HCBS Access Measures

This page is updated quarterly and reflects data as of December 31, 2024. 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) 215 200 103 97 45%
Other related Conditions (Section 20) 42 31 18 13 30%
Comprehensive Services for IDD/ASD (Section 21) 3,022 2,222 1,736 486 16%
Support Services for IDD/ASD (Section 29) 2,713 59 19 40 1%
Unduplicated Member* Totals 5,991 2,487 1,780 707 11%

^Members can be on multiple waitlists simultaneously.

Developmental Disabilities Lengths of Wait Time

Average Waiting Time 12.2024

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 October 2024 - December 2024

Program Participants Waitlist
Home and Community Benefits for Older and Disabled Adults (Section 19) 3,005 0
Private Duty Nursing and Personal Care Services (Section 96) 2,892 *
Consumer Directed Attendant Services (Section 12) 321 0
State Funded Home Based Care (Section 63) (includes former Chapter 11) 1,074 969
State Funded Independent Support Services (aka Homemaker) (Section 69) 1,197 1,393
Totals 8,489 2,362

*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

Figure 1

Section 19 Annual Nursing and PSS Service Auths and Starts 12.2024

Figure 2

Sec 19 Avg Time to Start Service 12.2024

Section 19 Notes:

Figure 1. Of the 51 individuals authorized for nursing services on or after October 1, 2022, 78 % of those individuals began nursing services on or before December 31, 2023. Of the 370 individuals authorized for PSS services on or after January 1, 2023, 91.3% began PSS services on or before June 30, 2023.

Figure 2. During the period January 1, 2023- December 31, 2023, the average wait time for nursing services to begin for 40 out of 51 individuals was 13.8 days. The average wait time for PSS services to begin for 338 out of 370 individuals was 14 days.

LTSS

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

Figure 1

Medical Eligibility Determinations Completed 12.2024

Figure 2

Average Business Days for Completed Assessment 12.2024

Medical Eligibility Notes:

Figure 1. Counts of initial, reassessment and hospital medical eligibility determinations completed from January 1, 2023- December 31, 2023, 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 January 1, 2023- December 31, 2023, the average amount of time in days for each medical eligibility type completed within an acceptable timeframe was: 4.9 days for initial assessments, 12.8 days for reassessments, and 2.0 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 12.2024

Figure 2

Length of Time Before Services Started 12.2024

Developmental Services Notes:

Figure 1. Of the 483 individuals authorized to begin S18, S20, S21 and S29 waiver services during the period January 1, 2023- December 31, 2023, 44% of individuals started services on or before December 31, 2023. As the State continues unwinding activities related to the federal requirements for continuous coverage and maintenance of effort provisions related to COVID-19 Public Health Emergency, the data for enrolled participants and participants with a funded offer will fluctuate over time as Maine reinstates waiver enrollment procedures in place prior to the onset of the Public Health Emergency.

Figure 2. During the period January 1, 2023- December 31, 2023, a total of 213 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