News

State of Maine Health Plan Dependent Eligibility Audit 

The State of Maine has partnered with an independent firm, HMS, to conduct a health plan dependent eligibility audit to ensure that the State's health plan continues to cover the intended population. 

HMS has begun mailing preliminary audit instructions to health plan subscribers who are covering dependents and will continue to communicate with these plan subscribers throughout the duration of the audit process. We ensure you that all HMS audit communications are legitimate and urge employees to address the audit requirements in a timely manner.  

Health plan subscribers must provide all required documentation for each enrolled dependent to HMS by or before February 1st, 2021 to continue to cover their dependent(s) under the State of Maine health plan. 

Audit Resources: 

Eligible Dependents are defined as: 

  • Your legal spouse 
  • Your qualifying Domestic Partner 
  • Your child up to age 26
  • Your disabled child age 26 and older, who is incapable of self-support due to mental or physical disability 

If you would like to view the status of your submitted documents, please visit the following website. Please note that this website will no longer be accessible as of end of day Friday, February 5th, 2021.