Date posted:
Attachment(s):
Notice of MaineCare Reimbursement Methodology Change
AGENCY: Department of Health and Human Services, Office of MaineCare Services
SERVICES INCLUDED: Chapter 101, MaineCare Benefits Manual, Ongoing Cost-of-Living Adjustment Removal
NATURE OF PROPOSED CHANGES: The Department plans to submit a state plan amendment to remove ongoing cost-of-living adjustment (COLA) provisions from the following sections of policy. This removal is due to a lack of available appropriations this fiscal year; the Department will submit future state plan amendments as necessary to implement future COLAs for which there have been appropriations. The impacted sections are as follows:
|
Section |
Title |
|
Section 23 |
Developmental and Behavioral Clinic Services |
|
Section 30 |
Family Planning Agency Services |
|
Section 31 |
Federally Qualified Health Center Services |
|
Section 40 |
Home Health Services |
|
Section 45 |
Hospital Services |
|
Section 89 |
MaineMOM Services |
|
Section 91 |
Health Home Services - Community Care Teams |
|
Section 93 |
Opioid Health Home Services |
|
Section 97 B |
Private Non-Medical Institution - Substance Use Treatment |
|
Section 97 C |
Private Non-Medical Institution - Medical and Remedial |
|
Section 97 D |
Private Non-Medical Institution - Children's Residential Care |
|
Section 97 F |
Private Non-Medical Institution - Non-Case Mixed Medical and Remedial |
|
Section 102 |
Rehabilitative Services |
|
Section 103 |
Rural Health Clinic Services |
REASON FOR PROPOSED CHANGES: All changes are pursuant to Department discretion.
ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that this change will result in a decrease of $14,110,315 in state fiscal year 2026 which includes $9,036,710 in federal funds and $5,073,606 in state funds, and will cost $14,110,315 in state fiscal year 2027 which includes $8,941,013 in federal funds and $5,169,302 in state funds.
ACCESS TO PROPOSED CHANGES AND COMMENTS TO PROPOSED CHANGES: The public may review the proposed methodology changes and written comments at any Maine DHHS office in every Maine county. To find out where the Maine DHHS offices are located, call 1-800-452-1926. The Department will hold a hearing for the proposed rulemaking and will be publishing a notice which includes information on the hearing date and location.
CONTACT INFORMATION
FOR RECEIPT OF COMMENTS: Kristin Merrill
AGENCY NAME: Office of MaineCare Services
ADDRESS: 109 Capitol Street, 11 State House Station
Augusta, Maine 04333-0011
TELEPHONE: (207) 624-4006 FAX: (207) 287-6106
TTY: 711 Maine Relay (Deaf or Hard of Hearing)
See http://www.maine.gov/dhhs/oms/rules/index.shtml for rules and related rulemaking documents.
State Plan Amendment
Office: MaineCare Services
Email: Kristin.Merrill@maine.gov
Comment deadline:
On