Enroll with MaineCare
Ensuring members have equitable access to comprehensive dental care is a MaineCare priority. We are seeking dental and oral health professional to enroll with MaineCare to help improve appointment availability, decrease travel burdens for rural patients, and support earlier intervention.
See the Enrollment & Revalidation webpage for information about enrolling with MaineCare including rationale to enroll, an overview about the steps to enroll, enrollment requirements, and more.
Current Dental Rates
See the Section 25 Fee Schedule for MaineCare's current rates.
Services for Children and Youth
MaineCare's Early and Periodic Screening Diagnosis & Treatment (EPSDT) program allows children and youth under age 21 to receive medically necessary services or equipment that are not typically covered in the MaineCare Benefits Manual (MBM) due to limits on the type, frequency, or duration of the service. For more information about EPSDT, see the VitalCare for Kids (EPSDT) Provider Fact Sheet (PDF) or visit MaineCare's Children's Services webpage.
MaineCare Dental Reform
- Draft Billing Guidance (PDF) - updated June 17, 2022
- List of Comprehensive Adult Dental Services (PDF) - June 27, 2022
For details about section 25 rate reform, see the Rate Reform webpage.
Claims & Billing
- Health PAS Online Portal – Log into the portal to submit prior authorizations and claims.
- Supplemental Billing folder on the Health PAS Online Portal for Section 25 Billing Guidance.
Provider Training
See the Event Calendar on the Health PAS Online Portal for information and to register for a Dental ADA Claim training. This training is generally offered every two months.
Request Code Coverage
Use the Code Request Form (PDF) to request a code be covered by MaineCare.
MaineCare encourages the use of the code request form, however, completing the form does not guarantee coverage of the code under your contract. We will advise you why a code cannot be added if the request is denied. We will also make note of any codes that we are unable to add for further review during future rulemaking. See the Code Request Form Training Video for instructions for completing the form.
Dental Metrics & Reporting
- MaineCare Dental Metrics (PDF) - Historical Baseline Report
- MaineCare Dental Metrics (PDF) - December 2025
Dental Sub-MAC
The MaineCare Advisory Committee (MAC) Dental Sub-committee focuses on issues related to Section 25 services, including the adult dental benefit implemented in July 2022 and the dental benefit for children. Included in those discussions are conversations around dental metrics, rates, provider enrollment, and member access. See the Advisory webpage for more information.
Provider Dental Forums
July 30, 2024, Dental Provider Forum
Topics covered:
- Services covered and underutilized
- Claims and billing updates
- Who to contact and when
- Early and Periodic Screening, Diagnosis, and Treatment services (EPSDT) resources now available
- Addressing challenges and barriers to accessing dental services
Forum materials:
August 28, 2024, Dental Provider Forum
Topics covered:
- Forum Follow-up
- New Dental Services Webpage
- Questions & Answers Document
- Claims
- Federal Regulations
Forum materials:
Questions & Answers
Providers asked the questions found in the Dental Services Questions & Answers (PDF) during the Provider Dental Forums.
Contact Us
For details about who to call for specific topics, see the Contacts for Providers (PDF).