Guide for Services
A Toolkit for Assessing Adult Developmental Services
How to Apply
MaineCare pays for services through what is called a Medicaid waiver program. The State of Maine has two waiver programs for people with IDD and/or Autism:
Section 21 Comprehensive Waiver
Section 29 Support Waiver
You can only be enrolled in one waiver at a time. To receive services, you must enroll in MaineCare and be medically eligible for services.
A person’s Case Manager can help them apply for MaineCare and for waiver services. Case Managers also help people and their families understand what services are available to them and to plan for the person’s needs. Learn more about how Case Managers can help.
Case Management
Who is eligible?
Adults 18 and older who are seeking voluntary case management services will be determined eligible based on psychological reports, diagnosis and other records (Word).
How do I apply for services?
In order to apply for services you will need a referral. Referrals can be made, with your permission, by children's case managers, schools, families and by the Adult's Case Manager or Adult Protective Services. You can also call one of our regional offices and make a referral yourself.
Please note: Section 21 and 29 Waiver Services are not required to receive Case Management Services.
Section 21 and 29 Waiver Services
Who is eligible?
To be eligible for waiver services in Maine, there are financial and medical requirements you must meet. These requirements help individuals and families understand what services are available to them and to plan for service needs.
How do I apply for Services?
Step 1 – Apply for MaineCare benefits. If you are not already receiving Maine Care Benefits, please apply for MaineCare Services. You must complete an application. For information on how to apply to MaineCare, visit the Office for Family Independence.
Step 2 – Complete a Medical Review. To complete your medical review, please contact us at the Office of Aging and Disability Services by calling regional office near you.
Disability Determination Services
Social Security and Supplemental Security Income Disability Resources
For information on applications, eligibility requirements, and benefits for the Social Security and Supplemental Security Income disability programs visit the Social Security Website. You can also find Frequently Asked Questions and the Social Security Office Locator tool.
Medical Decisions
While applications for Social Security disability are taken in the local Social Security Administration field offices, the medical decisions are made in each state by a disability determination service.
Social Security decisions which are appealed to the Office of Hearings and Appeals for a decision before an Administrative Law Judge are held in the following locations:
Office of Hearings and Appeals
One Portland Square
Suite 600
Portland, ME 04101-4092
