MaineCare Cost of Living Adjustments (COLAs) Effective July 1, 2024

MaineCare is increasing reimbursement rates for certain services in the policy sections listed below, through a COLA as directed by MRS Title 22, §3173-J (referred to as ‘Rate Reform Statute’). The COLA will be effective July 1, 2024, and is equal to an increase of 2.54% above the currently established rate(s). This COLA increase is proportional to the percentage increase in the Maine minimum wage as determined by the Maine Department of Labor.

The Rate Reform Statute requires that, for all services with base rates determined through a rate study, the Department will provide an annual COLA effective on a consistent date for services that have not had a rate determined within the 12 months prior to the effective date of the COLA.

Services with an adjustment to their rate amount effective within the 12-month period previous to July 1, 2024, will not receive this COLA.  

These COLAs affect rates for eligible services under the following Sections of the MaineCare Benefits Manual (MBM):

COLA Rate Adjustments: MaineCare Benefits Manual Section/Title

Section 23, CR 124683

Developmental and Behavioral Evaluation Clinic Services

Section 30, CR 125119

Family Planning Services (select codes)

Section 40, CR 124851

Home Health Services

Section 89, CR 125271

MaineMOM

Section 91, N/A

Health Home Services – Community Care Teams

Section 97, CR 125032

Private Non-Medical Institutions, Appendices B and D

Section 102, CR 124687

Rehabilitative Services

 

The Department will post the updated fee schedules for the sections noted above on the rate setting page of the Health PAS Online Portal as they are completed.

For questions, please contact Amanda Lee, MaineCare’s Rate Setting Coordinator.

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