Hornbeam reads MaineCare's publications every night and records what changed, quoting the source. 57 confirmed changes are on record across 8 sections of the MaineCare Benefits Manual.
Sources last checked 2026-09-02 04:24 EDT · rebuilt nightly| What changed | Was | Now |
|---|---|---|
| Effective 1 January 2027 · 1 validity window change · fee schedulesmaine.gov · detected 2026-08-22 | ||
| What changedMaineCare Expansion adults will renew eligibility every 6 months instead of every 12 months beginning January 1, 2027.# | Was12 months | Nowdown 6 months |
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| Effective 1 January 2027 · 2 validity window changes · fee schedulesmaine.gov · detected 2026-08-16 · Read the change | ||
| What changedCoverage renewals for MaineCare Expansion Adults will occur every 6 months instead of every 12 months.# | Was12 months | Nowdown 6 months |
| What changedRetroactive MaineCare coverage for Expansion Adults will be limited to 1 month instead of 3 months.# | Was3 months | Now1 month |
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| Effective 1 August 2026 · 2 rate changes · §18CR 141031 · detected 2026-08-12 | ||
| What changedUpdate the Section 18 Home Support Level III Increased Neurobehavioral rate for 2–4 beds from $665.04 to $627.40 per diem.# | Was$665.04 | Nowdown $627.40 |
| What changedUpdate the Section 18 Home Support Level III Increased Neurobehavioral rate for 5–8 beds from $559.55 to $527.87 per diem.# | Was$559.55 | Nowdown $527.87 |
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| Effective 1 July 2026 · 2 rate changes · fee schedulesCR 141416 · CR 141415 · detected 2026-08-12 | ||
| What changedUpdate the CAH swing bed program rate to $409.34 per day for services delivered on or after July 1, 2026.# | Was— | Now$409.34 |
| What changedUpdate the NF DAP program rate to $129.68 per day for services delivered on or after July 1, 2026.# | Was— | Now$129.68 |
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| Effective 1 July 2026 · 4 rate changes · §25maine.gov · detected 2026-08-12 | ||
| What changedUpdate the D9222 reference rate to $205.25 effective July 1, 2026.# | Was— | Now$205.25 |
| What changedUpdate the D9223 reference rate to $205.25 effective July 1, 2026.# | Was— | Now$205.25 |
| What changedUpdate the D9224 reference rate to $205.25 effective July 1, 2026.# | Was— | Now$205.25 |
| What changedUpdate the D9225 reference rate to $205.25 effective July 1, 2026.# | Was— | Now$205.25 |
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| Effective 1 January 2026 · 5 rate changes · fee schedulesCR 140104 · detected 2026-08-12 | ||
| What changedUpdate the J1939 reference rate for dates of service from January 1, 2026 through March 31, 2026.# | Was$0.36 | Nowup $0.51 |
| What changedUpdate the J2270 reference rate for dates of service from January 1, 2026 through March 31, 2026.# | Was$3.04 | Nowup $3.26 |
| What changedUpdate the J2777 reference rate for dates of service from January 1, 2026 through March 31, 2026.# | Was$32.90 | Nowdown $32.87 |
| What changedUpdate the J9055 reference rate for dates of service from January 1, 2026 through March 31, 2026.# | Was$75.58 | Nowup $75.72 |
| What changedUpdate the J9308 reference rate for dates of service from January 1, 2026 through March 31, 2026.# | Was$75.58 | Nowup $75.72 |
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| Effective 1 January 2026 · 4 rate changes · §109CR 138462 · detected 2026-08-12 | ||
| What changedUpdate the MaineCare reference rate for procedure code 92524 to $76.47.# | Was— | Now$76.47 |
| What changedUpdate the MaineCare reference rate for procedure code 92545 to $11.45.# | Was— | Now$11.45 |
| What changedUpdate the MaineCare reference rate for procedure code 92607 to $84.93.# | Was— | Now$84.93 |
| What changedUpdate the MaineCare reference rate for procedure code 92620 to $61.79.# | Was— | Now$61.79 |
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| Effective 1 January 2026 · 24 rate changes · §55CR 140135 · detected 2026-08-12 | ||
| What changedUpdate the reference rate for CPT code 88106 with modifier 26 to 17.15.# | Was— | Now$17.15 |
| What changedUpdate the reference rate for CPT code 88112 to 61.50.# | Was— | Now$61.50 |
| What changedUpdate the reference rate for CPT code 88112 with modifier 26 to 25.34.# | Was— | Now$25.34 |
| What changedUpdate the reference rate for CPT code 88185 to 21.20.# | Was— | Now$21.20 |
| What changedUpdate the reference rate for CPT code 88187 to 33.89.# | Was— | Now$33.89 |
| What changedUpdate the reference rate for CPT code 88300 with modifier TC to 10.96.# | Was— | Now$10.96 |
