MaineCare Section 29 · CMS 0467.R04.00
Effective January 1, 2026 through December 31, 2030 · Last reviewed October 7, 2026
Provides community support, home support 1/4 hour, respite, work support-group, financial management services, individual goods and services, supports brokerage, assistive technology, career planning, employment specialist services, home accessibility adaptations, home support-remote support, non-medical transportation, shared living, and work support-individual services to individuals with autism or intellectual disabilities ages 18 or older who meet an ICF/IID level of care. This waiver opera…
Intellectual Disability or Developmental Disability, or Both Autism 18 Developmental Disability Intellectual Disability 18 Mental Illness Mental Illness Serious Emotional Disturbance The state further specifies its target group(s) as follows: To be eligible for this waiver a participant has been diagnosed with an Intellectual Disability, autism spectrum disorder, or Rett Syndrome (for individuals diagnosed prior to 2013) as defined by the DSM. b.
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 documen…
State classification: Section 1634 State Miller Trust State: No Other specified Medicaid eligibility groups served in the waiver: • • Children with Non-IV-E Adoption Assistance as specified in §435.227 • Former • Foster Care Children as specified in §435.150 • Children Aged 19 and 20 as specified in §435.222 • Adult Group as specified in §435.119 • Children under Age 19 as specified in §435.118 (PLEASE NOTE: between the 18th and the 19th year given minimum age requirement for this waiver is 18 years of age) Furnishes waiver services to individuals in the special home and community-based waive…
Limits: Assistive Technology Services are not covered under this waiver if they are available under another MaineCare program. The components above are subject to the following limits: 1. Assistive Technology- Assessments are subject to a limit of 32 units, per state fiscal year. 2. Assistive Technology- Devices and services are subject to a combined limit $7124.60 annually, per state fiscal year. 3. Ass…
Providers: OADS approved Provider Agency
Limits: Career Planning is limited to sixty (60) hours to be delivered in a six-month period. No two six-month periods may be provided consecutively. Career Planning may not be provided at the same time as Community Support, Home Support, Work Support, or Employment Specialist Services. Career planning furnished under the waiver may not include services available under a program funded under section 110…
Providers: OADS approved Provider Agency
Limits: An individual is limited to a combined amount of 30 hours per week of Community Support (Community only and Community center-based) and that combined amount may not exceed the Combined limit of Home Support, Shared Living, and Community Support. There is an annual limit of $89,231.91 on any combination of the following services: Home Support, Shared Living, and Community Support. Community Suppor…
Providers: Individual Employee, OADS approved Provider Agency
Limits: Employment Specialist Services are provided on an intermittent basis with a maximum of 10 hours each month. Employment Specialist Services cannot be provided at the same time as Work Support-Group or Work Support-Individual. The cost of transportation related to the provision of Employment Specialist Services is a component of the rate paid for the service.
Providers: 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: 31/12/2030.
Limits: Home Support may not be provided at the same time as Community Support, Shared Living, Career Planning, Work Support, or Employment Specialist Services. There is an annual limit of $89,231.91 on any combination of the following services: Home Support, Shared Living, and Community Support. The Home Support Quarter Hour service includes transportation furnished by the provider during the course of…
Providers: Individual, OADS approved Provider Agency Application for 1915(c) HCBS Waiver: ME.0467.R04.00 - Jan 01, 2026 of 262 12/12/2025
Limits: Home Accessibility Adaptations are limited to $10,494.00 in a five (5) year period with an additional annual allowance up to $314.82 for repairs and replacement per year. General household repairs are not included in this service. All items in excess of $524.70 require documentation from a physician or another appropriate professional such as OT, PT or Speech therapist that purchase is appropriat…
Providers: Specialized independent service provider such as: plumber, electrician, etc.
Limits: Home Support-Remote Support is limited to forty-eight (48) units (12 hours) per day. This can be in addition to Home Support-Quarter Hour, as long as this is not duplicative.
Providers: OADS approved Provider 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: 31/12/2030. Alternate service name: Supports Brokerage.
Limits: Services must be coordinated through a broker.
