MaineCare Members

MaineCare rules have changed, and there are now free and low-cost health coverage options for more people in Maine. See the CoverMe document for more information or to find out if you qualify for a free or low-cost health plan, go to CoverMe.gov.

Applying for MaineCare (Medicaid)

MaineCare provides low-cost and free health insurance to Mainers who meet certain requirements, usually based on household income. MaineCare covers doctor visits, emergencies, substance use disorder treatment, prescription drugs, and more. For more detail about MaineCare's income guidelines, see the Eligibilty section of the DHHS MaineCare webpage.

There are several ways to apply for MaineCare:

Online - The fastest route to apply is through My Maine Connection. If you apply online, make sure to save your confirmation number and a PDF copy of the application for your records.

By mail - Download the MaineCare Application (Word) and mail your completed application to: 114 Corn Shop Lane, Farmington, ME 04938.

In person - Visit a local DHHS Office For Family Independence (OFI) to apply in person. OFI offices are located throughout the state. To find your nearest office, visit the Office Finder webpage. Staff are available Monday-Friday from 8:00am-5:00pm to assist applicants, but due to high demand there may be a significant wait time.

You can also complete your annual review (re-certification) or tell an eligibility worker about changes to your address, income, assets, or when people move in or out of your home by going to My Maine Connection.

Changes in MaineCare Benefits

Electronic Visit Verifification Letter - January 2019

Please see the Archives page for more a history of letters about changes.

MaineCare Resources

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MaineCare Program Information

Accountable Communities Program

An Accountable Community is a group of doctors and other health care providers who work together to give better health care to their patients.

MaineCare scores these providers on quality tests to make sure they are giving good care to members. You can see how your providers score compared to other providers. 

See the MaineCare Accountable Communities Provider List for all the providers who are part of this program.

Behavioral Health Homes Stage B                  

Early, Periodic, Screening, Diagnosis, and Treatment (EPSDT) Program

The EPSDT program provides preventive care to children with MaineCare who are under 21 years old. Preventative care helps to catch and treat disease or ill health early, when it is easier to treat. The EPSDT program focuses on care for the physical, oral, and mental or behavioral health of the child. This program can pay for medically necessary services or equipment that are not listed in the MaineCare policy if needed to prevent illness or injury to a child.

Estate Recovery

Estate recovery is a process required by the federal government for states to seek reimbursement for Medicaid (MaineCare, in Maine) benefits from the estates of deceased Medicaid recipients. See the Estate Recovery Overview for details about when MaineCare recovers estates.

Health Homes

HealthInfoNet

HealthInfoNet is a private computer system for doctors, hospitals, and other caregivers to share medical information.

  • Choices Flyer - This flyer explains your choices for sharing health information in your health record with your healthcare providers.
  • Opt-out Form - 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 - Complete this form if you choose to share the health information in your record again.

HIV Waiver

Katie Beckett

MaineCare for children who have special needs.

Private Health Insurance Premium (PHIP) Benefit

PHIP is for MaineCare members who also have private health insurance. The program pays for a member's private health insurance premium.

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

Transportation

For information about Non-Emergency Transportation (NET) to MaineCare covered services, see the Non-Emergency Transportation webpage.

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Contact Us

  • MaineCare Member Services - Call MaineCare Member Services to find out what services are covered by MaineCare or to ask questions about your benefit. You can call: 1-800-977-6740, TTY: 711. You can also e-mail.
  • Pharmacy Help Desk - Contact the Pharmacy Help Desk for questions about prescription drug benefits,medication prior authorizations, mail order options, generic drugs, and Medicare Part D. You can call: 1-866-796-2463, TTY: 711.
  • Eligibility Office - Contact the eligibility office at the Office for Family Independence to apply for MaineCare, or to report name, address, income, and other changes. You can go to My Maine Connection, or call: 1-855-797-4357.

See the MaineCare Member Handbook for more information.

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