Home and Community Based Services (HCBS) Settings Rule Transition Initiative

Home and Community Based Services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings. These programs serve a variety of targeted populations groups, such as people with intellectual or developmental disabilities, physical disabilities, and/or acquired brain injuries.

Advocacy

There are resources available to assist you in ensuring your voice is heard, knowing your rights, keeping your benefits, and making a complaint. Guardians, family members, or case managers can also use these resources to help you.

Adult Day Services in Maine

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Care and kinship activities your loved one will enjoy

Taking care of an older adult, an adult with a disability, or a person with memory issues is a lot of work. And it often leaves little time for anything else.

Adults with Brain Injury

MaineCare (Maine's Medicaid Program) has services available to qualifying individuals 18 years and older, who have sustained an acquired brain injury.

Older Adults and Adults with Physical Disabilities

There are services across the state that support older adults, adults with physical disabilities, family members, and care partners.  A wide range of needs can be met with these services, from home-based care and access to healthy food, to opportunities to socialize and recreate in the community, to receiving care at a nursing facility. 

Residential and Nursing Care Services

Overview

While many services are available to assist people with their health care needs and help them stay in their homes, there are times when a person’s level of care requires a facility-based program. Maine has several facility-based programs which include: the Independent Housing with Services Program, Residential/Assisted Living, and Nursing Facility Services – each providing a different level of support.

Initiatives

Find information and updates on initiatives at the Office of Aging and Disability Services.

Olmstead

In 1999, the United States Supreme Court issued its landmark decision in Olmstead v. L.C., 527 U.S. 581 (1999) (hereinafter referred to as “Olmstead”) requiring states to provide services to individuals with disabilities in the most integrated settings appropriate to their needs.

In rendering its decision, the United States Supreme Court encouraged states to develop comprehensive plans for placing qualified disabled individuals in less restrictive settings.

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