HCBS Access Measures

This page is updated quarterly and reflects data as of June 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) 208 221 89 132 63%
Other related Conditions (Section 20) 41 30 15 15 37%
Comprehensive Services for IDD/ASD (Section 21) 3,425 2,254 1,644 610 18%
Support Services for IDD/ASD (Section 29) 3,064 52 21 31 1%
Unduplicated Member* Totals 5,785 2,514 1,704 810 14%

*Members can be on multiple waitlists simultaneously.

Developmental Disabilities Lengths of Wait Time

Chart of wait times for June 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

Program Participants Waitlist
Home and Community Benefits for Older and Disabled Adults (Section 19) 2,808 0
Private Duty Nursing and Personal Care Services (Section 96) 2,572 *
Consumer Directed Attendant Services (Section 12) 300 N/A
State Funded Home Based Care (Section 63) (includes former Chapter 11) 1,239 401
State Funded Independent Support Services (aka Homemaker) (Section 69) 1,175 1,408
Totals 8,094 1,742

*Due to limited care coordination capacity, a referral management process is in place for Section 96.

Service Data

LTSS

Section 19: Authorization to Date of Service for Nursing and PSS

Figure 1

PSS Service Authorizations ending June 2023

Figure 2

Section 19 Average Start Time June 2023

Section 19 Notes:

Figure 1. Of the 64 individuals authorized for nursing services on or after July 1, 2022, 64% of those individuals began nursing services on or before June 30, 2023. Of the 499 individuals authorized for PSS services on or after July 1, 2022, 63.3% began PSS services on or before June 30, 2023.           

Figure 2. During the period July 1, 2022- June 30, 2023, the average wait time for nursing services to begin for 41 out of 64 individuals was 13.7 days. The average wait time for PSS services to begin for 316 out of 499 individuals was 12.5 days.

 

LTSS

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

Figure 1.

Medical Eligibility Determinations Completed Chart

Figure 2

Average number of business days for completed assessment

Medical Eligibility Notes:

Figure 1. Counts of initial, reassessment and hospital medical eligibility determinations completed from July 1, 2022- June 30, 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 July 1, 2022- June 30, 2023, the average amount of time in days for each medical eligibility type completed within an acceptable timeframe was: 4.8 days for initial assessments, 12.9 days for reassessments, and 2.1 days for hospital assessments.

Developmental Services (ORC, BI, IDD, ASD)

New waiver service authorizations and service starts

Figure 1

New Waiver Service Offers and Services Starting

Figure 2

Length of Time Before Waiver Services Start

Developmental Services Notes:

Figure 1.Of the 481 individuals authorized to begin S18, S20, S21 and S29 waiver services during the period July 1, 2022- June 30, 2023, 47.8% of individuals started services on or before June 30, 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 July 1, 2022- June 30, 2023, a total of 229 individuals began S21 and S29 services once authorized. This figure shows the percentage (%) of individuals who waited less than or more than 90 days to start services once authorized.

Archived Data

Service Data for Previous Quarters

Waitlist Data for Previous Quarters