Section 90, Physicians Quarter 4 (QTR 4) Drug Rate Update, CR 136143
To align with the Centers for Medicare & Medicaid Services’ (CMS) quarterly rate update, we retroactively updated the Physician Drug Rates to October 1, 2025. These new rates were implemented for billing on November 19, 2025.
The updated rates can be found on the Rate Setting page of the Health PAS Online Portal.
Adjustment of Claims
MaineCare will adjust claims that were submitted at or above the new rates, for dates of service October 1, 2025 through November 18, 2025. No provider action is required.
For questions, please contact your Provider Relations Specialist.