Adults

There are free and low-cost health coverage options that ensure adults can get the important care they need to stay healthy.

Children

There are free and low-cost health coverage options that ensure children and young adults under age 21 can get the important care they need to stay healthy.

Types of Health Coverage for Children

MaineCare

MaineCare provides free health insurance, other health benefits, and assistance to childen and young adults under age 21 who meet income guidelines or disability criteria.

Apply to MaineCare now!

MaineCare Options

MaineCare helps to ensure that all Maine people are able to access the critical health services, both preventative and emergency, that help them stay healthy and safe.

With the expansion of MaineCare in 2019, more individuals are now eligible. To see what health coverage options are available to you and to find out if you qualify for a free or low-cost health plan, go to CoverME.gov.

Advisory Groups

MaineCare Advisory Committee (MAC)

The MaineCare Advisory Committee (MAC) is a federally mandated committee to ensure that MaineCare is an effective and efficient program informed by the diverse experiences of beneficiaries, their caretakers, and other interested parties. 

Payment Error Rate Measurement (PERM)

Current Audit

Maine is currently participating in a PERM audit for Reporting Year (RY) 2024 which covers randomly selected paid claims with a payment date from July 1, 2022 through June 30, 2023.

Error Rates

PERM is a federally contracted audit process that measures improper payments in Medicaid and Children's Health Insurance Program (CHIP) and produces error rates for each program. Error rates only indicate that a payment made did not meet statutory, regulatory, or administrative requirements; these are not fraud rates.

Electronic Visit Verification

Section 12006 of the 21st Century Cures Act mandates that states must implement an EVV system for all Personal Care Services (PCS) and Home Health Care Services (HHCS) that require an in-home visit by a provider. An EVV system is used to verify the date, time, and site of a provider visit, as well as services provided and who provided the service to the MaineCare member in the member's home or in a community-based services setting.

MaineMOM

MaineMOM is a MaineCare model that improvs care for pregnant and postpartum people with opioid use disorder and their infants by integrating perinatal and postpartum care with substance use treatment services. Eighteen (18) sites across Maine deliver MaineMOM Services. Collectively, these sites have provided over 250 MaineMOM members with essential and compassionate care since 2021.

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