Maine’s 1115 Waiver Request

Maine continues to have a pending 1115 Waiver Request to make changes to MaineCare. The proposed changes include work requirements and monthly premiums for “able-bodied adults”, co-payments for “inappropriate emergency department use”, and a provision allowing providers to charge MaineCare members for missed appointments.

If approved, these waiver requests could have an impact on those utilizing MaineCare. This would not affect those on marketplace plans, employer health plans or Medicare.

While the comment period for the Waiver has ended, NEBDAC and HAM are keeping an eye on the issue and will update the community with changes as they occur.

See the proposed changes here.

Check the pending status here.