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: Yes. Waiver expiration date in source extract: 31/12/2030. Alternate service name: Individual Goods and Services.
Limits: Respite Services are limited to 11 days or 88 hours (352 quarter hour units) annually. Respite Services are reimbursed by a quarter (1/4) hour billing code or on a per diem basis. If more than thirty-three (33) quarter hour units of Respite Services would be delivered on the same date of service, the provider must bill using the per diem billing code for that date of service. If a participant use…
Providers: OADS approved Provider Agency
Limits: There is an annual monetary limit on the combined total expenditure of $89,231.91 when participants have a need for any combination of Home Support, Shared Living, and Community Support. Because Shared Living Services includes respite as a component of the rate for that service, participants receiving Shared Living Services are not eligible to receive Respite Services as a separately billable ser…
Providers: OADS Provider Agency
Limits: Work Support may not be provided at the same time as Community Support, Career Planning, Home Support, Employment Specialist Services or Shared Living.
Providers: OADS Approved Supported Employment Agency
Limits: Work Support may not be provided at the same time as Community Support, Career Planning, Home Support, Employment Specialist Services or Shared Living. The provider must maintain documentation in the participant’s file that the service is not available under a program funded under Section 110 of the Rehabilitation Act of 1973 or the Individuals with Disabilities Education Act (20 U.S.C. §1401 et…
Providers: OADS Approved Supported Employment Agency
.0467.R04.00 - Jan 01, 2026
OADS approved Provider Agency — provider organization (Career Planning)
Occupational Therapist Speech Pathologist
OADS approved Provider Agency — provider organization (Assistive Technology)
The driver must have a current and valid Driver's license, registration and insurance.
Broker — provider organization (Non-Medical Transportation)
Other standard: Transportation services are managed through a 1915 (b) waiver run concurrently with this waiver and managed through a broker. The qualified broker, as selected through a request for proposal process, must maintain documentation of liability insurance, ability to obtain payment and performance bonds, and meet other specifications as detailed in the request for proposal. The State verifies the broker’s…
Broker — provider organization (Non-Medical Transportation)
A participant or authorized representative, acting on the participant’s behalf, may self-direct their Community-Only Individual Support Services. To assist the self-directing participant or authorized representative in meeting their responsibilities as the employer, they must receive skills training on the hiring, training and discharging employees from the FMS. The participant or authorized representative sets the…
Individual (Habilitation)
A participant or authorized representative, acting on the participant’s behalf, may self-direct their Community-Only Individual Support Services. To assist the self-directing participant or authorized representative in meeting their responsibilities as the employer, they must receive skills training on the hiring, training and discharging employees from the FMS. The participant or authorized representative sets the…
Individual Employee (Day 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 and may not work alone with the participant until such time as the staf…
OADS approved Provider Agency .0467.R04.00 - Jan 01, 2026 — provider organization (Habilitation)
Other standard: The Provider Agency must attest to and retain documentation of completion of the following requirements in the personnel records: A) Prior to providing services to a participant alone, a DSP must complete the following four modules from the College of Direct Support, including computer based and live sessions: 1.Introduction to Developmental Disabilities 2. Professionalism 3. Individual Rights and Ch…
OADS approved Provider Agency .0467.R04.00 - Jan 01, 2026 — provider organization (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 and may not work alone with the participant until such time as the st…
OADS approved Provider Agency — provider organization (Home Support-Remote Support)
Other standard: The provider agency must have: 1. Completed the enrollment process for the "Maine Integrated Health Management Solution" (MIHMS) 2. Received addition approval from OADS for provision of waiver services as required in MIHMS Provider. 3. Copies of contracts or service agreements when the provider manages services delivered by another provider, thereby documenting the cooperative, affiliated service, or…
OADS approved Provider Agency — provider organization (Home Support-Remote Support)
