Disability and Aging
Adults with intellectual disability or autism spectrum disorder (ID/ASD) have a variety needs for long term services supports to enable them to live as independently as possible. In Maine, the Office of Aging and Disability Services/Developmental Services provides a wide array of services to adults with ID/ASD, the majority of which are funded through MaineCare. This Chartbook describes Maine’s historical trends in meeting the needs of adults with ID/ASD through institutional and community based services in comparison to other states; a detailed analysis of the population’s utilization of different types of services and their costs in SFY 2010; an analysis of the utilization and cost of services for adults with ID/ASD who were on the waitlists for home and community based waivers services in SFY 2013; the implementation of the Supports Intensity Scale (SIS) as a means of identifying the supports needs of the adults with ID/ASD; and the complement of providers serving this population in Maine.
This Chartbook is unique in its detailing of the service and costs of adults with intellectual disability or austim spectrum disorder (ID/ASD) in Maine. The Chartbook focuses on adults with ID/ASD who are eligible only for MaineCare (Maine's Medicaid system) or who are dually eligible for MaineCare and Medicare.
The Executive Summary provides key findings in the areas of:
- Historical Trends
- Claims Analysis of Dually Eligible and MainCare-only Eligible Adults with ID/ASD in 2010
- MaineCare Claims Analysis of Members on the HCBS Waitlists, SFY 2013
- Quality Measures, SFY 2010
- Supports Intensity Scale, 2013
- ID/ASD Providers in Maine Compared to the Nation, 2005-2010
Click here for the Executive Summary.
Click here for the Executive Summary with Charts.
Click here for the full Chartbook.
Suggested Citations: Snow KI, Bratesman S, Bowe T, Fralich J. Adults with Intellectual Disability or Autism Spectrum Disorder: Population and Service Use Trends in Maine, 2014 Edition. (Executive Summary). Portland, ME: University of Southern Maine, Muskie School of Public Service;2014.
Snow KI, Bratesman S, Bowe T, Fralich J. Adults with Intellectual Disability or Autism Spectrum Disorder: Population and Service Use Trends in Maine, 2014 Edition. (Chartbook). Portland, ME: University of Southern Maine, Muskie School of Public Service;2014.
Prepared for the Office of Aging and Disability Services, Maine Department of Health and Human Services by the Muskie School of Public Service, University of Southern Maine.
This report was prepared by Kimberly Irvin Snow, Nadine Edris, and Janice Daley of the University of Southern Maine's Muskie School of Public Service and submitted to the Maine Department of Health and Human Service, Office of Substance Abuse and Mental Health Services. Results of this report were also presented in a webinar on November 21, 2014.
The authors investigated the training and certification processes used by other states for their mental health case management workforce. Ten states were selected for indepth comparative review because they provide a certification process for case managers, provide case management services similar to those of Maine, or require case managers to meet competency or training/education requirements.
Suggested Citation: Snow KI, Edris N, Daley J. A Review of Mental Health Rehabilitation Technician Qualifications and Training Procedures: Maine and Ten Comparison States. Portland, ME: University of Southern Maine, Muskie School of Public Service; June, 2014.
This presentation, The Multiple Roles of Medicaid and the Administrative Capacity to Support Them, was prepared by Eileen Griffin of the Muskie School of Public Service for the National Association of Medicaid Directors Fall Conference. Griffin also co-authored a report in 2013, funded by the Kaiser Commission on Medicaid and the Unisured, which discusses key responsibilities that the federal government and states hold for managing the Medicaid program and identifies the key issues and challenges states face as they transform the way they do business and achieve key national goals.
Suggested Citation: Griffin E. Multiple Roles of Medicaid...And the Administrative Capacity to Support Them. Presented at the National Association of Medicaid Directors (NAMD); November 4, 2014; Arlington, VA.
This Research & Policy brief was prepared for the Health Care Forum of the Policy Leaders Academy, a nonpartisan educational program for Maine Legislators.
The brief defines managed care, discusses state goals for and common models of managed care, and describes design decisions that state Medicaid agencies face.
Fralich, J. T. (2011). Medicaid managed care: Background, issues, and options. Portland, ME: University of Southern Maine, Muskie School of Public Service
The World Health Organization and Alzheimer’s Disease International have recommended that dementia be considered a public health priority for all nations. The number of people with Alzheimer’s disease in Maine is expected to nearly double from about 26,000 persons in 2010 to nearly 50,000 by 2030. As the oldest state in the nation, Maine faces the impending impact of this disease on its social systems, community resources and its health and long term care systems. In particular, service and use patterns highlighted in this report indicate that Maine’s long term care system is increasingly becoming a system of care for people with dementia.
This report provides a baseline picture of the current use of services by people with and without dementia in Maine. While this provides a comprehensive view of those accessing services through state funded home care programs or other MaineCare funded long term care services, it does not include the costs of informal care by caregivers, friends and family members. Nor does it include the out-of-pocket costs that many incur with private resources to care for a family member. We hope, however, that this information will be useful to those who are planning for the future of Maine’s long term care system and the needs of people with dementia and their families and caregivers.
Suggested Citation: Fralich J, Bratesman S, Olsen L, et al. Dementia in Maine: Characteristics, Care, and Cost Across Settings. Portland, ME: University of Southern Maine, Muskie School of Public Service; December, 2013.
This report was prepared under a Cooperative Agreement between the Muskie School of Public Service, University of Southern Maine and the Maine Department of Health and Human Services, Office of Aging and Disability Services. This work was funded under Cooperative Agreement number CA-ES-13-251.