FAQs

To be added to the Maine ASA email distribution list, email a request to Ask-MaineASA@maximus.com. This communication should include your name, title, agency/facility, email address, and contact phone number.

MED assessments for Hospitals are conducted telephonically, unless it is determined the individual would not be medically eligible for long-term care. In that case, the assessment will be a face-to-face assessment. MED assessments for individuals in the community are conducted face-to-face. PASRR Level II assessments are conducted face-to-face.

Re-assessments are due on or before the reassessment due date if referred timely.

Maximus cannot confirm receipt of faxed submissions. We encourage you to keep your fax confirmation notices from successful transmittals. We do confirm emailed submissions.

There is no way to electronically check the status of a submitted referral.

Hospitals have an expected 24-hour turnaround time. All other referrals have a 5-business day turnaround time. For nursing facilities with a first non-SNF day due to denial of skilled services, the assessment cannot be completed prior to the first non-SNF date.

20-day copay assessments are not completed before the 20th Medicare day.

Yes, standard practice is that a copy of the assessment will be provided during the assessor’s facility visit, unless the assessor is must delay completion to obtain missing information. In that case, a copy of the medical eligibility will be faxed to the facility.

Timeframes for sending in timely referrals include:

  • Nursing Facility Reassessments – 5 days prior to reassessment date
  • Denial of Managed Care or Medicare Denial have a 10-day window for a timely referral: 5 days prior to the first non-SNF date through 4 days after the first non-SNF date.
  • 20-day Copay Referrals: 5 days prior to the 20th day. A 123 must be on file for Long Term Care Nursing Facility MaineCare

A Level I is required prior to Nursing Facility (NF) admission. Preadmission Screens Any Level I’s with indicators (positive) must be submitted to Maximus prior to NF admission.

Resident Reviews

Any Level I’s with indicators (positive) for NF residents who have an expiring, time limited stay or those who experience a change in status, such as:

  • An improvement in their condition such that they have potential to discharge to a less restrictive environment for persons with a previously identified PASRR condition
  • A previously unidentified potential PASRR condition
  • Worsening symptoms of a previously identified PASRR condition such that current supports/services may no longer be effective

Per federal compliance best practices, these information letters are now included with the paperwork mailed to individuals and family members/guardians. The Choice Letter is required for individuals submitting for nursing facility level of care, to document their choices for facility placement or community-based waiver services.

Release of Information (ROI) allows for the sharing of an individual’s assessment information with the identified parties, with the purpose of setting up and delivering services. The ROI is good for 1 year and can be revoked by the member or guardian at any time.