MaineCare Section 18 · CMS 1082.R02.00
Effective July 1, 2024 through June 30, 2029 · Last reviewed October 7, 2026
Provides care coordination, career planning, home support (1/4 hour-level I), home support-per diem level II, financial management services, individual goods and services, supports brokerage, assistive technology, employment specialist services, home support- remote support, home support-per diem level III (increased neurobehavioral), non-medical transportation, work ordered day clubhouse, and work support-individual services to individuals with brain injury ages 18 or older who meet a nursing…
Intellectual Disability or Developmental Disability, or Both The state further specifies its target group(s) as follows: HCBS Waiver: ME.1082.R02.00 - Jul 01, 2024
Evaluation/Reevaluation of Level of Care As specified in 42 CFR §441.302(c), the state provides for an evaluation (and periodic reevaluations) of the need for the level(s) of care specified for this waiver, when there is a reasonable indication that an individual may need such services in the near future (one month or less), but for the availability of home and community-based waiver services. Reasonable Indication of Need for Services. In order for an individual to be determined to need waiver services, an individual must require: (a) the provision of at least one waiver service, as document…
Miller Trust State: No Other specified Medicaid eligibility groups served in the waiver: • HCBS Waiver: ME.1082.R02.00 - Jul 01, 2024 •Infants and Children under Age 19 (42 CFR 435.118) •Parents and Other Caretaker Relatives (42 CFR 435.110) •Pregnant Women (42 CFR 435.116) •Children with Non IV-E Adoption Assistance (42 CFR 435.227) •Former • Foster Care Children (42 CFR 435.150) •Children Age 19 & 20 (42 CFR 435.222) •Adult Group (42 CFR 435.119) Furnishes waiver services to individuals in the special home and community-based waiver group under 42 CFR § 435.217. Special in…
Limits: .1082.R02.00 - Jul 01, 2024 The components of Assistive Technology are subject to the following limits: The Assistive Technology Device and related services (See B. above) are subject to a combined limit of $7056.48 annually. The services described for AT Assessment and AT Devices See A. and B. above) are subject to a combined limit of 32 u…
Providers: OADS Approved Provider Agency
Limits: 400 units per year.
Providers: Service Coordination Agency (SCA)
Limits: Employment Specialist Services are limited to 72 units per service year. Work Support Services cannot be provided at the same time as Employment Specialist Services.
Providers: Employment Specialist, OADS Approved Supported Employment Agency
Imported from NASDDDS 1915(c) Waiver Services Database, CMS WMS extract current as of 2026-04-02. Use as a research accelerator only; validate against the CMS waiver package before relying on it. Participant-directed: Yes. Provider-managed: No. Waiver expiration date in source extract: 30/06/2029.
Limits: 64 units per day.
Providers: Individual Employee, OADS Approved Provider Agency
Limits: Service Delivery Method (check each that applies) : Participant-directed as specified in Appendix E Provider managed .1082.R02.00 - Jul 01, 2024 Specify whether the service may be provided by (check each that applies) : Legally Responsible Person Relative Legal Guardian
Providers: OADS Approved Provider Agency
Limits: Service Delivery Method (check each that applies) : Participant-directed as specified in Appendix E Provider managed Specify whether the service may be provided by (check each that applies) : Legally Responsible Person Relative Legal Guardian
Providers: Broker
Imported from NASDDDS 1915(c) Waiver Services Database, CMS WMS extract current as of 2026-04-02. Use as a research accelerator only; validate against the CMS waiver package before relying on it. Participant-directed: Yes. Provider-managed: No. Waiver expiration date in source extract: 30/06/2029. Alternate service name: Individual Goods and Services.
Limits: Payments are not made for room and board, the cost of facility maintenance, upkeep, or improvement. The cost of transportation is included in the residential habilitation rate.
Providers: OADS approved Provider Agency
Limits: The maximum annual allowance is 60 hours to be delivered within a six month period. No two six month periods may be provided consecutively. Career Planning may not be provided at the same time as Home Support, Employment Specialist Services or Work Support.
Providers: OADS Approved Provider Agency
Limits: 64 units per week. Employment Specialist Services cannot be provided at the same time as Work Support Services.
The driver must have a Driver's license, registration and insurance.
