The state is intending to add a recuperative care pilot to a renewed 1115 demonstration waiver, which would extend and expand upon services they are currently providing under an existing substance-use disorder specific service waiver. The waiver application outlines that a total of three pilot programs would need to provide necessities like a safe place to sleep and adequate nutrition, while providing appropriate clinical care and social supports.
Note: Authors of the waiver draft include some background statistics as to why the recuperative care pilot would be beneficial, and state that Maine is currently experiencing a “syndemic of homelessness, injection drug use, hepatitis C, and HIV that is driving a high disease burden and poor health outcomes” for those experiencing homelessness, which has increased nearly threefold in the past three years.