Medicaid (MaineCare) Expansion Guide

Printer-friendly versionPrinter-friendly version

Thank you for your interest in applying for expanded Medicaid (MaineCare) in Maine.  The information on this site and in the Medicaid (MaineCare) Expansion Toolkit can help you navigate the process of applying for MaineCare under the new law and troubleshoot problems that might come up.  If you have questions, call 1-866-626-7059.  Click here to sign up for updates about the Medicaid expansion law.  MEJP will notify you when the law is finally implemented, information about appealing any denials, updates, and any action taken by the courts.  You can also learn about opportunities to get involved in the fight to secure health care for all Maine people.

SIGN UP TODAY!

It is important that individuals who may be eligible for expanded MaineCare apply as soon as they can beginning on July 2, 2018 so they can protect their legal right to retroactive coverage once the law is eventually implemented.

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 will be 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.

Use this screening tool to get a rough estimate of whether you are eligible for expanded MaineCare: forms.mejp.org/MaineCareExpansionScreeningTool.

*** If you think you may be eligible for Medicaid Expansion, the best way to determine your eligibility is to apply. ***

If your income is too high for expanded Medicaid or you are ineligible for another reason, contact Consumers for Affordable Health Care to find out what options you have for health care coverage: 1-800-965-7476.

Individuals who are pregnant and those aged 19-20 are eligible at higher income levels.  If you are an immigrant, your status may affect your eligibility. You can find out more about these topics in the Frequently Asked Questions.  You can sign up by clicking here to have someone from MEJP contact you or call us at 1-866-626-7059 for help.

We will update these materials as new information becomes available.  

Medicaid (MaineCare) Expansion Toolkit

We recognize that it is frustrating to apply for coverage when DHHS is not prepared to process the applications appropriately.  The resources in this toolkit are intended to help people navigate this process as smoothly as possible.  This toolkit can also be used by health care providers and organizations that assist people with MaineCare applications.  You can also click here to get answers to Frequently Asked Questions, sign up to have someone from MEJP contact you, or call 1-866-626-7059 for help.

The toolkit includes (click on a title to open it):

1.     Medicaid Expansion Toolkit Introduction

2.     MaineCare Expansion Overview from Consumers for Affordable Health Care

3.     Key Information to Apply and Appeal for MaineCare

4.     Tips for Applying for MaineCare

5.     Important Information to Know

6.     MaineCare Application from the DHHS Website

7.     Appeal Letter

8.     Authorized Representative Form

9.     Authorization Release Form

10.   Frequently Asked Questions

11.   Immigrant Health Care Eligibility Flowchart

12.   MaineCare for Immigrants for Providers

13.   Take Action for Health Care Pledge

Library Category: