Maine Medicaid Program Overview
Enrollment, funding, and managed care facts for Maine Medicaid.
Get Maine's Medicaid Fee Schedule →Enrollment
Maine Medicaid covered approximately 0.33-0.42M people. CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report counted 415,298 total Maine Medicaid enrollees as of July 1, 2024; KFF's Total Monthly Medicaid & CHIP Enrollment indicator shows 329,286 as of May 2026. healthinsurance.org separately cites 339,689 as of October 2025, an intermediate figure consistent with a real decline across this window (post-unwinding), not a data error.
Funding & federal match
Maine has adopted ACA Medicaid expansion, effective 2019-01-10.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Maine's Federal Medical Assistance Percentage (FMAP) is 61.29%.
Delivery system & managed care
A large share of Maine Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 0-88.2% of Medicaid enrollees.
Waivers
Maine operates Medicaid managed care under the Maine Section 1115 Demonstration for Individuals with HIV/AIDS, a Section 1115 demonstration waiver. Provides a defined package of MaineCare services (including antiretroviral therapies and care management) to individuals with HIV/AIDS with income up to 250% FPL who are not otherwise MaineCare-eligible. Operational since July 1, 2002; most recently renewed with a 10-year approval (April 2019) and evaluation-design approval effective through December 31, 2028.
Frequently Asked Questions
Get Maine's Free Medicaid Fee Schedule
Request actual Maine Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- KFF State Health Facts - Federal Matching Rate (FMAP) and Multiplier
- Congressional Research Service - Medicaid's Federal Medical Assistance Percentage (FMAP), R43847 (Table A-1)
- KFF State Health Facts - Status of State Action on the Medicaid Expansion Decision
- healthinsurance.org - Medicaid eligibility and enrollment in Maine
- KFF State Health Facts - Medicaid Managed Care Penetration Rates by Eligibility Group
- Maine DHHS - Policy Waivers
- Medicaid.gov - Section 1115 Demonstrations, Maine HIV/AIDS Demonstration
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.