HCBS Access Measures

This page is updated quarterly and reflects data as of September 30, 2025. Please contact oads@maine.gov regarding any questions about this data. 

Waitlist Data

Developmental Disabilities and Brain Injury Program Participants and Waitlists

Waiver Program Participants Waitlist^ With Other Coverage*^ Without Other Coverage^ Percent of Current Participants Without Other Coverage
Brain Injury (Section 18) 208 236 91 145 69%
Other related Conditions (Section 20) 42 17 4 13 31%
Comprehensive Services for IDD/ASD (Section 21) 3,028 2,284 1,662 622 20%
Support Services for IDD/ASD (Section 29) 2,990 61 19 42 1.4%
Unduplicated Member* Totals 6,265 2,585 1,308 1,277 20%

^Members can be on multiple waitlists simultaneously.

Developmental Disabilities Lengths of Wait Time

 

Average Waiting Time 09.2025

Notes:

Wait time is reported regardless of other coverage Members who meet Section 21 Priority 1 criteria receive an immediate offer More information regarding Section 21 priority level determination can be found in the MaineCare Benefits Manual Ch. II Section 21

Medicaid and State Funded Services for Older and Disabled Adults Participants and Waitlists

Data from July 1 to September 30, 2025

Program Participants Waitlist
Home and Community Benefits for Older and Disabled Adults (Section 19) 3,504 0
Private Duty Nursing and Personal Care Services (Section 96) 2,069 *
Consumer Directed Attendant Services (Section 12) 351 0
State Funded Home Based Care (Section 63)  803 1,196
State Funded Independent Support Services (aka Homemaker) (Section 69) 1,122 1,520
Totals 7,849 2,716

*Due to limited care coordination capacity, a referral management process was in place for Section 96 during this reporting period.

Service Data

LTSS

Section 19: Authorization to Date of Service for Nursing and PSS from October 1, 2023 to September 30, 2024

Figure 1

Sec 19 Authorizations to Date of Service for Nursing and PSS 09.2024

Figure 2

Section 19 Average Time to Start 09.2024

Section 19 Notes:

Figure 1. Of the 69 individuals authorized for nursing services on or after October 1, 2023, 72% of those individuals began nursing services on or before September 30, 2024. Of the 897 individuals authorized for PSS services on or after Octobery 1, 2023, 70.3% began PSS services on or before September 30, 2024.

Figure 2. During the period October 1, 2023- June 30, 2024, the average wait time for nursing services to begin for 50 out of 69 individuals was 8.2 days. The average wait time for PSS services to begin for 631 out of 897 individuals was 11 days.

LTSS

Medical Eligibility Determinations (MED) by type and average time to complete MED

Figure 1

Medical Eligibility Determinations Completed 09.2024

Figure 2

Average Business Days for Completed Assessment 09.2024

 

Medical Eligibility Notes:

Figure 1. Counts of initial, reassessment and hospital medical eligibility determinations completed from October 1, 2023 - September 30, 2024, are presented with counts of those determinations completed on-time. Determinations completed on time include medical eligibility assessments that were delayed for an acceptable reason, such as member or family scheduling preferences.

Figure 2. During the period October 1, 2023 - September 30, 2024, the average amount of time in days for each medical eligibility type completed within an acceptable timeframe was: 4.6 days for initial assessments, 11.6 days for reassessments, and .8 days for hospital assessments.

Developmental Services (ORC, BI, IDD, ASD)

New waiver service authorizations and service starts

Figure 1

Annual New Waiver Svc Offers and Svc Starting 09.2024

Figure 2

Annual New Waiver Svc Offers and Svcs Starting 06.2024

 

Developmental Services Notes:

Figure 1. Of the 567 individuals authorized to begin S18, S20, S21 and S29 waiver services during the period October 1, 2023 - September 30, 2024, 52% of individuals started services on or before September 30, 2024. 

Figure 2. During the periodOctober 1, 2023 - September 30, 2024, a total of 296 individuals began S21 and S29 services once authorized. This figure shows the percentage (%) of individuals who waited less than or more 90 days to start services once authorized.

Archived Data

Service Data for Previous Quarters

Waitlist Data for Previous Quarters