Maine-specific Medicaid spend-down rules
Maine administers Medicaid through the Department of Health and Human Services (DHHS) under the MaineCare program. Long-term care applications usually start online at MyMaineConnection, by phone at (800) 442-6003, or through a local OFI office in Portland, Bangor, Augusta, and Lewiston.
MaineCare covers nursing facility care when an applicant meets level-of-care and financial tests. The HCBS waiver serves adults who qualify for nursing facility care but want to remain at home with personal care, homemaker, and other community supports.
Maine uses a $2,000 countable asset limit for the institutionalized spouse and a $3,000 combined cap when both spouses apply from the community. The community spouse resource allowance protects between $32,532 and $162,660 in 2026.
Nursing facility residents assign most monthly income toward the cost of care after allowable deductions, including a personal needs allowance. HCBS waiver applicants must meet MaineCare financial rules in the community, including countable assets at or below $2,000 and monthly income at or below 300% of the federal benefit rate ($2,982 in 2026).
Income above the $2,982 monthly threshold may require a Pooled Income Trust managed by a nonprofit trustee approved under Maine law. The trust must be irrevocable and funded each month before OFI counts the income.
Maine applies a home equity limit of $713,000 in 2026 for long-term care cases unless a spouse, dependent child, or certain sibling still lives in the home. Burial spaces, one vehicle, and up to $1,500 in a designated burial fund can be excluded if titled correctly.
Look-back reviews cover asset transfers made within 60 months before application. Penalty length equals the uncompensated transfer amount divided by the average daily nursing facility cost Maine DHHS publishes.
Rural applicants in Presque Isle and Caribou follow the same resource test as families in South Portland. Waiver slot availability varies by region, but the $2,000 asset cap does not.
Common mistake: Assuming Maine exempts a second home because family visits on weekends. Non-homestead real estate counts unless occupied by a spouse or dependent child under OFI rules. Budget property taxes and sale costs before you rely on an appraisal.