MaineCare Notice of Agency Rulemaking Adoption: MaineCare Benefits Manual, Chapter II, Section 13, Targeted Case Management Services

The Division of Policy posts all proposed and recently adopted rules on MaineCare’s Policy and Rules webpage. This website keeps the rules on file until they are finalized and until the Secretary of State website is updated to reflect the changes. The MaineCare Benefits Manual is available on-line at the Secretary of State’s website.

Below, please find a MaineCare Notice of Agency Rulemaking Adoption. You can access the complete rule at http://www.maine.gov/dhhs/oms/rules/index.shtml.

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Notice of Agency Rule-making Adoption

Agency: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

Chapter Number and Rule Title: 10-144 C.M.R. Chapter 101, MaineCare Benefits Manual (“MBM”), Chapter II, Section 13, Targeted Case Management Services, and Chapter III, Section 13, Targeted Case Management Services

Concise Summary:

The adopted rule expands eligibility for Targeted Case Management (TCM) for Members Experiencing Homelessness and for Members in Carceral Settings and makes changes to assure compliance with the state of Maine’s 12/20/24 settlement agreement with the U.S. Department of Justice regarding children’s behavioral health services (U.S. Dist. Ct. D. Me., Case No. 1:24-cv-00315-SDN). The adopted rule relocates the reimbursement methodology for TCM services from Chapter III, Section 13, Targeted Case Management (TCM) Services to Chapter II, Section 13.  The Department accomplishes these changes by repealing Chapters II and III, Section 13, and replacing Ch. II, Section 13. The adopted rule and accompanying documents detailing these and other changes may be viewed in their entirety at https://www.maine.gov/dhhs/about/rulemaking.

Effective Date: April 28, 2026

Agency Contact Person: Henry Eckerson, Children’s and Behavioral Health Policy Manager

Agency Name: Department of Health and Human Services, Office of MaineCare Services, Division of Policy

Mailing Address: 11 State House Station, 109 Capitol Street, Augusta, ME 04333-0011

Telephone Number: (207) 624-4045

Email Address: henry.eckerson@maine.gov