How do I Apply - Other Related Conditions
The State of Maine requires both a financial and medical review to determine an individual’s eligibility for Other Related Conditions Waiver Services.
Step 1. Apply for Other Related Conditions Waiver services by completing and returing the required documentation.
- 2017-2018 ORC Application (Word*)
- Authorization-Release (Pdf*)
- ORC Letter of Medical Necessity (Word*)
- ORC Community Choice Letter (Word*)
Step 2. An Office of Aging and Disability Services professional will set up a visit with you to gather information and complete the Health and Safety Assessment. This visit will be face to face. You may request that a family member or other person be present at the assessment.
Step 3. If you have not already had a functional assessment by Maine's Assessing Services Agency at 1-833-525-5784 or by fax at 1-844-356-7500, you will be asked several questions about the help a person is looking for and what the financial circumstances are for this person. Maine's Assessing Services Agency then decides whether or not a face to face assessment will be done. There is no charge, and the assessment is private. If Maine's Assessing Services Agency determines that a face-to-face assessment is needed, you will be contacted by a Maine's Assessing Services Agency assessor to schedule the assessment.
If you proceed to a face-to face assessment, this may be done in your home, in the hospital or nursing home by a Registered Nurse. The nurse uses a laptop computer to collect the information to complete the assessment. The nurse will ask about the kinds of tasks you can do by yourself, what kinds of medications you take, what kinds of help you need, whether you have friends and family members or neighbors who can help you, what your income is, and other questions. You may request that a family member or other person be present at the assessment.