For MaineCare Members

• Applying for MaineCare
• Changes in MaineCare Benefits
• Current MaineCare Members
• Find a MaineCare Provider
• Health Homes Project
• HealthInfoNet
• Improving Health Outcomes for Children (IHOC) Project
• Informational Materials
• Katie Beckett
• Private Health Insurance Premium (PHIP) Benefit
• Policies and Rules
• Value Based Purchasing Project

News

Changes in MaineCare Benefits

• June 2013: Medicaid/Medicare Mail-Order Diabetic Testing Supplies (.pdf)
• June 2013: Elimination of Intensive Mental Health Services for Infants and/or Toddlers (Ch. II, Section 97, PNMI, Appendix D: Child Care Facilities) (.pdf)
• March 2013: Therapeutic and Hospital Leave Days (.pdf)
• December 2012: Changes to opioid, Suboxone, and methadone coverage (.pdf)
• September 2012: Ambulatory Surgical Center Services (.pdf)
• September 2012: Smoking Cessation (.pdf)
• July 2012 Benefit Changes (.pdf)
• April 2012 Benefit Changes (.pdf)
• Pain Management Program webpage has more information about changes to opioid treatment coverage
• Addiction Services webpage has more information about changes to Suboxone and methadone coverage

Informational Materials

• Durable Medical Equipment Nutritional Providers 4/06/2012 (.pdf)

Health Homes

• Health Homes Stage A Member Pamphlet (.pdf)
• List of Confirmed Health Homes 1/10/2013 (.pdf)

HealthInfoNet

Private computer system for doctors, hospitals, and other caregivers to share medical information.

• HealthInfoNet Flyer and Opt-out Form (.pdf)

Improving Health Outcomes for Children (IHOC)

• Summary document about the IHOC project (.pdf) Updated 1/10/2013

Katie Beckett

This program is for children who have special needs and/or high medical needs.

• What is Katie Beckett (.pdf )
• Katie Beckett Elgibility and Cap Information (.pdf)

Private Health Insurance Premium (PHIP) Benefit

This program is for MaineCare members who are eligible for MaineCare to pay for their private health insurance premium.

• PHIP Brochure (.pdf)
• To apply for PHIP call: 1-800-977-6740, TTY: 711.

For current MaineCare Members . . .

• Co-pay schedule (.doc) lists how much members pay for their care or prescription drugs. Updated 09/24/2012
• Covered service changes visit the Policies/Rules - Proposed, Recently Adopted, Emergency and Other Rules pages.
• MaineCare Benefits Manual is the legal document explaining covered services. To find out what benefit package you have and what services are covered by MaineCare, contact MaineCare Member Services at: 1-800-977-6740, TTY: 711.
• MaineCare Member Handbook explains the basics of the MaineCare Program in easy-to-understand terms.MaineCare has different benefits based on your income, age, medical needs, and family situation.
• Name, address and other changes, you should report to your eligibility specialist at the Department of Health and Human Services local office.
• Prescription drug benefits For questions about prescription drug benefits, mail order options, and generic drugs, contact the DHHS Pharmacy Unit Member Help Desk at: 1-866-796-2463, TTY: 711. You can also see MaineCare's Preferred Drug List (PDL). Information about Medicare Part D plans can be found on the Office of Aging & Disability Services webpage.

Becoming a MaineCare Member

To apply for MaineCare, call or visit the Department of Health and Human Services local office closest to where you live. Ask to talk to an eligibility specialist.

Applications for MaineCare and other assistance programs are also available online.

MaineCare is available to people who meet the income guidelines and are eligible based on age and family situations. To see if you are eligible for MaineCare, please contact your local DHHS office.

There are programs for children who have special needs and for adults who have low income. See the MaineCare Member Handbook (.doc | .pdf) for more information.