Section 97, Appendix C, Residential Care Facilities (RCFs): New Rates Implemented, CR 141206
As previously announced, MaineCare updated Section 97, RCF rates effective July 1, 2026. We implemented these rates for billing on July 15, 2026.
Adjustment Billing Guidance for Dates of Service July 1, 2026 – July 14, 2026
Providers are responsible for adjusting all affected claims. Per policy and to avoid timely filing denials, you must submit adjustments within 120 days of the most recent claim payment date. For additional billing guidance when adjusting or reversing claims, please see the How to Adjust Claims for Retro Rate Increases (PDF) document.
Updated rate letters are available on the secure Health PAS Online Portal.
For questions on these rates, please contact the representative listed on your rate letters.
For all other questions, please contact your Provider Relations Specialist.