Other Related Conditions
MaineCare (Maine’s Medicaid Program) has services available to qualifying individuals age 21 or older with “other related conditions”. These services are offered through MaineCare Section 20 - Home and Community Based Services for Adults with Other Related Conditions. Other Related Conditions (ORC) are attributable to:
- Cerebral Palsy or Epilepsy; or
- Any other condition, other than mental illness, found to be closely related to Intellectual Disabilities because this condition results in impairment of general intellectual functioning or adaptive behavior similar to that of persons with Intellectual Disabilities and requires treatment or services similar to these required for these persons. These conditions include but are not limited to Neurofibromitosis, Other Choreas, Anoxic Brain Damage, Cerebral Laceration and Contusion, Subarachnoid- Subdural and Extradural Hemorrhage following injury, Other and Unspecified Intracranial Hemorrhage following injury or Intracranial injury and unspecified nature.
The Section 20 Waiver Program allows particpants to choose community based services rather than residing in an institution. The goal of the ORC Waiver Program is to provide a comprehensive array of services to adults with Cerebral Palsy, Epilepsy, and Other Related Conditions. The benefits of this program include:
- Community integration through existing natural supports and community relationships.
- An array of service options that include: Care Coordination, Home Support, Community Support, & Work Support. It does not duplicate other MaineCare services.
- Innovative technological and clinical services to maxmize independence in the most integrated community setting. This is accomplished through Assistive Technology Device Services, Home Accessibility Adaptations, and Maintenance Therapies for Occupational Therapy, Physical Therapy, and Speech Therapy.
- Other services are availalbe and may be identified in the Care Planning process.
The State of Maine requires an assessment to determine an individual’s functional and financial eligibility for services under the Other Related Conditions Waiver.
Assessments help individuals and families understand what services are available to them and to plan for service needs.