Every state, kept current
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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Maine schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Maine's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,846 | Jul 2026 | 67.2% | $90.16 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,023 | Jun 2026 | 71.4% | $22.28 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,857 | Jul 2026 | 100% | $89.69 Continuous positive airway pressure (cpap) device (E0601) | -- |
| Drugs | 635 | Jul 2026 | -- | -- | -- |
| Vision | 75 | 2026 | 68.2% | $102.90 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 39 | Jul 2026 | 70.8% | $118.41 Psychotherapy, 60 minutes (90837) | -- |
| Hearing | 29 | 2026 | -- | -- | -- |
| Transport | 16 | Jul 2026 | -- | $313.02 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| State-Specific Services | 170 | Jul 2026 | 100% | -- | -- |
| Dental | Maine's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Maine also publishes 1 anesthesia code (2026), too few or too old to summarize here.
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Where Maine publishes its fee schedules
- Publisher
- Maine Department of Health and Human Services, Office of MaineCare Services (DHHS)
- Program
- MaineCare
- Official source
- https://mainecare.maine.gov/Provider%20Fee%20Schedules/Forms/Publication.aspx?RootFolder=/Provider+Fee+Schedules/Rate+Setting
- Last checked
- Aug 21, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Maine schedules, every category and every code, export as CSV on the Rates plan.
Compare Maine nationally
Frequently asked questions
Does Maine publish a Medicaid fee schedule?
Yes. Maine publishes 11,690 Medicaid fee-for-service procedure rates across 9 service categories, effective through Jul 2026, all collected and normalized here with plain-language procedure names. Maine Department of Health and Human Services, Office of MaineCare Services (DHHS) publishes Maine's Medicaid fee schedules for MaineCare.
Who publishes Maine's Medicaid fee schedule?
Maine Department of Health and Human Services, Office of MaineCare Services (DHHS) publishes Maine's Medicaid fee schedules for MaineCare. The state's own fee-schedule page is https://mainecare.maine.gov/Provider%20Fee%20Schedules/Forms/Publication.aspx?RootFolder=/Provider+Fee+Schedules/Rate+Setting. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).
What does Maine Medicaid pay for common services?
An established-patient office visit (99213) pays $90.16, a two-view chest X-ray (71046) $22.28 and a CPAP device (E0601) $89.69. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Maine's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Maine's published rates run a median 67.6% of the Medicare amount, ranking 45 of 49 jurisdictions with a comparable basis.
What service categories does Maine publish?
Physician (6,846 codes), Lab & Imaging (2,023 codes), DME & Supplies (1,857 codes), Drugs (635 codes), Vision (75 codes), Behavioral Health (39 codes), Hearing (29 codes), Transport (16 codes), State-Specific Services (170 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Maine's currently published fee schedules, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.