR 107519 (PDF) - April 8, 202
- Section 90 Rate Update, CR 99554 (PDF) - December 17, 2021
2021 Rate Updates
- Drug Rates Updates October 1, 2021 (PDF) - November 19, 2021
- Appendix K Updates Sections 18, 20, 21, and 29 (PDF) - September 28, 2021
- Drug Code Rate Updates, CR 103279 (PDF) - September 9, 2021
- Appendix K Updates Sections 18, 20, 21, and 29 (PDF) - June 4, 2021
- 2021 Drug Rate Updates (PDF) - May 20, 2021
- April 2021 Drug Rates (PDF) - May 14, 2021
- 2021 Section 55 Laboratory Rates (PDF) - May 14, 2021
- Appendix K Updates Sections 18, 20, 21, and 29 (PDF) - April 12, 2021
- Medical Imaging Services, CR 99930 (PDF) - February 10, 2021
- Section 55 Laboratory Services, CR 100330 (PDF) - February 10, 2021
- Cures Act Durable Medical Equipment (DME) Codes, CR 100102 (PDF) - February 10, 2021
2020 Rate Updates
- Appendix K Rate Increases for Sections 18, 21, and 29 (PDF) - May 28, 2020
- Appendix K Rate Increase for Sections 19 and 20 (PDF) - May 13, 2020
- April 2020 Drug Rates, CR 94345 (PDF) - May 11, 2020
- Ambulatory Surgical Center Services, CR 93035 (PDF), - April 21, 2020
- Section 90, Physician Services Drug Codes, CR 93079 (PDF) - April 21, 2020
- Section 60 Durable Medical Equipment (DME) Cures Act Rate, CRs 93879 and 94014 (PDF) - April 21, 2020
- Drug Rate Update, CR 98011 (PDF) - November 20, 2020
- Drug Rate Update, CR 96041 (PDF) - October 5, 2020
- Section 43 Hospice Fee Schedule (PDF) - October 1, 2020