Maine Consumer-Directed Home-Based Care / Personal Assistance Services

Program Description

 Naming Confusion - CDHBC is a state funded program that provides home care services to eligible Maine residents. It is also referred to as Consumer-Directed Personal Assistance Services.  There is a MaineCare (Maine Medicaid) program with a similar name.  The information which follows refers to the non-Medicaid program hereafter referred to as the CDHBC Program.

The CDHBC Program, under Maine's Office of Aging and Disability Services (OADS) provides personal assistance services delivered in a "consumer directed" model. Consumer direction means the individual receiving the care is responsible for choosing, training and managing their own care providers.  However, making payment to care providers (in this case) remains the responsibility of the administering agency. 

Under the CDHBC Program, participants can receive personal care assistance in their homes as well as a budget for assistive technology, such as Personal Emergency Response Services.  In general, benefits and services are limited to those which are essential to preventing the placement of the recipient in a long term, residential care facility.


Eligibility Guidelines

The CDHBC Program has both medical and financial eligibility criteria.

Financially, the program is intended for persons who are not eligible for Maine Medicaid (MaineCare).  MaineCare eligibility is a complicated subject.  For the purpose of simplicity, if an individual has less than $2,200 in monthly income and less than $10,000 in countable assets, then they will be financially eligible for MaineCare and therefore ineligible for the CDHBC Program. The CDHBC Program also has upper limits for assets which are $50,000 and $75,000 for an individual and married couple, respectively. Finally, the program also has effective upper income limits which are vaguely defined as "Lack sufficient personal and/or financial resources for in-home services".

Medically, applicants require assistance with two activities of daily living (which, for this program, include bed mobility, transferring, locomotion, eating, use of a toilet, dressing, and bathing.) A further medical limitation is that while the person must require physical assistance, they also must be cognitively capable of directing their provider of physical assistance.

 Maine Medicaid (MaineCare) also offers a consumer directed home care program, which is intended only for Medicaid beneficiaries. Therefore, persons ineligible for the CDHBC Program might wish to pursue the Consumer Directed Attendant Services Program as an alternative. 


Benefits and Services

The CDHBC Program determines each participant's care needs individually. However, the range of services that can be provided include the following for up to 40 hours per week:

  • Personal assistance with the activities of daily living such as bathing, dressing, toileting and transferring
  • Personal assistance with some instrumental activities of daily living such as meal preparation, clean up and basic housekeeping
  • Personal emergency response systems (PERS), sometimes called Medical Alert or LifeAlert


How to Apply / Learn More

Home Based Care is under the Office of Elder Services. One may contact them directly on their website. Alternatively, one might inquire with their local area agency on aging.  A wait list may exist should funds not be available. If that is the case, individuals are prioritized on a first-come first-serve basis.