Maine Regulation Digest What MaineCare changed, section by section, with the words it used. urn:hornbeam:digest:maine-regulation 2026-08-22T07:19:46Z Mike Preble MaineCare Expansion adults will renew eligibility every 6 months instead of every 12 months beginning January 1, 2027. urn:hornbeam:changeevent:601df7b09e32063aaeae82f4912a4c50fde3a7c28251a471dded4715aaa5709f 2026-08-22T07:19:46Z Eligibility renewals every 6 months instead of every 12 months. The Department corrected an FY26 ICF/IID rate-calculation error that had overinflated the variable rate; revised rate letters are available. urn:hornbeam:changeevent:6352693ca78ee64e65c8c36baa64eaae5ec7b9e95b7ad8b1d406531c8be6c4d8 2026-08-16T11:45:27Z The Department recently identified and corrected an error in the FY26 (July 1, 2025 – June 30, 2026) rate calculations for ICF/IIDs. This error resulted in overinflation of the variable rate. Retroactive MaineCare coverage for Expansion Adults will be limited to 1 month instead of 3 months. urn:hornbeam:changeevent:38c3912fd3df746ceeafcce63b1d4bb3620187b20f3a305d3ce165aee6e9fe4d 2026-08-16T11:45:27Z Retroactive coverage of 1 month instead of 3 months. Update the MaineCare reference rate for procedure code 92620 to $61.79. urn:hornbeam:changeevent:e0f5ecb329fc0da6cdec03587aa0f76f15b3917ce7d77050fc908ec7a32411ee 2026-08-14T16:55:40Z 92620 $61.79 Update the reference rate for CPT code 88381 with modifier 26 to 21.57. urn:hornbeam:changeevent:86d8affb9eccd2062259f0dae1a914abb286d1212be05a68f6f602ad23136014 2026-08-14T16:54:11Z 88381 26 $21.57 Update the J9358 reference rate for dates of service from July 1, 2025 through September 30, 2025. urn:hornbeam:changeevent:2638221788fa554ca6320219b3a0fdff47002db68aaff2ed20845d5c68ee9363 2026-08-14T16:52:36Z J9358 7/1/2025 9/30/2025 $30.00 $28.30 Update the J9334 reference rate for dates of service from October 1, 2025 through December 31, 2025. urn:hornbeam:changeevent:c2a27104a1941760340f212fbae02a6545aa082fb148915b2da283181086dc75 2026-08-14T16:52:32Z J9334 10/1/2025 12/31/2025 $33.89 $33.87 Update the J9334 reference rate for dates of service from April 1, 2025 through June 30, 2025. urn:hornbeam:changeevent:3eb7508ec97080d66102aa84b12c096c1a260c6be12ce443130d9a5bd5b18d1a 2026-08-14T16:52:24Z J9334 4/1/2025 6/30/2025 $33.37 $33.33 Update the J9308 reference rate for dates of service from January 1, 2026 through March 31, 2026. urn:hornbeam:changeevent:026149ce65d472b60e47176638b38c99970ac94bcd9fb320058f4286ea497fd5 2026-08-14T16:52:10Z J9308 1/1/2026 3/31/2026 $75.58 $75.72 Update the D9225 reference rate to $205.25 effective July 1, 2026. urn:hornbeam:changeevent:529f72f0431955f1a1d53e8814413309db97483d74ee22eb0bd3d0d0f96d4139 2026-08-14T16:51:37Z D9225 $205.25 Update the NF DAP program rate to $129.68 per day for services delivered on or after July 1, 2026. urn:hornbeam:changeevent:de1381005810eb8949afe48997314dde09dbf12853a01a52ea4db061c4541535 2026-08-14T16:51:19Z NF DAP rate is $129.68 per day Update the Section 18 Home Support Level III Increased Neurobehavioral rate for 5–8 beds from $559.55 to $527.87 per diem. urn:hornbeam:changeevent:60629e6d5ff4fca27bc99ca25b5cc7aa6994a88bfe60e00750d9d7c61af72786 2026-08-14T16:51:01Z T2016 U9 TG TT Home Support (Residential Habilitation) Level III - Increased Neurobehavioral, 5-8 Beds Per Diem $559.55 $527.87 Update the Section 20 service name from Community Membership to Community Support. urn:hornbeam:changeevent:9b06397dec5ad08dc07f76938d32b15b9003a589f0c80176bd7db7442c1d7302 2026-08-12T20:16:32Z The Department adds Community Support (formerly called Community Membership) services as follows: Rename the Section 89.04-2(D) requirement from Consent Forms to Documentation of Consent. urn:hornbeam:changeevent:c209ec8307feba6c9de1064b55f4c9cada44d55af296757d0214acd6f13de6de 2026-08-12T20:14:34Z First, the Department changed the phrase “Consent Forms” to “Documentation of Consent” in Section 89.04-2(D).