Maine People Can Now Get Expanded MaineCare Benefits!

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Maine People Can Now Get Expanded MaineCare Benefits!

In November 2017, Maine voters passed a law requiring our state to expand Medicaid under the Affordable Care Act (ACA).  In Maine, the Medicaid program is known as MaineCare.  Nearly 70,000 Maine people were newly eligible for MaineCare beginning July 2, 2018.  Individuals with incomes up to 138% of the Federal Poverty Limit are eligible for MaineCare.  People who are pregnant and those ages 19-20 are eligible at higher income levels.
 
Governor Mills issued an executive order on her first day in office finally implementing the Medicaid Expansion law passed by voters in 2017. That means that eligible Mainers are finally receiving the health care coverage they need.

What does this mean for you?

  • If you applied for expanded MaineCare after July 2, 2018, your application will be reviewed for eligibility. You do not need to reapply.
  • DHHS began making eligibility decisions for expanded MaineCare beginning on January 1, 2019. If you are eligible for retroactive coverage prior to January 1, 2019, DHHS will make that decision at a later time. Retroactive coverage pays for past bills that would have been covered by MaineCare. It may be available back to your application date or three months prior to the month you applied.
  • If you applied for expanded MaineCare and were denied between July 2, 2018 and January 1, 2019, your application will still be reviewed for eligibility now. You do not need to reapply.
  • If you had MaineCare in a different category (ex. parent or disability) and lost it between July 2, 2018 and January 1, 2019 and should have been considered for coverage in the expansion category.  Your case will now be reviewed for eligibility.
  • If you applied for expanded MaineCare between July 2, 2018 and January 1, 2019, but only received coverage for the Limited Family Planning Benefit, your application for full MaineCare will be reviewed now.
  • It will take time for DHHS to go through all the applications it has received.
  • We do not know when the decisions on retroactive coverage will be made. We will update our website and share information by email (click here to sign up)and on Facebook as soon as we have more information.
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