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, Section 45 – Hospital Services
NATURE OF PROPOSED CHANGES: The Department plans to submit a State Plan Amendment (SPA) to the Centers for Medicare & Medicaid Services (CMS) to implement a 3.70% increase for acute care hospital Graduate Medical Education (GME) add-on rates and outlier thresholds.
REASON FOR PROPOSED CHANGES: All changes are pursuant to allocations found in Maine P.L. 2025, Ch. 650, An Act Making Supplemental Appropriations and Allocations from the General Fund and Other Funds for the Expenditures of State Government and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2026 and June 30, 2027.
ESTIMATE OF ANY EXPECTED INCREASE OR DECREASE IN ANNUAL AGGREGATE EXPENDITURES: The Department anticipates that there are no additional costs associated with this change beyond what was already identified within the Notice of MaineCare Reimbursement Methodology Change, MaineCare Benefits Manual, Section 45 – Hospital Services posted June 30, 2026.
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.
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 https://www.maine.gov/dhhs/about/rulemaking for rules and related rulemaking documents.
State Plan Amendment
Office: MaineCare Services
Email: Kristin.Merrill@maine.gov
Comment deadline:
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