Maine Medicaid: MaineCare

MaineCare provides health coverage to eligible Maine residents who cannot afford the cost of medical care, including low-income adults, children, pregnant women, elderly adults, and people with disabilities.

It covers essential health care services, including doctor visits, prescription medications, mental health and substance use disorder treatment, hospital care, surgery, and emergency services.

MaineCare primarily operates as a fee-for-service program for its general health coverage where the state pays doctors and hospitals directly.

FAQ

What is the income limit for MaineCare in Maine?

As Maine has expanded its Medicaid, eligibility now includes all adults ages 19—64 with family income up to 138% of the federal poverty level. Eligibility for children under 21 was expanded to 305% of the FPL, significantly increasing the income threshold for families.¹

Families over the income limit may still qualify through a “spend-down” program, which works like a deductible for medical expenses.

How do I apply for MaineCare for my child?

To see if you or your child is eligible for MaineCare, go to CoverME.gov  or call (855) 797-4357 if you prefer to enroll by phone.

How long does it take to get approved for MaineCare?

It usually takes DHHS a couple weeks to make a decision. If it takes them longer than 45 days, you may be able to get temporary coverage.

Maine Department of Health and Human Services
Office of MaineCare Services
(800) 977-6740