Updated September 1, 2026
Verify Maine Medicaid eligibility in real time.
Maine Medicaid supports electronic real-time eligibility. Send the check to payer ID SKME0 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: Maine Department of Health and Human Services · MaineCare · Medicaid Maine
Seconds
The same Maine Medicaid check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
4 billing names
Maine Medicaid shows up on cards under 4 names. Every one routes to payer ID SKME0, and so do 8 older payer IDs still printed on cards. No guessing which card this is.
Medicaid plans
Maine Medicaid runs Medicaid plans in Maine. Sign in and check any patient in one click before they arrive.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying Maine Medicaid by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID SKME0, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a Maine Medicaid eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where Maine Medicaid reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID SKME0
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, Maine Medicaid included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What Medicaid ME supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Yes
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically a few days
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
Maine Medicaid · Maine Department of Health and Human Services · MaineCare · Medicaid Maine. Older cards may show payer ID 10121, 12K13, 5259, CKME1 and MEMCD. All of them route to payer ID SKME0.
Payer site: www.maine.gov/dhhs/oms
How to verify Maine Medicaid, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID SKME0.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
Maine Medicaid runs Medicaid plans across Maine. Medicaid dental benefits change by state and by age, which is exactly what the check reads off the plan.
Maine Medicaid, for your front desk
Phone numbers, portal and filing deadline, from Maine Medicaid's own provider pages.
- Provider customer service
- 866-690-5585
- Provider portal
- Health PAS Online Portal
- Timely filing
- 120 days of the most recent claim payment date.
Source: Maine Medicaid, contact us page, dental services page and section 25 dental new deep sedation anesthesia rates implemented cr 141439 2026 07 page. Checked September 19, 2026.
Maine Medicaid, quick answers
Does Maine Medicaid support real-time eligibility?
Yes. Eligibility checks to Maine Medicaid clear electronically in seconds through payer ID SKME0.
What payer ID do I use for Maine Medicaid?
SKME0 for eligibility transactions. The same payer also appears on cards as Maine Department of Health and Human Services, MaineCare, Medicaid Maine.
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does Maine Medicaid require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which Maine Medicaid plans does this cover?
Maine Medicaid runs Medicaid plans in Maine. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get Maine Medicaid remittances electronically?
Yes. Maine Medicaid sends electronic remittance advice (835) after a multi-step enrollment, typically a few days.
What if the patient's card shows a different Maine name?
Alternate billing names route to the same payer ID, SKME0. The same check covers them.
More questions about verifying Maine Medicaid? Schedule 15 minutes with us and bring your toughest plan.
Check any Maine Medicaid patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other Maine dental payers
10 other payers operating in Maine also verify in real time, 1 of them with Medicaid plans.
- Anthem Blue Cross Blue Shield of Maine180
- Anthem Blue Cross Blue Shield of Maine - DentalAD180
- Anthem Maine Health00958
- Anthem MaineHealth958
- Community Health Options45341
- Delta Dental of Northeast02027
- Harvard Pilgrim Health Care04271
- Mass General Brigham Health Plan04293
- TRICARE East99727
Medicaid plans in Maine: Anthem Blue Cross Blue Shield of Maine.
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.