The Maine Assessing Services Agency (ASA) program, managed by MAXIMUS Ascend for the Maine Department of Health and Human Services, plays a crucial role in determining eligibility for long-term care services. This program utilizes various clinical tools and forms to assess individual needs and connect them with appropriate care. Let’s explore the key assessment services offered.
Long-Term Care (LTC) Advisory Assessments
The LTC Advisory assessment is a crucial tool for individuals and families considering long-term care options. This comprehensive evaluation helps determine eligibility for MaineCare or state-funded home-based care programs. The assessment advises on the suitability of facility admission or in-home services, providing vital information for informed decision-making. Importantly, individuals planning to enter a nursing facility generally require this assessment unless admitted under skilled care, as mandated by state regulations.
Pre-Admission Screening and Resident Review (PASRR)
Federally mandated, the Pre-Admission Screening and Resident Review (PASRR) process focuses on individuals suspected of having a mental illness who are applying to or residing in Medicaid-certified nursing homes. On-site evaluations are conducted to ensure appropriate placement and access to necessary care and services. PASRR aims to determine if a nursing home setting is suitable for individuals with mental illness, intellectual disabilities, or developmental disabilities. This critical step helps connect individuals with the specific level of care they require.
Acquired Brain Injury (ABI) Evaluations
For individuals with Acquired Brain Injury (ABI) resulting from trauma, infection, vascular lesions, or anoxia, specialized evaluations are essential. These assessments involve a neuropsychologist evaluation and utilize tools such as the Mayo Portland Adaptability Inventory and a Health and Safety tool. This comprehensive approach determines medical eligibility for specialized ABI services, whether delivered in a facility or at home. The focus is on assessing the impact of the injury on physical, behavioral, and mental function, ultimately aiming to support independent living.
Other Related Conditions (ORC) Assessments
The Other Related Conditions (ORC) program addresses individuals with Cerebral Palsy, Epilepsy, or conditions closely related to Intellectual Disability. A Medical Eligibility Determination assessment, including the BMS 99 form, is used to determine eligibility for services under the ORC Waiver. This program promotes community integration through various supports, including Care Coordination, Home Support, Community Support, and Work Support. This holistic approach aims to enhance the individual’s overall well-being and participation in the community.
Conclusion
The Maine ASA Program employs a range of clinical tools and forms to ensure comprehensive assessments for individuals seeking long-term care services. From determining eligibility for in-home care to specialized evaluations for ABI and ORC, the program strives to connect individuals with the appropriate level of support. By understanding these assessment services, individuals and families can navigate the long-term care landscape more effectively and access the resources they need.
