MaineCare Issued Annual Hospital Value-Based Purchasing (VBP) Supplemental Payments

Jun 15, 2026

Last week, MaineCare issued supplemental payments to eight hospitals rewarding the high levels of primary care utilization for MaineCare members in their Hospital Service Areas (HSAs). This sub-pool, totaling $600,000 annually, supports hospitals that partner with a MaineCare Accountable Community (AC). Current MaineCare AC leads include Community Care Partnership of Maine (CCPM), Kennebec Region Health Alliance (KRHA), MaineHealth ACO (MHACO), and Northern Light Health (NLH).  

For a full description of this VBP supplemental payment methodology please review MaineCare Benefits Manual, Chapter III, Section 45, Hospital Services (Section 45.07).    

For the full crosswalk used to map HSA to zip code please review the Dartmouth Atlas Supplemental Data.  

Accountable Community	Hospital (HSA)
CCPM	Millinocket Regional Hospital (20022)
NLH	Northern Light AR Gould (20026)
MHACO	MaineHealth Lincoln Hospital (20008)
MHACO	MaineHealth Mid Coast Medical Center (20010)
MHACO	MaineHealth Franklin Hospital (20016)
CCPM	Cary Medical Center (20012)
NLH	Northern Light Maine Coast Hospital (20015)
MHACO	St. Mary's Regional Medical Center (20019)

For hospitals receiving these funds, the invoice type appears on any paper Remittance Advice (RA) and be listed as “OTHER.” The invoice number displays on any electronic 835 with a prefix of “VBPS.”   

For questions, please contact Tiffany Norton, Provider Relations Specialist.