New MaineCare Members
This letter (Word) includes information that is helpful to new MaineCare members.
You will get a card with your unique number on it. Your card can only be used for your health care services.
The MaineCare Member Handbook (PDF) includes information about the MaineCare program, benefits and services that MaineCare may cover, and community resources available.
In most situations, if you disagree with a MaineCare decision to deny, terminate, or reduce your covered services, you have a right to a Fair Hearing.
When MaineCare makes a decision about your services, you will receive a letter explaining the decision. The letter will also tell you how you can ask for a Fair Hearing if you disagree with the decision. You can ask for a Fair Hearing up to 60 days from the date of your letter. If you ask for a Fair Hearing within 10 days of the date on the letter, your current services will continue until a decision is made.
How do I request a hearing?
Call MaineCare Member Services at 1-800-977-6740. TTY users, dial 711(Maine relay). You can also email.
You can also write to:
- MaineCare Hearings Coordinator
- Division of HealthCare Management
- MaineCare Services
- 11 State House Station
- Augusta, ME 04333-0011
For more detail about the fair hearing process, see the MaineCare Member Handbook (PDF).
HIPAA, Privacy, and Security
See the Department of Health and Human Services’ Privacy and Security of Health Information webpage for detail about how we protect your personal information and for the Authorization to Release Information form.
HealthInfoNet is a private computer system for doctors, hospitals, and other caregivers to share medical information.
- Choices Flyer (PDF) - This flyer explains your choices for sharing health information in your health record with your healthcare providers.
- Opt-out Form (PDF) - Complete this form if you choose not to share the health information in your record. If you want to share your health information with your healthcare providers, you do not have to do anything.
- Opt-Out Revoke Form (PDF) - Complete this form if you choose to share the health information in your record again.
If you do not speak English, have limited-English speaking ability, or are deaf or hard of hearing, you can have an interpreter help you. If you want an interpreter at your appointment, you must ask your provider in advance.
If you prefer, you can have a family member or a friend over age 18 interpret for you. You must give this person permission to go with you to an appointment and set it up with your provider before your appointment. MaineCare cannot pay a family member or friend to interpret for you.
Interpreter services are also available when calling MaineCare Member Services.
COVID-19 and MaineCare
MaineCare members who are tested for COVID-19 will not be charged for the test. For information about how MaineCare has made changes to improve your access to healthcare services, pharmacy, transportation to covered-services, and other COVID-19 impacts, see the Information for MaineCare Members section of our COVID-19 (Coronavirus) webpage.
Electronic Visit Verification (EVV)
MaineCare members who receive Personal Care Services (PCS) or Home Health Care Services (HHCS) will be asked by your provider to confirm your in-home visit took place. This is because of a new federal requirement. You will confirm the visit took place by signing your name on the providers mobile phone or tablet or by speaking into the provider's mobile phone. Your PCS or HHCS benefits and services are not changing.
Please see the following documents for more information:
Questions? Contact us.