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Maine State Medicaid Waiver Program Application Guide

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  • Maine State Medicaid Waiver Program Application Guide

    Waiver #1:
    Katie Beckett Waiver

    Who Can Apply?

    Circumstances/Diagnosis: Any child under 19 who is diagnosed with any type of disability (this includes autism). The state requires that individuals need at least an intermediate care facility level of care to qualify. This has a technical definition but essentially just means that the individual is unable to get through their day without a lot of supervision.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

    What do I get?

    The way Katie Beckett Programs work is that they allow families with higher incomes to receive medicaid benefits for their child because eligibility is based on the child income. This means that you will be able to receive dental care, emergency and non-emergency transportation, inpatient and outpatient treatment, medical equipment, occupational therapy, pharmacy, physical therapy, vision.

    How do I apply?

    Call your county’s Department of Human and Health Services

    What does the Goally Team Think?

    Maine has a terrible waiver program. They currently only have a Katie Beckett program which is what most states provide as a baseline and then extend further services to meet the case specific needs of people with disabilities that medicaid doesn’t normally cover. Maine needs to improve this program and is in the midst of doing so in a three year project to revamp the behavioral health services. We additionally had a hard time finding Maine specific resources that are worth your time to check out, so if you have any you recommend please comment below.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 1/5
    Access and requirements of qualification: 3/5
    Healthcare coverage: 1/5

    Other online resources for Maine:

    Autism Society of Maine provides education, resources, and events for families
    Maine Parent Federation provides information, referrals, and training for parents

    Telephone Resources

    The Office of Child and Family Services manages the waiver program and should be able to answer your questions. 207- 624-7900
    Last edited by Nate; 07-15-2020, 12:00 AM.