1. Program Definition and Services 

Case Management Services in Maine are designed to assist individuals in gaining access to needed medical, social, educational, and other services. These services include: 

• Comprehensive assessment and periodic reassessment 

• Development and periodic revision of a specific care plan 

• Referral and related activities to help obtain needed services 

• Monitoring and follow-up activities 

2. Regulations 

Case Management Services in Maine are governed by: 

• MaineCare Benefits Manual, Chapter II, Section 13 

• Title 34-B of Maine Statutes 

• Certification Requirements for Agencies Seeking to Provide Community Based Targeted Case Management (14-197 CMR ch.10) 

3. Licensing or Certification 

Certification by the Maine Department of Health and Human Services (DHHS) is required to provide Case Management Services. 

4. Responsible State Agency 

The Maine Department of Health and Human Services (DHHS), specifically the Office of Aging and Disability Services (OADS), is responsible for certifying Case Management Service providers. 

5. Application Process 

Providers must apply through the Maine DHHS. The application process involves submitting an Application for Certification along with the Certification Review Submission Requirements to OADS. 

6. Required Documentation 

Providers typically need to submit: 

• Completed Application for Certification form 

• Evidence of staff qualifications and training 

• Program descriptions and service delivery models 

• Proof of compliance with state regulations 

7. Timeline for Approval 

The specific timeline for approval is not provided in the available results. However, OADS will send an acknowledgment of receipt of the application and review it for programmatic and fiscal requirements. 

8. Pre-Application Process 

While there's no formal pre-application process mentioned, potential providers should review the certification requirements and ensure they can meet DHHS expectations before applying. 

9. Pre-Application Training 

Staff must have specific qualifications, including: 

• A Bachelor's or Master's degree in a relevant field 

• Completion of case management training programs as required by DHHS 

10. Additional Notes 

• Providers must maintain a ratio of one case manager to every 35 people in each region 

• Case managers must maintain at least monthly contact with each person and visit their home at least twice a year 

• As of March 2025, providers must ensure that staff or contractors possess the skills, attitudes, and knowledge needed to perform job functions 

• Providers must complete and maintain comprehensive assessments, individual care plans, and other documentation for each member 

• Case Management services must be provided in settings accessible to the member