Policies & Rules
The rulemaking process is used to implement or update MaineCare policies for covered services and related reimbursement.
All DHHS rules posted on or after January 5, 2023 are available on the DHHS Rulemaking page.
Contact Us
Ready to Apply?
Office for Family Independence
To see if you are eligible, to apply, or to report changes, call 1-855-797-4357. TTY users dial 711.
Consumers for Affordable Healthcare (CAHC)
For application questions call 1-800-965-7476. TTY users dial 1-877-362-9570.
About Us
Who We Are
MaineCare is Maine’s Medicaid program. It is funded by the federal and state government. MaineCare provides free or low-cost health insurance and other health benefits to Mainers who meet certain requirements, usually based on income, disability, or age. MaineCare helps to ensure that all Maine people are able to access the critical health services, both preventative and emergency, that enable them to live healthy, safe, and resilient lives.
Case Mix, Private Duty Nursing, and Home Health
Case Mix - Minimum Data Set (MDS) Nursing Facilities
Training Schedule - 2024 Training Calendar for All Types of Facilities (PDF)
Primary Care & Your Health
A Primary Care Provider (PCP) can be a doctor, physician's assistant, or nurse practitioner, and may include other providers within a health care practice, clinic, or center. A PCP is the main health care provider responsible for managing your care.
Primary Care
Primary Care Plus (PCPlus)
Primary Care Plus (PCPlus) is MaineCare’s value-based approach to support primary care. PCPlus offers primary care practices greater flexibility and incentives to meet MaineCare members’ health care needs.
Health Homes
Health Home services include care coordination, case management, individual and family support, and health promotion/education. Each organization that is partnering to provide health home services receive a per member, per month (PMPM) payment.
Participation in any of the three health home programs is voluntary, and members can opt out of the service at any time.
Accountable Communities
Accountable Communities (AC) are an important component of MaineCare's Value-Based Purchasing strategy, a multi-pronged initiative aimed at reducing costs while improving quality and outcomes for MaineCare members. Similar to Medicare's Accountable Care Organizations (ACOs), MaineCare's AC program contracts with groups of providers who volunteer to participate in the shared savings model.
Delivery System Reform
The Maine Department of Health and Human Services (DHHS) and the Office of MaineCare Services (OMS) are committed to improving health care access and health outcomes for MaineCare members, demonstrating cost-effective use of resources, and creating an environment where providers can innovate and collaborate in delivering high-quality care.
MaineCare in Education
School Health-Related Services
This webpage provides information and important updates about policy and billing changes to MaineCare-covered services that are provided in an educational setting.
New MaineCare in Education Online Courses!
The Office of MaineCare Services is excited to share new resources where you can learn more about how MaineCare Covered Services are delivered in Maine schools. All courses may be accessed using a desktop, tablet, or mobile device.