Medical Eligibility Determination

Maine ASA Program

The State of Maine's Department of Health and Human Services, through the Office of Aging and Disability (OADS), has contracted with MAXIMUS Ascend, to manage its Statewide Assessing Services. This single Assessing Services Agency (ASA) Program determines eligibility for programs and services that are vital to individuals living across the State.

Have questions about the Maine ASA Program?

General questions:
Phone: 833.525.5784
Fax a Referral: 844.356.7500
Fax a Referral (PASRR Only): 877.431.9568

Types of Assessment Services

The Maine ASA Program team at MAXIMUS Ascend provides a variety of different assessment services for the State of Maine.

These include:

Long-Term Care (LTC) Advisory

The Long-Term Care (LTC) Advisory is an assessment that provides advice to the individual and family/guardian to determine if the person is eligible for possible facility admission, or in-home services funded through MaineCare or state funded home-based care programs. Individuals choosing to enter a nursing facility must have this type of assessment to comply with the State statutes unless entering under skilled care.

Pre-Admission Screening and Resident Review (PASRR)

On-site evaluations are performed for individuals suspected of having a mental illness, through the Preadmission Screening and Resident Review (PASRR) program. PASRR assessments are performed on individuals who are applying to or residing in Medicaid-certified nursing homes. Whenever a decision is made that you, or a person you care about, possibly needs nursing facility care, these federally mandated assessments are used. PASRR's main goal is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also functions as an essential method to help match individuals with the care and services they need.

Acquired Brain Injury (ABI)

Acquired Brain Injury (ABI) is an injury to the brain that results from trauma, infection, vascular lesions, or anoxia. It can result in physical, behavioral or mental dysfunction affecting an individual's ability to function independently. This evaluation requires a neuropsychologist evaluation and completion of the Mayo Portland Adaptability Inventory and Health and Safety tool to determine medical eligibility for specialized ABI services either in the facility setting or at home.

Other Related Conditions (ORC)

Other Related Conditions (ORC) constitute Cerebral Palsy, Epilepsy, or other condition besides mental illness which found to be closely related to Intellectual Disability, resulting in impairment or general intellectual functioning or adaptive behavior, similarly to that of persons with Intellectual Disabilities and requires similar treatment or services. The State of Maine requires a Medical Eligibility Determination assessment and completion of the BMS 99 to determine an individual's medical eligibility for services under the Other Related Conditions Waiver. The program provides community integration through existing natural supports and community relationships, such as Care Coordination, Home Support, Community Support, and Work Support.