Medicaid

How to Get Credentialed with MaineCare in Maine

Network: Open
30-90 Days

Quick Overview

Timeline

30 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Maine-Specific Requirements

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.

Medicaid Information — Maine

Agency: Maine DHHS, Office of MaineCare Services

Program: MaineCare

Portal: https://www.maine.gov/dhhs/oms

Phone: 1-866-690-5585

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Maine.

2

Prepare Your Application

Complete MaineCare's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to MaineCare.

4

Track & Follow Up

Credentialing typically takes 30-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Maine Medicaid (MaineCare) Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-866-690-5585

General Provider Inquiries

National

1-866-690-5585

Quick Links

Provider Portal

Need Help?

Let PayerReady handle your MaineCare enrollment in Maine.

Get Started Free

Other Payers in Maine

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Anthem Blue Cross and Blue Shield of Maine TRICARE TRICARE East Region (Humana Military)
FASTER APPROVALS

Ready to Eliminate Credentialing Delays?

Join hundreds of providers who eliminated credentialing headaches. Create your free account in minutes — no demos, no sales calls, just instant access.

Get Started Free

Ready to streamline your credentialing?

Get Started Free