Rehabs in Maine That Take Medicaid

MaineCare, the state’s Medicaid program, offers extensive addiction treatment coverage including inpatient services, outpatient care, detox, and MAT. These benefits are available to qualifying individuals based on state guidelines.

For eligible Mainers, Medicaid provides a full solution for accessing rehab services through approved treatment providers.

To apply for Medicaid in Maine, follow these steps:

1. Check Eligibility: Review the eligibility requirements for MaineCare (Maine’s Medicaid program), which may depend on income, household size, age, and specific needs. You can check your eligibility on the Maine Department of Health and Human Services (DHHS) website.
2. Application Methods:
   • Online: You can apply online through the Maine Eligibility and Enrollment System where you can submit your application electronically.
   • By Mail or In Person: You can also download a paper application, fill it out, and mail it to your local DHHS office. The application form and additional information are on the Maine DHHS website.
   • Phone: If you prefer to apply by phone, you can call the Maine DHHS at 1-855-797-2020 for assistance.
3. More Information: For further details about MaineCare, including benefits and coverage options, visit the Maine Department of Health and Human Services website.

By following these steps, you can successfully apply for Medicaid in Maine.

Eligibility for Maine Medicaid (MaineCare) coverage of addiction treatment services includes:

Income Limits:

• Adults aged 19-64 with household incomes up to 138% of the Federal Poverty Level (FPL)
• Children under 19 with household incomes up to 200% FPL
• Pregnant women with incomes up to 214% FPL

Categorical Eligibility:

• Low-income families with children
• Pregnant women
• Children
• Individuals who are elderly, blind, or have a disability

Residency Requirement:

• Applicants must be residents of the state of Maine.
• Citizenship/Immigration Status:
• U.S. citizens or qualified non-citizens, such as lawful permanent residents.

Medical Necessity:

• The addiction treatment services must be deemed medically necessary by a healthcare provider.
• This typically includes evidence-based treatments like medication-assisted treatment (MAT), counseling, and inpatient/outpatient programs.

Prior Authorization:

• Some addiction treatment services may require prior authorization from MaineCare to ensure medical necessity.

Covered Services:

• MaineCare covers a range of addiction treatment services, including:
  • Outpatient treatment
  • Intensive outpatient programs (IOPs)
  • Partial hospitalization programs (PHPs)
  • Inpatient detoxification and rehabilitation
  • Medication-assisted treatment (MAT)
  • Peer support services

To apply for MaineCare and determine eligibility, individuals can visit the Maine Department of Health and Human Services (DHHS) website or contact their local DHHS office.

When calling treatment facilities in Maine, ask these key questions:

1. “Do you accept my specific Medicaid plan?” Maine operates MaineCare primarily as a fee-for-service program, though some services use managed care. Ask the facility if they accept MaineCare.
2. “Which treatment services does my plan cover?” Ask about detox, residential treatment, outpatient programs, and medication-assisted treatment.
3. “Do I need prior authorization?” Most residential programs require approval from MaineCare before admission.
4. “Are there any out-of-pocket costs?” Maine MaineCare typically covers addiction treatment with $0 copays.
5. “What documents do I need?” Bring your MaineCare ID card, photo ID, and a list of current medications.