HCBS Access Measures

This page is updated quarterly and reflects data as of March 31, 2026. 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 WAITLIST Without Other Coverage
Brain Injury (Section 18) 210 286 27 259 90%
Other related Conditions (Section 20) 43 14 0 14 100%
Comprehensive Services for IDD/ASD (Section 21) 2,990 2,524 666 1858 73%
Support Services for IDD/ASD (Section 29) 3,122 15 4 11 73%
Unduplicated Member* Totals 6,362 2,824 694 2,130 75%

^Members can be on multiple waitlists simultaneously.

Developmental Disabilities Lengths of Wait Time

Graph showing Average Waiting Time 03.2026

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 January 1 to March 31, 2026

Program Participants Waitlist
Home and Community Benefits for Older and Disabled Adults (Section 19) 3,718 0
Private Duty Nursing and Personal Care Services (Section 96) 2,678 *
Consumer Directed Attendant Services (Section 12) 357 0
State Funded Home Based Care (Section 63)  708 1,204
State Funded Independent Support Services (aka Homemaker) (Section 69) 1,168 1,405
Totals 8,629 2,609

*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 April 1, 2024, to March 31, 2025.

Figure 1

Graph showing Section 19 Annual Nursing and PSS Service Authorizations and Service Starts

Figure 2

Graph showing Section 19 Average Time to Start Service

Section 19 Notes:

Figure 1. Of the 59 individuals authorized for nursing services on or after April 1, 2024, 75% of those individuals began nursing services on or before March 31, 2025. Of the 909 individuals authorized for PSS services on or after April 1, 2024, 89% began PSS services on or before March 31, 2025.

Figure 2. During the period April 1, 2024, to March 31, 2025, the average wait time for nursing services to begin for 49 out of 65 individuals was 16.5 days. The average wait time for PSS services to begin for 808 out of 909 individuals was 9 days.

LTSS

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

Figure 1

Graph showing Medical Eligibility Determinations Completed

Figure 2

Graph showing Average Business Days for Completed Assessment

Medical Eligibility Notes:

Figure 1. Counts of initial, reassessment and hospital medical eligibility determinations completed during the period April 1, 2024, to March 31, 2025, 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 April 1, 2024-March 31, 2025, the average amount of time in days for each medical eligibility type completed within an acceptable timeframe was: 3.0 days for initial assessments, 7.8 days for reassessments, and .8 days for hospital assessments.

Developmental Services (ORC, BI, IDD, ASD)

New waiver service authorizations and service starts

Figure 1

Graph showing Annual New Waiver Service Offers and Services Starting

Figure 2

Graph showing Annual New Waiver Service Offers and Services Starting fig. 2

Developmental Services Notes:

Figure 1. Of the 506 individuals authorized to begin S18, S20, S21 and S29 waiver services during the period April 1, 2024, to March 31, 2025, 46% of individuals started services on or before March 31, 2025. 

Figure 2. During the period April 1, 2024, to March 31, 2025, a total of 233 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