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MACSP – Maine Association for Community Service Providers
MACSP – Maine Association for Community Service Providers

Renew Your Membership

  • Please fill out the form below. When complete use the submit button at the bottom of the page.

  • NPI +3 locations numbers NOT needed.
  • The individual designated by your organization to vote on MACSP business.
  • Please complete the following information for the person who is responsible for billing and financial management in your organization.
  • Agency Provided Covered Services

    Please describe the covered services provided by your agency, including number of individuals served and number of employees.
  • # of agency group home locations that are open and actively providing Section 18 or Section 21 services as of July 1, 2022.
  • Please list the Mainecare Section # and service type for other IDD services agency provides.
  • Membership Dues

    Please complete all applicable information requested regarding total revenue your organization or business receives for providing services to children and adults with intellectual disabilities, Autism and Brain Injuries in the State of Maine. MACSP defines qualifying revenue as revenue generated by the agency from the provision of any of the services listed in the Mainecare Benefits Manual (MBM) Chapters 2 and 3 under Sections 13, 18, 19, 20, 21, 28, 29, 50, 97-Appendix F, and 102.
  • Include revenues from Section 13, 18, 19, 20, 21, 28, 29, 50 (ICF), 65, 97-F (PNMI), 102 and IDD revenue from any related entities.
  • Select the corresponding dues level for your agency. An invoice for this amount will be sent to the invoicing contact listed on this application, with a cc to the designated voting member for your organization. Payment - Payment is due within 30 days of invoice receipt or no later than August 30, 2022. Details will be provided in the invoice sent within seven business days of submitting this renewal form.
  • MACSP Members commit to the following prescribed standards and principles of quality, which apply to the supports provided in the professional relationship with persons served, parents and guardians of persons served, colleagues, related agencies and professions, and the community at large.

    AS A MEMBER OF MACSP, THIS ORGANIZATION PLEDGES TO:

    • Provide supports and services in a manner which exemplifies integrity, compassion, and respect for individual differences and choice;
    • Provide supports and services designed to meet the needs of the individual supported with emphasis on promoting choice, self-determination, inclusion, growth, and development;
    • Respect the privacy of the individual supported and protect the rights of confidentiality;
    • Give preference to professional responsibility over any personal interest;
    • Advocate for standards that promote outcomes of quality;
    • Advocate for and provide supports and services that best assure the health and safety of the individual supported;
    • Encourage and advocate for the protection of the individual supported and the community at-large against unethical and/or illegal practices or actions by other individuals or organizations engaged in providing supports;
    • Not discriminate because of race, color, religion, age, sex, sexual orientation, disability, or national ancestry and work to eliminate or prevent such discrimination;
    • Promote inclusion and equitable treatment of all people including those receiving supports, staff, friends, families, and the community at-large;
    • Serve as a responsible steward for public and private funds;
    • Contribute to MACSP Membership ideas, findings, concepts, understanding, knowledge, and practice which further develop education and expanded knowledge of leading practices in providing high quality supports and services to individuals with disabilities;
    • Keep MACSP information and materials confidential without further dissemination or distribution to employees without a need or to any third parties without the express written permission of MACSP; and
    • Be accountable for statements made with respect to individuals with disabilities and distinguish clearly statements and actions made as an individual and, when authorized by the MACSP Board of Directors, those made as a representative of MACSP.
  • I certify that the information provided in this application is accurate and complete to the best of my knowledge. The undersigned hereby agrees that it will in all respects conform to and abide by MACSP's Quality Pledge and Bylaws, and all amendments hereafter made thereto.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

Adult Services

Section 19 – Home and community-based services for the elderly and adults with disabilities

Section 20 – Home and community-based services for adults with “other related conditions” which are Cerebral Palsy, Epilepsy, or any other condition found to be closely related to Intellectual Disabilities

Section 21 – Home and community-based services for adults with Intellectual Disabilities or Autism Spectrum Disorder

Section 29 – Support services for adults with Intellectual Disabilities or Autism Spectrum Disorder

Section 50 – Services provided in an Intermediate Care Facility for adults with Intellectual Disabilities and Autism Spectrum Disorder

Section 97-F – Services provided in a Private Non-Medical Institution for adults with Intellectual Disabilities and Autism Spectrum Disorder[/su_column]

Child Services

Section 13 – Child Services

Section 28 – Rehabilitative and community support services for children with cognitive impairments and functional limitations

Section 65 – Behavioral health services which include home and community-based support for children with behavioral health disabilities, also include support for adults with behavioral health needs and medication management

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MACSP – Maine Association for Community Service Providers
Laura Cordes, Executive Director
PO Box 149
Hallowell, ME 04347
(207) 623-5005
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