Option 1: Apply online through My Maine Connection. Option 2: Download the MaineCare Application and mail it to: Office for Family Independence 114 Corn Shop Lane Farmington, ME 04938 Option 3: E-mail an application to Farmington.DHHS
United States Department of Health and Human Services
The United States Department of Health & Human Services, also known as the Health Department, is a cabinet-level department of the U.S. federal government with the goal of protecting the health of all Americans and providing essential human services. Its motto is "Improving the health, safet…
Full Answer
How do I apply for MaineCare?
Department of Health and Human Services 109 Capitol Street 11 State House Station Augusta, Maine 04333. Phone: (207) 287-3707 FAX: (207) 287-3005 TTY: Maine relay 711
What is MaineCare (Medicaid)?
Online Application To apply for benefits and services online, visit My Maine Connection. Once there, you can: Apply for services Complete recertifications Review case information Submit changes or View your benefit history for the past 12 months Forms ASPIRE/TANF Family Contract (PDF)
How do I know if a service is covered by MaineCare?
How do I apply for MaineCare? To apply for MaineCare you must fill out an application. You can get this application from your local DHHS office or by calling Member Services at 1-800-977-6740. You may also download a copy of the application. Once you have filled out the application return it to your local DHHS office. Back to Top
Who is responsible for processing MaineCare applications and determining eligibility?
If you have questions about MaineCare, call the Office of MaineCare Services at: (207)287-2674 OR TTY: 711. You can apply for MaineCare online by visiting the “My Maine Connection” website. Visit the My Maine Connection website by clicking here. To find out what your MaineCare benefits are, check out the MaineCare Member Handbook by clicking here.
What is MaineCare?
MaineCare provides free and low-cost health insurance to Mainers who meet certain requirements, based on household composition and income.
Next Steps
After you submit your application, you will be contacted if any additional documents or information is needed. You will then receive a written notice indicating whether you have been enrolled in the MaineCare program.
MaineCare Information for Members
If you have question about MaineCare benefits, need help finding a provider, or have other questions, please visit the Office of MaineCare Services for assistance.
Paying Premiums Online
OFI has a new Online Payment Portal for individuals to make online payments for their MaineCare Premiums. The Portal went live on Monday, August 31st, 2020. The payment portal provides an efficient and secure way for premium payments to be made online, instead of having to send payment by mail each month.
Apply for MaineCare
Ready to apply? Applications for MaineCare are processed by the Office for Family Independence. Learn how to apply today.
Contact MaineCare
If you have questions or need help, the Contact Us page can help you find the right person at MaineCare.
Coverage
If one of these coverage groups describes your situation and you meet eligibility requirements, you may be covered by MaineCare’s full benefit package:
How to Apply
Ready to apply? Learn about your options for applying online, by mail, and in person. Applications for MaineCare are processed by DHHS’s Office for Family Independence.
Preventive Services
MaineCare pays for many preventive services. These services keep you well and can find health problems before they become serious.
Other Covered Services
MaineCare covers only services that are medically necessary. There may be limits on how many times you can use a service.
Adult Dental Coverage
MaineCare covers limited dental services for adults in order to prevent tooth decay and periodontal gum disease. See the Adult Dental Services Summary (PDF) for details about what dental services MaineCare covers for adults. See the About Dental Pain (PDF) flyer for more information about what to do if you have dental pain.
MaineCare Member Services Can Help
To see if a service you need is covered, call MaineCare Member Services at 1-800-977-6740. TTY users, dial 711. Make sure MaineCare covers the service you need before you get care. There are limits or special rules for most covered services.
Online Application
To apply for benefits and services online, visit My Maine Connection. Once there, you can:
Paper Applications
Use this application if you would like to apply for a MaineCare program, including:
Forms
Complete this form when applying for TANF or Parents as Scholars (PaS)
How much can a spouse retain for Medicaid?
