Cutler Institute for Health and Social Policy

Disability and Aging

Use of the 1915 (c) Federal Waiver Application: The Experience of Eight States


Research staff at the Muskie School of Public Service, USM were requested to evaluate the effectiveness of the revised HCBS waiver application process from the perspective of states. This report summarizes the purpose, scope, approach and findings of the evaluation. The evaluation was designed to provide qualitative information on states' experience using the new HCBS waiver application for initial and renewal waiver applications. The evaluation examined four major issues: <i>Clarity/Consistency</i>: Are the waiver application components (Application, Technical Guide, Review Criteria) clearly understood and do they promote consistent interpretation? <i>Relevancy/Adequacy</i>: Do the application components address the range of waivers and options available to states and are they useful in clarifying the design of the state's waiver program? <i>Burden</i>: Do the application components and processes promote efficiency of state effort? <i>Impact</i>: Do the waiver application components strengthen the waiver program? States identified four primary areas of benefit from the new waiver application process.<p></p><i>Overall Benefits</i><br></br>States identified four primary areas of benefit from the new waiver application process. They found that the waiver application:<li>Facilitated communication and coordination within the State and with CMS;<li>Clarified the expectations of CMS regarding roles and responsibilities; <li>Improved the overall consistency and accuracy of the waiver application;<li>
Improved and strengthened the organization and design of the waiver programs</li>

Publication Type: 
Publish Date: 
October 1, 2007

Nellie Mae Education Foundation nominates Pious Ali for the Lawrence W. O'Toole Award

Pious Ali

Pious Ali, Youth and Community Engagement Specialist in Cutler’s Children, Youth, and Families Programs, has been nominated for the Lawrence W. O’Toole Award by the Nellie Mae Education Foundation. Pious is one of six nominees from the New England states.

The Nellie Mae Education Foundation believes that student-centered learning – where learning is personalized, engaging, competency-based and not restricted to the classroom – will prepare young people to graduate high school ready to contribute to their communities and succeed. This award is given out each year to an individual, school district, or non-profit that has exhibited great leadership in moving student-centered approaches to learning forward in the New England region.

The winner will be selected by online voting and will be awarded a $100,000 grant to help advance student centered learning!


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Adults with Intellectual Disabilities or Autism Spectrum Disorder: Population and Service Use Trends in Maine 2014 Chartbook

Adults with Intellectual Diabilities or ASD Chartbook

Adults with Intellectual Disability or Autism Spectrum Disorder: Population and Service Use Trends in Maine, 2014 Edition provides a detailed look at the historical trends and current utilization and cost of institutional and community based services for adults with intellectual disability or autism spectrum disorder.

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Dementia in Maine

Dementia in Maine

As the oldest state in the nation, Maine faces the impending impact of Alzheimer’s disease on its social systems, community resources, and its health and long term care systems. This report provides a baseline picture of the current use of services by people with and without dementia in Maine. Learn more in Dementia in Maine: Characteristics, Care, and Cost Across Settings.

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Report on Maine's Older Adults

With the aging of Maine’s population and its status as the oldest state in the nation, the use of long term services continues to be a critical public policy issue in the state and nationally. Learn more in Older Adults and Adults With Disabilities: Population and Service Use Trends in Maine, 2012 Edition.

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