Application for Section 21 and Section 29 Waiver Services For and Mental Health Children’s Case Managers The home and community-based waiver programs provide services in a variety of settings including at home, in the community, and on the job. Adults with intellectual disabilities or autism spectrum disorders who want to live as independently as possible at home and in the community may be eligible for one of or Support waiver (Section two “waiver” programs: Comprehensive (Section 21) 29). Services may include: Home, Community, and Work Supports, career planning, assistive technology, durable medical equipment, therapy services, transportation and respite. Section 21: copy —paper Person Centered Plan or Individual Treatment Plan This can be a written narrative that – focuses on and explains the members limitations and what staff would do to/for/with the member to be able to help with supports needed. Areas to address home support, – community support and work support. You can use this plan addendum (see attachment above) to attach to the current plan. copy —paper Combined Calculator_21_29_Yearly Cost Estimate copy —paper Completes the and email the completed document to Harry Tobey at including the Waiver Manager at Robert.hyer@maine.gov Any relevant documents that would assist in determining eligibility and/or priority level Section 29: —paper Person Centered Plan or Individual Treatment Plan. This can be a written narrative that focuses on and explains the limitations and what staff would do to/for/with the member’s member to be able to help with Areas to address home support, community support ADL’s – and work support. (you can use the same plan for both Section 21 and 29 waiver packets). You can use this plan addendum (see attachment) to attach to the current plan. copy —paper Completes the and email the completed document to Harry Tobey at including the Waiver Manager at Robert.hyer@maine.gov copy —paper
Application for Section 21 and Section 29 Waiver Services For Children’s and Mental Health Case Managers The home and community-based waiver programs provide services in a variety of settings including at home, in the community, and on the job. Adults with intellectual disabilities or autism spectrum disorders who want to live as independently as possible at home and in the community may be eligible for one of two “waiver” programs: Comprehensive (Section 21) or Support waiver (Section 29). Services may include: Home, Community, and Work Supports, career planning, assistive technology, durable medical equipment, therapy services, transportation and respite. Section 21: —paper copy Person Centered Plan or Individual Treatment Plan – This can be a written narrative that focuses on and explains the members limitations and what staff would do to/for/with the member to be able to help with supports needed. Areas to address – home support, community support and work support. You can use this plan addendum (see attachment above) to attach to the current plan. —paper copy Combined Calculator_21_29_Yearly Cost Estimate —paper copy Completes the and email the completed document to Harry Tobey at including the Waiver Manager at Robert.hyer@maine.gov Any relevant documents that would assist in determining eligibility and/or priority level Section 29: —paper Person Centered Plan or Individual Treatment Plan. This can be a written narrative that focuses on and explains the member’s limitations and what staff would do to/for/with the member to be able to help with ADL’s Areas to address – home support, community support and work support. (you can use the same plan for both Section 21 and 29 waiver packets). You can use this plan addendum (see attachment) to attach to the current plan. —paper copy Completes the and email the completed document to Harry Tobey at including the Waiver Manager at Robert.hyer@maine.gov —paper copy
Waiver%20Application%20Protocol%20Section%2021%20&%2029%20%20for%20MH-Children's%20Case%20Managers%20(Word).docx