Broker — provider organization (Non-Medical Transportation)
Other standard: The state's transportation services are managed through a 1915 b waiver run concurrently with this waiver. The transportation is managed through a broker. The broker's qualifications are those providers who were selected in the request for proposal process and who show documentation of their liability insurance, ability to obtain payment and performance bonds and meet other specifications as detailed…
Broker — provider organization (Non-Medical Transportation)
.1082.R02.00 - Jul 01, 2024 Provider Agency must have: * Completed the enrollment process for the "Maine Integrated Health Management Solution" (MIHMS). * Received additional approval from OADS for provision of waiver services as required in MIHMS. * In addition to the requirements outlined for above, the following requirements apply to Employment Specialists:…
Employment Specialist (Employment Specialist Services)
Home Support (1/4 hour) may be provided by an individual who meets the requirements for Employees for self-directed services. The standards for training are set by the individual directing services. The self-directing participant or representative, as applicable, is responsible for the hiring and training of the Employee. As part of this process, the self-directing participant or representative must maintain documen…
Individual Employee (Habilitation)
DSPs must successfully complete the Direct Support Professional curriculum as adopted by DHHS, or demonstrated proficiency through DHHS’s approved Assessment of Prior Learning, or has successfully completed the Maine College of Direct Support within six (6) months of date of hire. DSPs must have current CPR and First Aid Certification. A DSP is legally authorized to assist with the administration of med…
OADS approved Provider Agency — provider organization (Residential Habilitation)
Other standard: Provider Agency must have: * Completed the enrollment process for the "Maine Integrated Health Management Solution" (MIHMS) * Received addition approval from OADS for provision of waiver services as required in MIHMS The Provider Agency must have accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF)-Home and Community Services, Residential Services and Brain Injury mo…
OADS approved Provider Agency — provider organization (Residential Habilitation)
Other standard: .1082.R02.00 - Jul 01, 2024 Minimum requirements may include compliance with: Equipment must adhere to * Local and state codes * Underwriters Laboratories * FCC * NFPA Life Safety Code * ADA Provider Agency must have: * Completed the enrollment process for the "Maine Integrated Health Management Solution" (MIHMS). * Received additional approval…
OADS Approved Provider Agency — provider organization (Assistive Technology)
.1082.R02.00 - Jul 01, 2024 DSPs must successfully complete the Direct Support Professional curriculum as adopted by DHHS, or demonstrated proficiency through DHHS’s approved Assessment of Prior Learning, or has successfully completed the Maine College of Direct Support within six (6) months of date of hire. DSPs must have current CPR and First Ai…
OADS Approved Supported Employment Agency — provider organization (Employment Specialist Services)
Other standard: Provider Agency must have: * Completed the enrollment process for the "Maine Integrated Health Management Solution" (MIHMS). * Received additional approval from OADS for provision of waiver services as required in MIHMS. * In addition to the requirements outlined for above, the following requirements apply to Employment Specialists: a. Received supervision during the first six months of hire from a C…
OADS Approved Supported Employment Agency — provider organization (Employment Specialist Services)
Registered Nurse (RN) or Registered Occupational therapist (OTR) or a licensed social service or health professional. In order to be qualified as a Registered Nurse, an individual must have: • Completed a course of study of not less than two (2) years in an approved program in professional nursing and holds a degree, diploma or certificate. • Documented successful passage of the required examination. In ord…
Service Coordination Agency (SCA) — provider organization (Case Management)
A certified Occupational Therapy Assistant may provide care coordination when under the direct supervision of an OT or Nationally Certified Recreation Therapist (CTRS).
Service Coordination Agency (SCA) — provider organization (Case Management)
Other standard: All staff must also possess Certificate of Fundamentals of Brain Injury (CFBI) or department approved training. 4 years of education in health or social services field and 1 year of community experience. All staff must have * Reportable Events Training * Criminal Background Check
Service Coordination Agency (SCA) — provider organization (Case Management)
Yes. Criminal history and/or background investigations are required. Specify: (a) the types of positions (e.g., personal assistants, attendants) for which such investigations must be conducted; (b) the scope of such investigations (e.g., state, national); and, (c) the process for ensuring that mandatory investigations have been conducted. State laws, regulations and policies referenced in this description are availa…
Provision of Personal Care or Similar Services by Legally Responsible Individuals. A legally responsible individual is any person who has a duty under state law to care for another person and typically includes: (a) the parent (biological or adoptive) of a minor child or the guardian of a minor child who must provide care to the child or (b) a spouse of a waiver participant. Except at the option of the State and und…
ME Home and Community Based Services for Members with Brain Injury Waiver (1082.R02.00)
Intellectual Disability or Developmental Disability, or Both The state further specifies its target group(s) as follows: HCBS Waiver: ME.1082.R02.00 - Jul 01, 2024
Assistive Technology, Case Management, Employment Specialist Services, Financial Management Services, Habilitation, Home Support-Per Diem Level III Increased Neurobehavioral, Home Support- Remote Support, Non-Medical Transportation, Other Supports for Participant Direction, Residential Habilitation, Supported Employment, Supports for Participant Direction Financial Management Services, Supports for Participant Direction Individual Goods and Services, Supports for Participant Direction Supports Brokerage, Work Ordered Day Club House, Work Support-Individual
Criminal background investigation; Extraordinary care by legally responsible person
The services, eligibility notes, and requirements come from the approved CMS waiver application 1082.R02.00. Last reviewed 2026-10-07.