Maine Medicaid reimbursement rates
27,586 current fee-for-service and managed-care rates from Maine Medicaid, across 129 services and 6 programs, normalized by code, provider level and unit. Each links to one of 78 official source documents.
Last retrieved 2026-10-05. History back to 2010-09-01.
- Current rates
- 27,586
- Services
- 129
- Programs
- 6
- Lines with a plan rule
- 0of 22 service lines
By industry
Applied behavior analysis (ABA)Maine rates, labor costs and changesBehavioral healthMaine rates, labor costs and changesHome healthMaine rates, labor costs and changesHome care & personal careMaine rates, labor costs and changesPrivate duty nursingMaine rates, labor costs and changesSkilled nursing facilitiesMaine rates, labor costs and changesHospiceMaine rates, labor costs and changesIntellectual & developmental disabilitiesMaine rates, labor costs and changesOutpatient therapy (PT, OT, speech)Maine rates, labor costs and changes
Maine rates by service
The median current rate for each service, like-for-like by unit. Follow a service to compare it with every other state.
Most-compared billing codes in Maine
Where Maine ranks among states for codes published widely. Rank 1 = highest rate.
| Code | Service | Maine | All-state median | Rank |
|---|---|---|---|---|
| 10005 | Physician and practitioner services (fee schedule) | $89.62 | $85.55 | 23 of 48 |
| 10006 | Physician and practitioner services (fee schedule) | $41.15 | $45.64 | 33 of 48 |
| 10007 | Physician and practitioner services (fee schedule) | $230.83 | $186.96 | 19 of 48 |
| 10008 | Physician and practitioner services (fee schedule) | $95.25 | $92.51 | 23 of 48 |
| 10009 | Physician and practitioner services (fee schedule) | $277.36 | $273.41 | 23 of 48 |
| 10010 | Physician and practitioner services (fee schedule) | $158.22 | $153.30 | 23 of 48 |
| 10021 | Physician and practitioner services (fee schedule) | $68.11 | $71.68 | 27 of 48 |
| 10030 | Physician and practitioner services (fee schedule) | $416.25 | $382.62 | 21 of 48 |
| 10060 | Physician and practitioner services (fee schedule) | $87.02 | $88.74 | 26 of 48 |
| 10061 | Physician and practitioner services (fee schedule) | $148.85 | $153.30 | 28 of 48 |
| 10080 | Physician and practitioner services (fee schedule) | $180.40 | $129.47 | 19 of 48 |
| 10081 | Physician and practitioner services (fee schedule) | $254.44 | $200.51 | 20 of 48 |
| 10120 | Physician and practitioner services (fee schedule) | $106.08 | $98.41 | 22 of 48 |
| 10121 | Physician and practitioner services (fee schedule) | $185.75 | $171.22 | 22 of 48 |
| 10140 | Physician and practitioner services (fee schedule) | $117.60 | $109.79 | 22 of 48 |
| 10160 | Physician and practitioner services (fee schedule) | $88.86 | $86.10 | 23 of 48 |
| 10180 | Physician and practitioner services (fee schedule) | $192.73 | $181.20 | 21 of 48 |
| 11000 | Physician and practitioner services (fee schedule) | $40.16 | $37.55 | 20 of 48 |
| 11001 | Physician and practitioner services (fee schedule) | $18.37 | $17.78 | 23 of 48 |
| 11004 | Physician and practitioner services (fee schedule) | $341.26 | $437.24 | 41 of 48 |
| 11005 | Physician and practitioner services (fee schedule) | $463.40 | $593.30 | 39 of 48 |
| 11006 | Physician and practitioner services (fee schedule) | $419.97 | $545.22 | 41 of 48 |
| 11008 | Physician and practitioner services (fee schedule) | $163.28 | $210.47 | 39 of 48 |
| 11010 | Physician and practitioner services (fee schedule) | $315.08 | $279.22 | 20 of 48 |
| 11011 | Physician and practitioner services (fee schedule) | $360.67 | $321.34 | 20 of 48 |
| 11012 | Physician and practitioner services (fee schedule) | $460.86 | $431.82 | 21 of 48 |
| 11042 | Physician and practitioner services (fee schedule) | $89.28 | $82.72 | 21 of 48 |
| 11043 | Physician and practitioner services (fee schedule) | $161.58 | $165.09 | 27 of 48 |
| 11044 | Physician and practitioner services (fee schedule) | $216.70 | $227.02 | 27 of 48 |
| 11055 | Physician and practitioner services (fee schedule) | $47.16 | $38.32 | 17 of 48 |
| 11056 | Physician and practitioner services (fee schedule) | $54.72 | $45.25 | 17 of 48 |
| 11057 | Physician and practitioner services (fee schedule) | $60.03 | $50.83 | 17 of 48 |
| 11102 | Physician and practitioner services (fee schedule) | $64.44 | $70.00 | 28 of 48 |
| 11103 | Physician and practitioner services (fee schedule) | $32.91 | $36.04 | 27 of 48 |
| 11104 | Physician and practitioner services (fee schedule) | $81.67 | $82.45 | 25 of 48 |
| 11105 | Physician and practitioner services (fee schedule) | $40.62 | $42.01 | 26 of 48 |
| 11106 | Physician and practitioner services (fee schedule) | $101.82 | $100.59 | 23 of 48 |
| 11107 | Physician and practitioner services (fee schedule) | $47.76 | $48.97 | 25 of 48 |
| 11300 | Physician and practitioner services (fee schedule) | $65.01 | $49.39 | 19 of 48 |
| 11301 | Physician and practitioner services (fee schedule) | $78.55 | $63.36 | 19 of 48 |
Managed care in Maine
7 plans on record, 0 state-directed payment records.
Who sets the rate, line by line →Recent rate changes and notices
Frequently asked questions
Where does Maine publish its Medicaid fee schedules?
Maine publishes rates across 78 official documents (fee schedules, rate notices and bulletins). Every rate on this page links to its source document.
How many Medicaid rates does Maine publish?
27,586 rates are current across 129 services and 6 programs, with 123,292 versions on record since 2010-09-01.
Do Maine Medicaid managed-care plans pay the fee schedule?
For 0 of 22 service lines, plan contracts or state law set a rule plans must follow (a floor, a state-set rate or a required pass-through). For the rest, plans negotiate. See the managed-care page for each line's rule and citation.
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Your Maine rate cardYour codes, what Maine pays, what plans must pay, and every change in 2026.