Provider Application and Onboarding Resources

**Attention Providers seeking to apply deliver MaineCare Section 18, 20, 21, 29 Waiver Services **

OADS has a NEW on-line Portal for all application submissions which will allow the applicant to complete the application and upload all materials for review. Applicants will also be able to log in to the portal and to check the status of the application throughout the review process. OADS will no longer accept applications submitted by email (hand delivery and us mail submissions are also not acceptable).

The new portal will be active on 11/11/2024. After this date follow the link to set up access to the online application portal.

Waiver Services

About Applying

OADS accepts applications on an ongoing basis for entities wishing to provide services for the following waiver programs:

• Section 18 (Home and Community-Based Services for Adults with Brain Injury)
• Section 20 (Home and Community Based Services for Adults with Other Related Conditions)
• Section 21 (Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder)
• Section 29 (Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder)

How to Become a Waiver Service Provider

Use and follow these steps in sequence to apply to become a provider.

Define the services you wish to provide.

Please take time to understand the nature of the service you intend to offer.

• Section 18 (Home and Community-Based Services for Adults with Brain Injury)
• Section 20 (Home and Community Based Services for Adults with Other Related Conditions)
• Section 21 (Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder)
• Section 29 (Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder)

Understand if the service you want to offer requires Licensing or Staff Certifications or Qualifications.

The following services require licensing:

• Assisted Housing
• Personal Care Agencies
• Other Services may apply.

Resources for those providing professional services to persons with disabilities:

• Training and Certification resources for individuals and organizations.

Understand the Rules and Regulations that govern the provision of services for waivers in Maine under MaineCare.

As a business owner, you are required to understand and abide by the following regulations.

• The MaineCare Benefits Manual
  • Chapter 1 – Section 1: General Administrative Policies and Procedures
    • This is the overarching set of requirements for all MaineCare providers and will contain the responsibilities held by the MaineCare Provider Agreement.
  • Chapter 1 – Section 6: Global HCBS Waiver Person-Centered Planning and Settings Rule
  • Chapter II: Specific Policies By Service:
    • Section 18 (Home and Community-Based Services for Adults with Brain Injury)
    • Section 20 (Home and Community Based Services for Adults with Other Related Conditions)
    • Section 21 (Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder)
    • Section 29 (Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder)
  • Chapter III: Allowances for Services
    • Ch. III - Section 18: Allowances for Home and Community-Based Services for Adults with Brain Injury
      Ch. III - Section 20: Allowances for Home and Community Based Services for Adults with Other Related Conditions
      Ch. III - Section 21: Allowances for Home and Community Benefits for Members with Intellectual Disabilities or Autism Spectrum Disorder
      Ch. III - Section 29: Allowances for Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder
• The Home and Community Based Services related information
• Person-Centered Planning and Thinking
• Licensing and Certification for the Service(s) you are applying to offer
• 34-B, Chapter 5 Intellectual Disabilities and Autism
• 34-B, Chapter 6 Autism
• State Agency Rules for DHHS (Chapter 10)
  • 10-144 Department of Health and Human Services - General
  • 10-149 Office of Aging and Disability Services, part 1
  • 14-197 Office of Aging and Disability Services, part 2
• 34-B, Chapter 5 §5605 Rights of Persons with Intellectual Disabilities, Autism or Acquired Brain Injury

Review the application checklist to ensure you have prepared all the required documents:

• Application checklist for New Providers
• Application checklist for Current Providers adding a service

Complete the application and submit the required documents in the HCBS Application & Compliance Portal.

Next steps following application submission for New Providers:

• Applicants can check the status of the application in the compliance portal.

• The application will be reviewed for completeness, using qualification criteria.
• During the review process, the applicant may be asked to provide additional documentation.
• If all requirements are met during application review, then a formal interview is conducted with the applicant.
• The applicant will receive an email with the results of the review.

Post-Application Process

• If the application is approved by OADS, then the following are next steps:
  • Applicant applies to Licensing if required
  • Applicant enrolls with the Office of MaineCare Services (OMS)
  • OADS conducts an on-boarding meeting to review expectations, provide support and direction, etc.
  • Applicant will access the MaineCare Health PAS Portal to define service locations
  • New Provider can start receiving waiver members

Questions?

If you are a prospective Waiver Services provider and have questions, you may contact OADS at WaiverProvider.OADS@maine.gov.