Maine Medicaid Program Overview

Enrollment, funding, and managed care facts for Maine Medicaid.

Get Maine's Medicaid Fee Schedule →
0.33-0.42M
Enrolled
Expanded
ACA expansion status
61.29%
Federal match (FMAP), FFY2026
0-88.2%
In managed care

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

Yes. Maine has adopted ACA Medicaid expansion. Effective 2019-01-10.

Get Maine's Free Medicaid Fee Schedule

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