Maine Department of Health and Human Services

DHHS → Office of MaineCare Services (OMS) → Provider Resources → Section 30, Family Planning, Updated Base Rates and Resulting Final Rates - CR 130980

Section 30, Family Planning, Updated Base Rates and Resulting Final Rates - CR 130980

Apr 07, 2025

Effective January 1, 2025, MaineCare updated the base rates and resulting final rates for certain Family Planning Services delivered by eligible providers. These new rates were implemented for billing on April 2, 2025.

Only providers engaged primarily in the delivery of sexual and reproductive health care services, as described in 42 United States Code, Section 1396d(a)(4)(c), are eligible to bill add-on rates.

You may view the full fee schedule, including the base rates, add-on rates, and final rates, on the Health PAS Online Portal.

Adjustment of Claims

MaineCare will reprocess claims submitted with charges at or above, the new rates for dates of service January 1, 2025 through April 2, 2025. No provider action is needed.
For claims submitted with charges below the new rates for the same date span above, providers will be responsible for adjusting claims within 120 days of this notice. Please adjust the oldest dates first.

For questions, please contact your Provider Relations Specialist.