Maine Presumptive Eligibility for Pregnant Women FAQ

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The PE for Pregnant Women program allows Qualified Providers (QPs) to grant immediate, temporary Medicaid coverage for ambulatory prenatal care and prescription drugs for conditions related to pregnancy to low-income, pregnant patients, pending their formal Medicaid application.
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Assets: Assets are only looked at for people who are 65 and older, or who have Medicare. Many assets will not count against you. You can own a home, land that the home is on, cars and many other assets and still get MaineCare coverage. Remember: Assets do not count for most people.

For children (18 and under) and pregnant women,MaineCare will not count assets. For parents of children (18 and under), and for 19 and 20 year olds, there is a $2,000 asset limit. For other adultcouples with no minor children at home, there is a $3,000 asset limit.

Women enrolled in Maine's Medicaid program, known as MaineCare, are assured that nearly all pregnancy-related care including prenatal care, delivery and miscarriage management will be covered.

This may include Medicare premiums, eyeglasses, dental services, and doctor visits. In 2022, the medically needy income limit (MNIL), also called a protected income level in ME, is $315 / month for an individual and $341 / month for a couple.

There is a monthly fee of $8-$64 depending on income and family size. Children remain eligible for coverage for 12 months. Full MaineCare Benefit 105% of FPL 1: $1,093 2: $1,480 3: $1,867 4: $2,254 Each additional person: $387 Must be residing with and caring for a dependent child under the age of 18.

Women enrolled in Maine's Medicaid program, known as MaineCare, are assured that nearly all pregnancy-related care including prenatal care, delivery and miscarriage management will be covered. Abortion care, however, is not covered.

The Department of Health and Human Services (DHHS) can pursue recovery against not just the probate estate but against any legal interest the MaineCare recipient held at the time of death. Currently, the only exception is a joint tenancy interest in real estate.

Depending on income level, pregnancy may qualify you to get free MaineCare coverage. If the pregnant person is under 21 years old, then her parents' income may be counted if she lives with them and they and claim her on their tax returns.

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Maine Presumptive Eligibility for Pregnant Women FAQ