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State and MaineCare Funded Home Care Programs

Program Funding Medical Eligibility Financial
Eligibility
Administration Avg. Monthly
Admin Cost/Person
Avg.
Service
Cost/Month
Cost Sharing
Monthly
# Served
SFY 01
MaineCare Home Health  MaineCare  Skilled nursing/therapy
Homebound, w/exception
< 100% FPL 2000/3000 asset limit 8,000/12,000 exclusion*

* different income/asset rules for Workers Option

Medicare certified
Home Health Agencies
N/A $1,300 $5 2,238
Private Duty Nursing/Personal Care Services 2 Activity of Daily Living (ADL) Monthly nursing EIM $117 $800 $5 1,388
Consumer-directed Attendant Services 2 ADL &  ability to  self- direct Alpha One $262 $1,600 $5 348
Adult Day Health 2 ADL or
cueing w/ 4 ADL
Licensed Providers N/A $400 $5 173
Waiver:
Elders and Adults w/Disabilities
Nursing Facility level of care Income <$1,635 2000/3000 asset limit 8,000/12,000 exclusion EIM $117 $1, 840 All income >$895 1,589
Waiver:
Consumer-directed
Nursing Facility Level of Care &  ability to  self- direct Alpha One $465 $2,811 All income >$895 303
Home Based Care:
Elders and Adults w/ Disabilities
 State  1 ADL + 2 other ADLs, IADLs, or nursing No upper limit $15,000 asset disregard Elder Independence of Maine $117 $700 4%  income 3% assets 3,863
Home Based Care:
Consumer-directed
1 ADL plus 2 other ADL, or IADL  &  ability to  self- direct No upper limit $30,000 asset disregard Alpha One $262 $1,322 Same as above 203
Homemaker Services Need help with housekeeping,
laundry, groceries
No upper income limit Assets less <$50,000 for 1, <$75,000 for 2 Home Resources of Maine
Aroostook Home Health Services
$34 $200 20% of cost of services 1,664
Adult Day Services 1 ADL or cueing w/4 ADL ADS providers N/A $215 20% of cost of service 119
Alzheimer's Respite Dementia diagnosis Area Agencies on Aging 10% of annual allocation $240 20% of cost of services 430