Care Coordination

The care coordination process is centered around you. We will work with you to develop the best possible support plan to help you remain at home. We will work with your families, loved ones, and health care professionals to identify your needs and preferences so we can link you to the best services available in your community.

LTSS is provided through various programs and the services authorized under each program are dependent upon an individual’s needs and financial status. Services can only be accessed after you are determined eligible, both medically and financially. There are two ways to initiate eligibility:

• Go to the Department of Health and Human Services office nearest you and apply for Long Term Care services under MaineCare.
• Contact Maximus at 1-833-525-5784 and ask for a Long Term Care Assessment for community services.

Either method of initiating eligibility will most likely result in a nurse coming to your home and completing a medical eligibility assessment. At the time of assessment, the nurse will explain for which program and what services you are medically eligible. 

The Department of Health and Human Services determines your financial eligibility for MaineCare Programs. SeniorsPlus Care Coordination determines your financial eligibility for our state-funded Home Based Supports and Services Program. 

If you are found both financially and medically eligible for a SeniorsPlus program, your assessment will be sent to one of our Care Coordinators. Your Care Coordinator will contact you to review your assessment and service options. Care Coordination is unable to take referrals for services without an eligibility assessment from Maximus.

Current consumers should contact their Care Coordinator. If you are not currently a SeniorsPlus Care Coordination client but would like information, please call 1-800-427-1241 and ask for the Care Coordination Manager or email info@seniorsplus.org.

Agencies on aging provide an array of information and resources for older people and adults with disabilities to help them remain independent. Services include health, wellness, nutrition, education, home help, caregiver relief, Alzheimer’s and dementia services, adult day services, financial planning. Housing options, health insurance counseling, Medicare/Medicaid help, and assistance with complicated forms.

Maine is covered by five Area Agencies on Aging, each assigned to specific counties:
SeniorsPlus, serving Androscoggin, Franklin, and Oxford Counties – 800-427-1241 or 207-795-4010;
Aroostook Area Agency on Aging, serving Aroostook County – 800-439-1789;
Southern Maine Area Agency on Aging, serving Cumberland and York Counties, excluding the towns of Brunswick and Harpswell – 800-427-7411;
Eastern Area Agency on Aging, serving Hancock, Penobscot, Piscataquis, and Washington Counties – 800-432-7812;
Spectrum Generations, serving Kennebec, Knox, Lincoln, Sagadahoc, Somerset, and Waldo Counties, plus the towns of Brunswick and Harpswell – 800-639-1553.