Other standard: The Provider Agency must attest to and retain documentation of completion of the following requirements in the personnel records: A) Prior to providing services to a participant alone, a DSP must complete the following four modules from the College of Direct Support, including computer based and live sessions: 1.Introduction to Developmental Disabilities 2. Professionalism 3. Individual Rights and Ch…
OADS approved Provider Agency — provider organization (Career Planning)
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 and may not work alone with the participant until such time as the staf…
OADS Approved Supported Employment Agency — provider organization (Work Support-Individual)
Other standard: The provider agency must have: 1. Completed the enrollment process for the "Maine Integrated Health Management Solution" (MIHMS) including the Provider Agreement and additional Developmental Services Rider to said Agreement. 2. Received approval from OADS for provision of waiver services as required in MIHMS. The Provider Agency must attest to and retain documentation of completion of the following r…
OADS Approved Supported Employment Agency — provider organization (Work Support-Individual)
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 and may not work alone with the participant until such time as the staf…
OADS Provider Agency — provider organization (Shared Living Services)
Other standard: The provider agency must have: 1. Completed the enrollment process for the "Maine Integrated Health Management Solution" (MIHMS) 2. Received addition approval from OADS for provision of waiver services as required in MIHMS Provider. 3. Copies of contracts or service agreements when the provider manages services delivered by another provider, thereby documenting the cooperative, affiliated service, or…
OADS Provider Agency — provider organization (Shared Living Services)
Minimum requirements may include compliance with: Local and state building codes, Underwriters Laboratories, FCC, NFPA, Life Safety Code, or ADA.
Specialized independent service provider such as: plumber, electrician, etc. (Home Accessibility Adaptations)
Each year a DSP completes HCBS standards (HCBS 101, 102, or 103 by year), Employment First, and the Person-Centered Planning lessons.
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…
Before a DSP works alone with a member: Introduction to Developmental Disabilities, DSP Professionalism, Individual Rights and Choice, Maltreatment, Grievance Process, and HCBS 101. Online lessons and the matching live classroom sessions are both required. Source: Maine College of Direct Support required curriculum, effective 10/1/2022.
Suggested within 60 to 90 days and required within six months: Cultural Competence, Community Inclusion, Safety, Documentation, Communication, Positive Behavior Supports, Human Sexuality, Supporting Healthy Lives, Teaching People with Developmental Disabilities, Home and Community Living, Person-Centered Planning, Working with Families and Support Networks, Behavioral Regulations for DSPs, Adult Protective Investiga…
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 or regulations to care for another person (e.g., the parent (biological or adoptive) of a minor child or the guardian of a minor child who must provide care to the child). At the option of the state and under extraordinary circumstances specified by the stat…
Every 36 months a DSP repeats the Grievance Process module and Individual Rights and Choice.
ME Support Services for Adults with Intellectual Disabilities or Autism Spectrum Disorder Waiver (0467.R04.00)
Intellectual Disability or Developmental Disability, or Both Autism 18 Developmental Disability Intellectual Disability 18 Mental Illness Mental Illness Serious Emotional Disturbance The state further specifies its target group(s) as follows: To be eligible for this waiver a participant has been diagnosed with an Intellectual Disability, autism spectrum disorder, or Rett Syndrome (for individuals diagnosed prior to 2013) as defined by the DSM. b.
Assistive Technology, Career Planning, Day Habilitation, Employment Specialist Services, Financial Management Services, Habilitation, Home Accessibility Adaptations, Home Support-Remote Support, Information and Assistance in Support of Participant Direction, Non-Medical Transportation, Other Supports for Participant Direction, Respite, Shared Living Services, Supported Employment, Supports for Participant Direction Financial Management Services, Supports for Participant Direction Individual Goods and Services, Supports for Participant Direction Supports Brokerage, Work Support - Group Supports for Participant Direction Financial Management Services Supports for Participant Direction Individual Goods and Services Supports for Participant Direction Supports Brokerage, Work Support-Individual
Annual HCBS, employment, and person-centered planning training; Criminal background investigation; DSP curriculum before working alone; DSP curriculum within six months; Extraordinary care by legally responsible person; Grievance and rights refresher
The services, eligibility notes, and requirements come from the approved CMS waiver application 0467.R04.00. Last reviewed 2026-10-07.