Maine Medicaid Eligibility

This page provides general guidelines for the Maine Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Maine Department of Health and Human Services. The name of the state program is MaineCare. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Maine Medicaid office.


Maine Medicaid Overview

MaineCare is the state's Medicaid program (no residency requirement for children and pregnant women)


Maine Medicaid Eligibility Requirements - Non Income

Enrollees must be U.S. citizens or qualified aliens and residents of Maine. However, there are no citizenship requirements for pregnant women and children


Documents Needed For Maine Medicaid Application


Maine Medicaid Benefits

Services include adult family care services, ambulatory care and surgery, ambulance services, dialysis, case management, nursing services, chiropractic, community support, benefits for the elderly and for members with mental and physical disabilities, dental, family planning, hearing aids, home health, hospice, inpatient and outpatient hospital services, laboratory and x-ray services, medical supplies and durable medical equipment, behavioral health, nursing, therapy (occupational, physical), vision, physician services, preventive health services, podiatry, medical imaging services, rehabilitation services, rural health clinics, speech and hearing services, transportation services, STD screening, and more.


Maine Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Maine Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 191%
Age 1-5: 157%
Age 6-18: 157%
208% Medicaid: 209%
CHIP: N/A
100% N/A

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,857
Age 1-5: $1,527
Age 6-18: $1,527
$2,023 Medicaid: N/A
CHIP: N/A
$973 N/A

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,504
Age 1-5: $2,058
Age 6-18: $2,058
$2,727 Medicaid: $2,740
CHIP: N/A
$1,311 N/A

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,150
Age 1-5: $2,589
Age 6-18: $2,589
$3,430 Medicaid: $3,447
CHIP: N/A
$1,649 N/A

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,796
Age 1-5: $3,120
Age 6-18: $3,120
$4,134 Medicaid: $4,154
CHIP: N/A
$1,988 N/A