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"Injustice anywhere is a threat to justice everywhere."
Martin Luther King, Jr.

MaineCare Eligibility
Tips for Applicants


These tips will make the most sense if you have the application form right in front of you. Get MaineCare application for Children and Pregnant Women. You may also want to have an extra sheet of paper. If you need to explain an answer, use it to write information that won't fit on the form.

Tip Number 1: When in doubt, apply! Even if you think you and your children might not meet the guidelines, you won't know for sure unless you try.

Tip Number 2: If you expect your income to go down in the next 12 months, be sure to attach a note to let DHHS know. DHHS uses your proof of income from the past 4 weeks to estimate how much income your family will have in the next 12 months. If your income will change from what it's been, let them know!

Tip Number 3: If there is a disabled child in the family, be sure to check box 10 on page 2 of the application.

Tip Number 4: If you have any medical bills for the last 3 months, be sure to check "yes" in box 10 on page 2 of the application. This is where the form asks: "Are you requesting help with medical bills incurred within the last 3 months?" Keep a copy of the bills!

Tip Number 5: You don't have to attach proof of SSI or Social Security income because DHHS can check this with their computer system.

Tip Number 6: On page 1, box 3 of the form where it asks you to list household members:

  • Tell whether or not adults are married.
  • Tell how each adult is related to each child. Note which adult is a parent and which adult is a stepparent to each child.

Tip Number 7: Be sure to list any pregnant adults who might be eligible for MaineCare themselves. Remember that pregnant women have no asset limits.

Tip Number 8: If you have children who are or were covered by private health insurance within the last 3 months, list them in box 9 on page 2 of the application. If you think they meet one of the exceptions to the 3-month rule, explain this in a note attached to your application. DHHS will be able to tell you whether your child could get MaineCare if you dropped the private insurance. Before making a decision about dropping private insurance, consider whether your income may go up over MaineCare guidelines in the future. If it does, you want to consider whether you could get your private insurance back. For help, call the Consumers for Affordable Health Care HelpLine at 1-800-965-7476.

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