MaineCare
Credentialing and enrollment guides for MaineCare across 1 states.
Quick Overview
Timeline
30 - 90 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About MaineCare
Maine DHHS, Office of MaineCare Services — MaineCare
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete MaineCare's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to MaineCare. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with MaineCare?
Our specialists handle the entire MaineCare enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Maine Medicaid (MaineCare) Enrollment
Contact Information
Provider Credentialing
1-866-690-5585
Mon-Fri 8am-5pm
Provider Services
1-866-690-5585
Claims & Billing
1-866-690-5585
Quick Links
Available States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for MaineCare-specific credentialing details including timelines, contacts, and local requirements.
MaineCare credentialing requirements by state
MaineCare enrollment is not identical everywhere. The table below lists what actually differs across the 1 state MaineCare operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| Maine | Open | 30–90 days | Maine Medicaid (MaineCare) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Maine DHHS (Department of Health and Human Services) MaineCare provider enrollment portal. (3) Submit application with ME state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Maine operates primarily fee-for-service with limited managed care elements for certain populations. Behavioral health providers accepted include LCPC (Licensed Clinical Professional Counselor) and LCSW with active Maine licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about MaineCare credentialing
How long does MaineCare credentialing take?
MaineCare credentialing typically takes 30–90 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does MaineCare require CAQH?
No. MaineCare does not enroll through CAQH ProView, so credentialing data is submitted directly on MaineCare's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does MaineCare operate in?
MaineCare has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.