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Cost of Maine Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Maine is $4,800 per month.

The monthly base rate for Maine assisted living is typically lower when compared to neighboring states. Maine is also more expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in Maine. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

New Hampshire$5,103

Assisted Living Regulations

In Maine, assisted living facilities are known as assisted housing programs, an umbrella term that includes residential care facilities, assisted living programs, and independent housing with services. Facilities that provide assisted care must offer private apartments with a common dining area.

Maine Assisted Living Facilities Scope of Care

There are five levels of care within residential care facilities. In general, assisted living programs may provide, but are not limited to, nursing care, medication administration, assistance with ADL's and IADL's, supervision, and protection from environmental hazards. Additional services may be provided through a home health care agency.

Maine Assisted Living Admission Requirements

Residents who require care in level III and IV care facilities require an assessment within 30 days of admission. Residents must be able to pay for services, must not be a danger to themselves or others, and their needs must be able to be met by the program.

Maine Assisted Living Care Plan Requirements

Residents in assisted living programs must be reassessed every six months to determine if their physical, cognitive and psychosocial needs are being met appropriately.

Maine Assisted Living Medication Management Requirements

Medication Administration is allowed, including injections as needed by trained medical staff. Otherwise, staff can remind residents, open containers, take out prescribed dosages and observe the resident taking the medication.

Maine Assisted Living Facility Requirements

Two residents are permitted per unit, and toilet facilities must be adequate to meet the needs of every six residents, while bathing facilities must meet the needs of every 15 residents. In assisted living facilities, there are no requirements regarding minimum levels of personal space.

Maine Assisted Living Staffing Requirements

There are specific ratios required to meet state levels of nursing staff who must be present. A certified medication aid is required to be present at all times. An administrator must be employed full-time and must be 21 years of age and meet minimum education requirements, depending on the facility. Annual continuing education courses are required of all direct care staff.

Maine Assisted Living Medicaid Policy

Assisted living facilities are covered by both a state plan option and a Medicaid home and community-based services waiver.

Maine Alzheimer's Unit Requirements

Facilities that provide care for residents with Alzheimer's disease and dementia must plan regular weekly social activities, have specific physical design requirements, and are required to disclose pieces of information.

Maine Medicaid Coverage of Assisted Living and Related Services

The State of Maine offers the Older Adults and Adults with Disabilities Waiver which provides for personal care regardless of the location; in the recipient own home or in an assisted living community. It is also known as MaineCare Elderly Waiver.

The Maine Medicaid (MaineCare) waiver helps the elderly with the same type care received in a nursing home to be administered home or in their communities. Individuals choosing this waiver can choose to self-direct their care.

Self or Consumer Direction is based on the Medicaid model called Cash and Counseling in which individuals the ability to choose their own personal care providers. Some family members, including the adult children, may be hired and paid as the older adults' caregivers. This Family Provider Service Option enforces a 3rd party financial management company to be used to manage payroll and taxes.

Services and Benefits provided by the MaineCare Waiver:

- Adult Day Health

- Care Coordination

- Environmental Modifications

- Home Health Services

- Homemaker

- Home Delivered Meals

- Housing

- Independent Living Assessment

- Personal Care

- Personal Emergency Response Systems

- Respite Care

- Transportation

How to apply - the waiver is available all through Maine and applicants should be aware that waiting lists do exist.

Contact the local Aging and Disability Resource Center for more information and to check on wait list status.

Department of Health and Human Services, Division of Licensing and Regulatory Services, Medical Facilities Unit Phone (207) 287-9300

Contact: Jacquelyn Downing Phone (207) 287-9300


Web Site:

What is the best number to call to get started? (207) 287-3707

Is there a website?

Maine Contacts

Maine Department of Health and Human Services, Division of Licensing and Regulatory Services, Medical Facilities Unit

Phone: (207) 287-9300

Todd Beaulieu
Phone: (207) 287-9300

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: Maine Department of Health and Human Services

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