The Maine Department of Health and Human Services (DHHS) is proposing to make changes to some MaineCare services through a 1915 (i) State Plan Amendment, also known as an iSPA.


In this iSPA, Maine intends to streamline delivery systems and prioritize community and work-based habilitation support for adults.  An iSPA provides states with greater autonomy and flexibility for providing services to Medicaid members while maintaining compliance with the federal Centers for Medicare and Medicaid Services (CMS).


The proposed changes will affect the following sections of MaineCare policy:


·         Section 2, Adult Family Care Services

·         Section 17, Community Support Services

·         Section 26, Day Health Services

·         Section 97, Private Non-Medical Institutions


The DHHS is also proposing to add the following services to the MaineCare Benefits Manual:


·         Benefits Counseling

·         Career Planning

·         Psycho-Social Club House

·         Residential Habilitation

·         Supported Employment-Individualized


The Department has scheduled community forums to discuss these changes, answer questions, and solicit feedback from stakeholders and the public. Forums will be held across the state on the following dates:


Monday, August 3           9 a.m. to noon, 151 Jetport Boulevard, Portland

Tuesday, August 4           1 to 4 p.m., 19 Union Street, Augusta

Thursday, August 6         9 a.m. to noon, 396 Griffin Road, Bangor

Friday, August 7              9 a.m. to noon, 30 Skyway Drive, Unit 100, Caribou


To RSVP, please contact Lisa Weaver at



A 1915 (i) SPA is an agreement between the State of Maine and CMS. The iSPA is a mechanism for Maine to gain CMS authority for new services and to bring Maine into alignment with CMS requirements for existing services.



This is a joint message from Office of MaineCare Services, Office of Aging and Disability Services and Office of and Substance Abuse and Mental Health Services.


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