Maine Medicaid Application Information

Medicaid or MaineCare is a state and federal funded program that helps low-income individuals living in Maine pay their medical expenses. Medicaid benefits are available for residents of Maine who meet eligibility criteria for one of the eligibility categories for the program.

It is important to note that Maine has not accepted federal Medicaid expansion. As of now, without the expansion, 272,568 people receive Medicaid benefits in Maine. If the state accepts the expansion, 64,000 additional people will receive these benefits. Whereas, 24,000 people will have hope of qualifying for benefits. These 24,000 people have no way of receiving medical insurance unless the state government accepts expansion.

In order to receive Medicaid or MaineCare benefits in Maine, individuals need to meet income and other eligibility criteria for the program. Usually, needy and low-income children, parents, pregnant women, people aged 65 or above, and people with disabilities qualify for Medicaid assistance in Maine.

In addition to general eligibility guidelines, Maine Medicaid requires applicants to meet certain income guidelines as well. These income guidelines are based on Federal Poverty Level (FPL).

If you are eligible for MaineCare or Medicaid, you can apply for benefits by visiting a DHS office in your area. If you need assistance with anything related to Medicaid or MaineCare, you can call 1-207-624-4168 to talk to a representative.

Eligibility Requirements

To apply for Medicaid in Maine, you must be a resident of Maine and a U.S. national or a legal alien. Additionally, you must fall into one of the Medicaid categories given below.

- Children under the age of 19 years

- Pregnant women

- A parent or a relative of a qualified child under the age of 19 years.

- Disabled

- Elderly

- Individual living in a household with at least one disabled or elderly person as a member of the household.

Income eligibility for MaineCare/Medicaid

In order to receive Medicaid benefits in Maine (MaineCare), you need to meet the following income guidelines according to the size of your household.

Number of people in the household Income limit for the household

Household Size Children Young Adults (19-20) Adults (21-64) Pregnant Individuals*
1 $3,706 $3,706 $1,677 N/A
2 $5,013 $5,013 $2,269 $3,518
3 $6,319 $6,319 $2,860 $4,434
4 $7,625 $7,625 $3,450 $5,350
Each additional member Add $1,307 Add $1,307 Add $592 Add $918

If your household consists of more than eight members, you need to add$5,533 for each additional person to find income limit.

It is always a good practice to check income limits with the DHS office or a Medicaid agency at the time of filing application since these guidelines are subject to change with time.

Medicaid Application Instructions

To apply for Medicaid benefits in Maine, you need to meet the general as well as the income eligibility guidelines. If you qualify for Medicaid, you can follow the steps below to file an application for benefits.

Apply online

The easiest way to apply for Medicaid benefits in Maine is to fill an application online. Follow the instructions below to start your online application.

- Visit MaineConnection website.

- Sign in with your username and password. If this is your first visit to this website, then you need to create a new account. It just takes a minute so follow along once you have created your account.

- Once signed in, you can easily start the application.

- If you didn't complete the application in one sitting, you can come back to resume it later. Just sign in again and you will be able to resume your application from where you left it last time.

Apply by mail

If you don't want to complete an online application, you can easily download and print an application. Follow the instructions below to apply for Medicaid/MaineCare by mail.

- Visit this link to download a printable application form.

- Once downloaded, print the application.

- Complete the downloaded application form by providing necessary details.

- Mail the completed application to 114 Corn Shop Lane, Farmington, ME 04938.

Apply by phone

You can also apply for MaineCare or Medicaid in Maine by making a phone call. To enroll using phone, call at 1-855-797-4357.

Apply in person

If nothing above works for you for some reason or you just prefer applying in person, you can visit your local Office for Family Independence. A representative at the office will help you with the Medicaid application process.