Maine Medicaid expansion via federal waiver

The Centers for Medicare and Medicaid Services (CMS) has granted Maine a federal waiver to expand Medicaid coverage through MaineCare.

One component of the waiver allows correctional facilities to bill for specific clinical services provided to incarcerated individuals up to 60 days before their release. These services include medication-assisted treatment for substance use disorder, physical and behavioral health case management, diagnostic services, family planning, and treatment for HIV and hepatitis C. The waiver also covers a 30-day supply of prescription medications upon release, a move intended to alleviate financial pressure on local jurisdictions that have previously relied on grants and opioid settlement money.

Additionally, the waiver enables tribal health clinics to bill MaineCare for traditional Wabanaki healing practices, such as smudging, sweat lodges, and talking circles. While these practices are currently provided by tribal clinics using alternative revenue, the implementation of Medicaid coverage is expected by 2028 following negotiations between tribal leaders and state officials. This expansion must remain budget neutral under federal terms.