MaineCare Notice of Agency Rulemaking Proposal: MaineCare Benefits Manual, Chapters II and III, Section 13

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.

Below, please find a MaineCare Notice of Agency Rulemaking Proposal. You can access the complete rule at http://www.maine.gov/dhhs/oms/rules/index.shtml.

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Notice of Agency Rule-making Proposal

AGENCY: Department of Health and Human Services, MaineCare Services

CHAPTER NUMBER AND RULE TITLE: 10-144, C.M.R. Chapter 101, MaineCare Benefits Manual, Chapter II, Section 13, Targeted Case Management Services and Chapter 101, MaineCare Benefits Manual, Chapter III, Section 13, Targeted Case Management Services 

TYPE OF RULE: Routine Technical

PROPOSAL FILING NUMBER:

BRIEF SUMMARY: The proposed rulemaking expands eligibility for Targeted Case Management for Members Experiencing Homelessness and for Members in Carceral Settings and makes changes to assure compliance with the state of Maine’s 12/20/24 settlement agreement with the U.S. Department of Justice regarding children’s behavioral health services (U.S. Dist. Ct. (D. Me.), Case No. 1:24-cv-00315-SDN). The Department also proposes to relocate the reimbursement methodology for TCM services from Chapter III, Section 13, Targeted Case Management (TCM) Services to Chapter II, Section 13.  The Department proposes to accomplish these changes by repealing Chapters II and III, Section 13, and replacing Ch. II, Section 13. Rules and related rulemaking documents may be reviewed at, or printed from, the MaineCare website at https://www.maine.gov/dhhs/about/rulemaking or, for a fee, interested parties may request a paper copy of rules by calling (207) 624-4050 or Maine Relay number 711.   A concise summary of the proposed rule is provided in the Notice of Agency Rulemaking Proposal, which can be found at http://www.maine.gov/dhhs/about/rulemaking. This notice also provides information regarding the rulemaking process. Please address all comments to the agency contact person identified in the Notice of Agency Rulemaking Proposal.

PUBLIC HEARING: Monday, February 23rd, 2026, at 9:00am 

The Department will hold a combined in-person and remote (via Zoom) public hearing. 

Location: State Office Building, Conference Rooms Maine A and Maine B 109 Capitol Street, Augusta, ME 04330 

Zoom Meeting link: https://mainestate.zoom.us/j/83737030138

Meeting ID: 837 3703 0138

Some devices may require downloading a free app from Zoom prior to joining the public hearing event. The Department requests that any individual requiring special arrangements to attend the hearing in person contact the agency person listed below 5 days in advance of the hearing.

In addition to the public hearing, individuals may submit written comments to DHHS by the date listed in this notice.

COMMENT DEADLINE: Comments must be received by 11:59 PM on Thursday, March 5th, 2026

CONTACT PERSON FOR THIS FILING:

Henry Eckerson, Policy Manager

109 Capitol Street, 11 State House Station, Augusta, Maine, 04333-0011

(207) 624-4045

FAX: (207) 287-1864

TTY users call Maine relay 711

henry.eckerson@maine.gov  

 

CONTACT PERSON FOR SMALL BUSINESS IMPACT STATEMENT: N/A

FINANCIAL IMPACT ON MUNICIPALITIES OR COUNTIES: The Department anticipates that this rulemaking will not have any impact on municipalities or counties.

STATUTORY AUTHORITY FOR THIS RULE: 42 C.F.R. § 440.169; 42 U.S.C. § 1396n(g); 22 M.R.S. §§ 42, 3173; CAA 2023, P.L. 117-328; P.L. 2023, ch. 412, 643

SUBSTANTIVE STATE OR FEDERAL LAW BEING IMPLEMENTED: same as above

AGENCY WEBSITE: https://www.maine.gov/dhhs/oms