The main MaineCare phone number for members is 1-800-977-6740. That line covers benefits, copayments, provider selection, and unexpected bills. If your question is about applying, eligibility, or reporting a change to your case, you need a different number: the Office for Family Independence at 1-855-797-4357, open weekdays from 7:00 a.m. to 4:00 p.m. Several other lines handle prescriptions, long-term care, mental health crises, provider billing, and fraud reports. TTY users can dial 711 to connect through the Maine Relay system on any of these lines.1Maine Telecommunications Relay Service Council. Relay Services
Member Services: 1-800-977-6740
Call Member Services for questions about covered services, copayments, and choosing or changing a Primary Care Provider. It’s also the right line if you receive an unexpected bill from a provider, need help finding a MaineCare-enrolled doctor or dentist, or need to arrange non-emergency medical transportation.2Maine Department of Health and Human Services. Office of MaineCare Services – Contact Us
Non-urgent questions can go by email to mainecaremember@gainwelltechnologies.com.3Maine Department of Health and Human Services. Member Resources
Eligibility, Applications, and Reporting Changes: 1-855-797-4357
The Office for Family Independence (OFI) Eligibility Call Center handles applications, application status, and changes to your income, household size, or address. Hours are Monday through Friday, 7:00 a.m. to 4:00 p.m. Listen to the phone menu to route yourself to the right team. OFI staff also use this number to call members back for SNAP or TANF interviews, so saving it in your contacts helps you avoid missing their call.4Maine Department of Health and Human Services. Office for Family Independence
You don’t have to call to report a change. My Maine Connection at MyMaineConnection.gov accepts case updates around the clock and also lets you apply, complete recertifications, and review the past 12 months of your benefit history.5Maine Department of Health and Human Services. Office for Family Independence Applications and Forms If you get locked out or can’t reset your password, email MMCHelp.DHHS@maine.gov.6Maine Department of Health and Human Services. Office for Family Independence – Contact Us
Pharmacy Help Desk: 1-866-796-2463
Use this line for questions about whether a medication is covered, prescription drug benefits, prior authorizations, or how MaineCare coordinates with Medicare Part D.7Maine Department of Health and Human Services. Covered Services and Benefits
Long-Term Care Services: (207) 287-3707
Questions about nursing facility care, home-based services, and Medicaid waiver programs for elderly individuals and adults with physical disabilities go to the DHHS Office of Aging and Disability Services at this number.8Maine Department of Health and Human Services. Long-Term Care Services
Maine Crisis Line: 1-888-568-1112
The Maine Crisis Line runs 24 hours a day, seven days a week for anyone experiencing a behavioral health crisis or thoughts of suicide or self-harm. Clinically trained crisis workers provide phone support, stabilization, and connections to local resources. You do not need to be a MaineCare member to call.9Maine Department of Health and Human Services. Hotlines and Crisis Numbers Call 911 if there is an immediate risk of harm.10Maine Department of Health and Human Services. Crisis Services
Provider Services: 1-866-690-5585
Healthcare providers, clinics, and hospitals should call Provider Services for questions about the MIHMS billing system, the Health PAS Online portal, enrollment, and claims.11Maine Department of Health and Human Services. Provider Resources
Reporting MaineCare Fraud
Suspected fraud by a provider, member, or anyone else involving MaineCare funds goes to the MaineCare Program Integrity unit:
- Fraud Hotline: 1-866-348-1129 or (207) 287-4660
- Online form at maine.gov/dhhs/form/oms-program-integrity
- Email: PI.DHHS@maine.gov
District Office Direct Lines
Maine has 16 DHHS district offices. Most eligibility questions can be handled through the central OFI line, but you can also call or visit a local office directly:13Maine Department of Health and Human Services. District Office Locations
- Augusta: (207) 624-8000 or 1-800-452-1926
- Bangor: (207) 561-4100 or 1-800-432-7825
- Biddeford: (207) 286-2400 or 1-800-322-1919
- Calais: (207) 454-2417
- Caribou: (207) 493-4000 or 1-800-432-7366
- Ellsworth: (207) 664-1400 or 1-800-432-7823
- Farmington: (207) 778-8400 or 1-800-442-6382
- Fort Kent: (207) 834-1000 or 1-800-432-7340
- Houlton: (207) 532-5000 or 1-800-432-7338
- Lewiston: (207) 795-4300 or 1-800-482-7517
- Machias: (207) 255-2000 or 1-800-432-7846
- Portland: (207) 822-2000 or 1-800-482-7520
- Rockland: (207) 596-4200 or 1-800-432-7802
- Sanford: (207) 490-5400 or 1-800-482-0790
- Skowhegan: (207) 474-4800 or 1-800-452-4602
- South Paris: (207) 744-1200 or 1-888-593-9775
Appealing a Denial
Appeals aren’t handled by phone. If MaineCare denies your application, reduces your benefits, or terminates coverage, you have the right to a fair hearing, and you generally have 30 days from the date on the notice to request one. The exact deadline can vary by program, so read the notice carefully.14Maine Department of Health and Human Services. Frequently Asked Questions – Administrative Hearings
Send your written request to:
Commissioner
Dept. of Health and Human Services
11 State House Station
Augusta, ME 04333
Include your name, MaineCare ID or Social Security number, phone number, mailing address, and email. Certified mail gives you proof of the date received.
Timing matters. If you request the hearing before the effective date of the state’s decision, which can be as few as 10 days after the notice is mailed, the state must continue your benefits while the appeal is pending. Miss that window and your coverage may lapse during the process.15Centers for Medicare and Medicaid Services. Understanding Medicaid Fair Hearings If the hearing upholds the original decision, you may have to repay the cost of services you received while the appeal was open.