For married couples, with one spouse as a Medicaid nursing home applicant or Medicaid waiver applicant, the community spouse (the non-applicant spouse) can retain up to a maximum of $130,380 (in 2021) of the couple’s joint assets, as the chart indicates above.
What are some examples of Medicaid?
Examples include paying for home modifications, like the addition of wheelchair ramps or stair lifts, prepaying funeral and burial expense s, and paying off debt. 2) Medicaid Planning – the majority of persons considering Medicaid are “over-income” or “over-asset” or both, but still cannot afford their cost of care.
What is institutional Medicaid?
1) Institutional / Nursing Home Medicaid – is an entitlement (anyone who is eligible will receive assistance) and is provided only in nursing homes. 2) Medicaid Waivers / Home and Community Based Services – Limited number of participants. Provided at home, adult day care, or in assisted living.
How much is the MMMNA in 2021?
From July 2021 – June 2022, the MMMNA is $2,177.50. That said, the non-applicant spouse may be entitled to an even greater spousal allowance (income allowance), up to $3,259.50 / month, based on one’s mortgage / rent and utility costs. (This figure is effective January 2021 – December 2021).
What are countable assets?
Countable assets include cash, stocks, bonds, investments, IRAs, credit union, savings, and checking accounts, and real estate in which one does not reside. However, for Medicaid eligibility, there are many assets that are considered exempt (non-countable).
What is CSRA in Medicaid?
This, in Medicaid speak, is called the Community Spouse Resource Allowance (CSRA) and is intended to prevent spousal impoverishment of non-applicant spouses. As with the income allowance, the resource allowance does not apply to married couples with one spouse applying for regular Medicaid.
What is the medically needy pathway?
1) Medically Needy Pathway – This program allows seniors who meet all other Medicaid eligibility requirements, but have income over the limit, to still be eligible for Medicaid if they have high medical expenses.
What is an annuity contract?
Annuity contract. Trust agreement in which you are a beneficiary or a grantor. Prepaid burial contracts. Documentation of liquid assets that you presently own and/or those owned currently by your spouse such as savings bonds, IRA, deposits, statement of checking and savings accounts, any investments, and the like.
What is a trust agreement?
Trust agreement in which you are a beneficiary or a grantor. Prepaid burial contracts. Documentation of liquid assets that you presently own and/or those owned currently by your spouse such as savings bonds, IRA, deposits, statement of checking and savings accounts, any investments, and the like.
What Is MaineCare?
What Does It Cover?
- MaineCare covers: 1. doctor visits, 2. emergencies, 3. substance use disorder treatment, 4. prescription drugs, and more.
Who Is Eligible?
- You may be eligible for MaineCare if your monthly income (before you pay taxes) is up to:
*Add 1 to household size for each baby expected. You may still qualify even if you are over the income limits. Please refer to the eligibility guidelines (PDF)for detailed information about income limits for different MaineCare coverage categories. Even if you do not qualify for MaineCare, yo…
Next Steps
- After you submit your application, you will be contacted if any additional documents or information is needed. You will then receive a written notice indicating whether you have been enrolled in the MaineCare program. Note: The Office for Family Independence is responsible for processing MaineCare applications and determining eligibility. Once enro...
MaineCare Information For Members
- If you have question about MaineCare benefits, need help finding a provider, or have other questions, please visit the Office of MaineCare Servicesfor assistance.
Paying Premiums Online
- OFI has a new Online Payment Portal for individuals to make online payments for their MaineCare Premiums. The Portal went live on Monday, August 31st, 2020. The payment portal provides an efficient and secure way for premium payments to be made online, instead of having to send payment by mail each month. This portal serves as another option to make these payments and …
Coverage
Preventive Services
Other Covered Services
Services Not Covered
Adult Dental Coverage
Quitting Tobacco
MaineCare Member Services Can Help
- To see if a service you need is covered, call MaineCare Member Services at 1-800-977-6740. TTY users, dial 711. Make sure MaineCare covers the service you need before you get care. There are limits or special rules for most covered services.