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  • Level I Screen Form - Maine Assessing Services Agency

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PASRR LEVEL I SCREEN DETERMINATION FOR MENTAL ILLNESS, INTELLECTUAL DISABILITY, AND OTHER RELATED CONDITIONS IF YOU NEED ASSISTANCE WITH COMPLETING THIS FORM OR HAVE GENERAL QUESTIONS ABOUT PASRR,.

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Ascend is a national leader in providing conflict-free health care assessment services for state government agencies across the U.S. Ascend specializes in long-term care assessments for people with physical disabilities and complex medical conditions, and people with behavioral health, intellectual, and developmental ...

MaineCare (formerly Medicaid) is a "Federal/State" program which provides assistance to people with limited resources. Specifically, MaineCare can help eligible Maine resident with their health care payments.

Kepro Assessment (Maine-Specific) These assessments were formerly conducted by a company called GOOLD Health Systems, so you may still hear people referring to them as GOOLD Assessments. The evaluation is performed in the patient's home, senior care community, or hospital room.

Goold is a company that was previously the Assessing Services Agency (ASA) vendor for the State of Maine. After several years in use, the Long- Term Care Medical Assessment, or LTC MEDXX, became known as the Goold Assessment in certain facilities.

The Medical Eligibility Determination Form (MED) is the tool approved by the Department of Health and Human Services to determine functional eligibility for in-home or long-term care services. Assessments are completed by an agency contracted with the State of Maine called MAXIMUS (they were formerly done by Kepro).

Once I apply for MaineCare, how long will it take before I know if I get it? You should get an answer within 45 days as long as you have provided DHHS with everything they need to determine if you are eligible.

The Page 3 State of Maine has a contract with an agency called Maximus (formerly Kepro/Change Healthcare/Goold Health Systems-1-833-525-5784) to assess a person's abilities and care needs whenever state funds are requested for in-home or facility care.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232