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.
- MaineCare Expansion
- Applying for MaineCare (Medicaid)
- Changes in MaineCare Benefits
- HIPAA Notice of Privacy Practices
- MaineCare Member Handbook
- MaineCare Resources
- MaineCare Programs
- Contact Us
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.
Electronic Visit Verifification Letter - January 2019
Please see the Archives page for more a history of letters about changes.
- Find a MaineCare Provider
- MaineCare Member Handbook - The 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. - Updated March 2019
- New MaineCare Member Welcome Letter - This letter has information about the MaineCare card, member handbook, and who to contact.
- Proposed, Recently Adopted, Emergency and Other Rules - MaineCare rules changes.
- MaineCare Benefits Manual The manual is the legal document explaining covered services.
- MaineCare's Preferred Drug List (PDL) - Lists medication your doctor can prescribe without special permission from MaineCare.
- Co-pay schedule: Lists how much MaineCare members pay for care and prescription drugs. - Updated June 2017
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
- Behavioral Health Homes List
- Map of Participating Behavioral Health Homes
- Behavioral Health Home Informational Page
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 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 Stage A Member Pamphlet
- List of Confirmed Health Homes by County
- Map of Participating Health Homes
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.
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.
For information about Non-Emergency Transportation (NET) to MaineCare covered services, see the Non-Emergency Transportation webpage.
- 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.