HCBS Access Measures

This page is updated quarterly and reflects data as of June 30, 2025. 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) 214 225 126 99 46%
Other related Conditions (Section 20) 42 20 8 12 29%
Comprehensive Services for IDD/ASD (Section 21) 3,052 2,258 1,850 408 13%
Support Services for IDD/ASD (Section 29) 2,936 69 22 47 1.6%
Unduplicated Member* Totals 6,240 2,560 1,905 655 10%

^Members can be on multiple waitlists simultaneously.

Developmental Disabilities Lengths of Wait Time

Average Wait Time 06.2025

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 April 1 to June 30, 2025

Program Participants Waitlist
Home and Community Benefits for Older and Disabled Adults (Section 19) 3,283 0
Private Duty Nursing and Personal Care Services (Section 96) 2,474 *
Consumer Directed Attendant Services (Section 12) 333 0
State Funded Home Based Care (Section 63)  869 1,104
State Funded Independent Support Services (aka Homemaker) (Section 69) 1,237 1,473
Totals 8,196 2,577

*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 July 1, 2023 to June 30, 2024

Figure 1

Sec 19 Authorizations to Date of Service for Nursing and PSS 06.2024

Figure 2

Section 19 Average Time to Start 06.2024

Section 19 Notes:

Figure 1. Of the 66 individuals authorized for nursing services on or after July 1, 2023, 83% of those individuals began nursing services on or before June 30, 2024. Of the 808 individuals authorized for PSS services on or after July 1, 2023, 90% began PSS services on or before June 30, 2024.

Figure 2. During the period July 1, 2023- June 30, 2024, the average wait time for nursing services to begin for 55 out of 66 individuals was 19.7 days. The average wait time for PSS services to begin for 729 out of 808 individuals was 8.9 days.

LTSS

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

Figure 1

Medical Eligibility Determinations Completed 06.2024

Figure 2

Avg Business Days for Completed Assessment 06.2024

 

Medical Eligibility Notes:

Figure 1. Counts of initial, reassessment and hospital medical eligibility determinations completed from July 1, 2023- June 30, 2024, 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, 2023- June 30, 2024, the average amount of time in days for each medical eligibility type completed within an acceptable timeframe was: 5.4 days for initial assessments, 13.3 days for reassessments, and .9 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 06.2024

Figure 2

Annual New Waiver Svc Offers and Svcs Starting 06.2024

 

Developmental Services Notes:

Figure 1. Of the 507 individuals authorized to begin S18, S20, S21 and S29 waiver services during the period July 1, 2023- June 30, 2024, 44% of individuals started services on or before June 30, 2024. 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, 2023- June 30, 2024, a total of 224 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