The MaineCare Provider Portal represents a critical digital infrastructure for healthcare providers in Maine, offering streamlined access to essential administrative and clinical resources. This comprehensive online platform enables providers to manage multiple aspects of patient care and administrative tasks efficiently.
Official Portal Links
- Health PAS Online Portal
- MaineCare Provider Directory
Key Portal Features
Eligibility Verification
Providers can quickly check patient MaineCare eligibility through two primary methods:
- Secure login on the Health PAS Online Portal
- Automated Interactive Voice Response (IVR) system
Available Portal Services
The MaineCare Provider Portal offers:
- Claims and billing instructions
- Companion guides
- User guides
- Electronic Visit Verification (EVV) Guides
- Enrollment tools
- Trading Partner Guides
- Fee Schedules
- Claims submission forms
- Referral and authorization documentation
Access and Authentication
Login Requirements
- Secure account credentials
- Verified provider credentials
- Compliance with HIPAA security protocols
Recommended Access Methods
- Secure online portal login
- Interactive Voice Response (IVR) system
- Direct provider relations contact
Privacy and Security
MaineCare emphasizes robust security measures:
- HIPAA compliance
- De-identification methods for health information
- Secure data transmission
- Protected member information
Customer Support
For technical assistance and inquiries:
- Provider Services Email
- Phone: 1-866-690-5585
- TTY: 711
- Provider Relations Specialist support for policy-related questions
Billing and Claims
The portal facilitates:
- Claims submission
- Retroactive rate increase adjustments
- National Drug Code (NDC) inclusion
- 340B drug program billing guidance
Unique Portal Capabilities
- Quarterly HIV testing recommendations tracking
- Complex Case Unit (CCU) referral management
- Emergency Department collaborative resources
- Comprehensive clinical guidance documents
Limitations and Considerations
Unprovided Information
- Mobile app availability not explicitly confirmed
- Specific login process details require direct portal access
- Detailed step-by-step authentication process not fully described
Compliance and Updates
Providers are encouraged to:
- Regularly check for critical communications
- Subscribe to MaineCare’s communication lists
- Review periodic policy updates
- Maintain current enrollment and credentials
The MaineCare Provider Portal serves as a comprehensive digital ecosystem designed to support healthcare providers with efficient, secure, and user-friendly administrative tools. By centralizing critical resources and streamlining processes, the portal enhances provider effectiveness and patient care management.
Contact Information
Maine Department of Health and Human Services
- Address: 109 Capitol Street, 11 State House Station, Augusta, Maine 04333
- Phone: (207) 287-3707
- TTY: Maine relay 711
Note: All information derived from official Maine DHHS Provider Resources webpage, current as of August 2025.
FAQ
Is Maine Medicaid the same as MaineCare?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.
How do I contact Maine provider enrollment?Contact Us
Provider Services Call Center: 1-866-690-5585, Option 2 for Enrollment Questions. TTY users dial 711.
What is another name for MaineCare?In Maine, Medicaid is now called “MaineCare.” The situation is particularly confusing because the two programs have almost identical names. The distinguishing features of the two programs may help you understand the difference.
What is the maximum income for MaineCare?
| HOUSEHOLD SIZE | ADULTS (21-64) | PREGNANT INDIVIDUALS |
|---|---|---|
| 1 | $1,801 | $2,792 |
| 2 | $2,434 | $3,773 |
| 3 | $3,066 | $4,754 |
| 4 | $3,698 | $5,734 |
https://mainecare.maine.gov/
Providers / Trading Partners. Login to the Provider Secure Portal to: View MaineCare eligibility and history; Submit claims; Submit referrals,
https://www.maine.gov/dhhs/oms/providers
You can check eligibility by logging into your secure account on the Health PAS Online Portal and searching by the member.