Maine will make use of claims data and encounter data. ME will use the CMS 372 (Medicaid Waivers) Form Reports to establish that the programs are cost effective and cost neutral and to report participation levels for the services rendered to individuals and families who meet the eligibility criteria in each waiver. It will also use National Medicaid HCBS data to note expenditures by their service categories, and use CMS 64 Form Reports to judge participants access to both community and institution LTSS.
Medicaid Adult Health Quality
MFP Quality of Life Survey
Maine will use an Adult Mental Health and Well Being Survey, which is mailed to individuals receiving mental health services in the previous eight months from MaineCare Section 17 Community Support Services or Section 97 Services Adult Residential Services (Private Non-Medical Institutions). This will measure service access, quality and appropriateness of services, satisfaction and functioning. It will also use a LTSS Provider survey to measure service access, quality and appropriateness services, satisfaction and functioning from all participating statewide providers.
Maine will use the enhanced FMAP to support structural changes, increase waiver slots for its home and community benefits for members with ID/DD and physical disabilities, develop curriculum for Direct Care Worker training, conduct studies to inform which services to write into 1915(c) waivers for the aging and physcially disabled, and develop and Olmstead Plan for community LTSS versus institutionalization for all populations.