| What changedUpdate the reference rate for CPT code 88302 to 29.96.# | Was— | Now$29.96 |
| What changedUpdate the reference rate for CPT code 88302 with modifier TC to 23.56.# | Was— | Now$23.56 |
| What changedUpdate the reference rate for CPT code 88304 to 38.16.# | Was— | Now$38.16 |
| What changedUpdate the reference rate for CPT code 88304 with modifier TC to 28.17.# | Was— | Now$28.17 |
| What changedUpdate the reference rate for CPT code 88305 to 66.25.# | Was— | Now$66.25 |
| What changedUpdate the reference rate for CPT code 88305 with modifier TC to 32.17.# | Was— | Now$32.17 |
| What changedUpdate the reference rate for CPT code 88323 with modifier TC to 27.25.# | Was— | Now$27.25 |
| What changedUpdate the reference rate for CPT code 88355 to 133.57.# | Was— | Now$133.57 |
| What changedUpdate the reference rate for CPT code 88355 with modifier TC to 56.65.# | Was— | Now$56.65 |
| What changedUpdate the reference rate for CPT code 88363 to 21.66.# | Was— | Now$21.66 |
| What changedUpdate the reference rate for CPT code 88367 to 98.19.# | Was— | Now$98.19 |
| What changedUpdate the reference rate for CPT code 88367 with modifier 26 to 30.38.# | Was— | Now$30.38 |
| What changedUpdate the reference rate for CPT code 88367 with modifier TC to 67.81.# | Was— | Now$67.81 |
| What changedUpdate the reference rate for CPT code 88368 with modifier 26 to 39.07.# | Was— | Now$39.07 |
| What changedUpdate the reference rate for CPT code 88380 to 110.73.# | Was— | Now$110.73 |
| What changedUpdate the reference rate for CPT code 88380 with modifier 26 to 47.42.# | Was— | Now$47.42 |
| What changedUpdate the reference rate for CPT code 88380 with modifier TC to 63.31.# | Was— | Now$63.31 |
| What changedUpdate the reference rate for CPT code 88381 with modifier 26 to 21.57.# | Was— | Now$21.57 |
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| Effective 1 October 2025 · 5 rate changes · fee schedulesCR 140104 · detected 2026-08-12 | ||
| What changedUpdate the J0588 reference rate for dates of service from October 1, 2025 through December 31, 2025.# | Was$5.57 | Nowdown $5.30 |
| What changedUpdate the J1939 reference rate for dates of service from October 1, 2025 through December 31, 2025.# | Was$0.37 | Nowup $0.54 |
| What changedUpdate the J2270 reference rate for dates of service from October 1, 2025 through December 31, 2025.# | Was$2.18 | Nowup $2.46 |
| What changedUpdate the J9332 reference rate for dates of service from October 1, 2025 through December 31, 2025.# | Was$32.15 | Nowdown $32.10 |
| What changedUpdate the J9334 reference rate for dates of service from October 1, 2025 through December 31, 2025.# | Was$33.89 | Nowdown $33.87 |
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| Effective 1 July 2025 · 3 rate changes · fee schedulesCR 140104 · detected 2026-08-12 | ||
| What changedUpdate the J9332 reference rate for dates of service from July 1, 2025 through September 30, 2025.# | Was$32.16 | Nowdown $30.32 |
| What changedUpdate the J9334 reference rate for dates of service from July 1, 2025 through September 30, 2025.# | Was$33.68 | Nowdown $31.76 |
| What changedUpdate the J9358 reference rate for dates of service from July 1, 2025 through September 30, 2025.# | Was$30.00 | Nowdown $28.30 |
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| Effective 1 July 2025 · 1 notice · §50CR 141649 · detected 2026-08-16 · Read the change | ||
| What changedThe Department corrected an FY26 ICF/IID rate-calculation error that had overinflated the variable rate; revised rate letters are available.# | Was— | Nowicf-iid-fy26-variable-rate |
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| Effective 1 April 2025 · 2 rate changes · fee schedulesCR 140104 · detected 2026-08-12 | ||
| What changedUpdate the J9332 reference rate for dates of service from April 1, 2025 through June 30, 2025.# | Was$32.38 | Nowdown $32.24 |
| What changedUpdate the J9334 reference rate for dates of service from April 1, 2025 through June 30, 2025.# | Was$33.37 | Nowdown $33.33 |
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| Effective 6 December 2023 · 1 name change · §89maine.gov · detected 2026-08-12 · Read the change | ||
| What changedRename the Section 89.04-2(D) requirement from Consent Forms to Documentation of Consent.# | WasConsent Forms | NowDocumentation of Consent |
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| Effective 1 July 2023 · 1 name change · §20maine.gov · detected 2026-08-12 · Read the change | ||
| What changedUpdate the Section 20 service name from Community Membership to Community Support.# | WasCommunity Membership | NowCommunity Support |
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