If you are caring for a parent or spouse in Maine, the state has funded respite care that can pay for your break, and in some cases pay a family member to provide it.

Respite is not walking away from someone you love. It is the planned break that lets you keep going. Federal health data show why that break matters: nearly 1 in 5 family caregivers reports being in fair or poor health, and caregivers carry higher rates of depression and chronic disease than people who are not caregiving.

In This Guide

Funded Respite Care Options in Maine

Asking for help can feel like admitting you are failing the person you love. You are not. In Maine, several funded paths can give you regular breaks, and most families qualify for at least one.

1. MaineCare Section 19 Waiver Respite and Personal Care

MaineCare, Maine's Medicaid program, is administered for older adults and adults with disabilities by the Office of Aging and Disability Services (OADS). Its Section 19 Home and Community Benefits for the Elderly and Adults with Disabilities Waiver covers respite care, both in-home and out-of-home, for people who would otherwise need nursing-facility care, alongside personal care, home-delivered meals, and home health. The waiver has about 4,126 slots statewide, so a waitlist can form when it is full.

Separately, MaineCare Section 17/18/19 personal care services help with daily living needs at home, and under these programs a family member may be eligible to serve as the paid personal care provider. Whether a spouse can specifically be the paid worker is not clearly documented in published guidance, so confirm it directly with MaineCare Member Services at 1-800-977-6740.

2. Respite for ME and the Caregiver Respite Program

If you are caring for someone with Alzheimer's disease or a related dementia, Maine has state-funded help built specifically for you. The state Caregiver Respite Program and the Respite for ME grant program provide respite to families caring for a person with dementia, outside the MaineCare system. Respite for ME offers grants of $2,000 that families can put toward respite and other services existing programs do not cover.

Because these grants do not require MaineCare enrollment, they can be a lifeline for families who earn too much for Medicaid but still cannot shoulder the cost of regular breaks alone. Maine's five Area Agencies on Aging administer caregiver support and respite for dementia families, so ask your regional agency how to apply.

3. NFCSP Respite Grants Through Maine's 5 Area Agencies on Aging

The National Family Caregiver Support Program (NFCSP), funded by Title III-E of the Older Americans Act, flows through Maine DHHS OADS to the state's 5 regional Area Agencies on Aging. They provide in-home respite, adult day vouchers, caregiver counseling, and training. Respite amounts and any per-caregiver caps are set at the state and local level, not federally, so the exact number of hours varies by region.

You qualify if you are an adult caring for someone 60 or older, a caregiver of any age caring for someone with Alzheimer's disease or a related dementia, or an older relative age 55 and up caring for a child under 18 or an adult 18 to 59 with a disability. To start, call the Maine ADRC at 1-877-353-3771 or the Eldercare Locator at 1-800-677-1116.,

4. Adult Day Programs and Short-Term Facility Respite

If your loved one needs supervised daytime care while you work or rest, an adult day program is often the answer, giving them meals, activities, and company for several hours at a time while giving you a predictable stretch of hours back. NFCSP and Care Partner Supports grants through your Area Agency on Aging can offset the cost, and MaineCare may cover adult day as part of an authorized care plan.

Short-term facility respite places your loved one in an assisted living residence or nursing facility for a few days to a few weeks, so you can travel, recover from your own surgery, or simply rest. Maine families usually pay privately for these short stays unless the cost is covered by a MaineCare waiver respite authorization, an NFCSP voucher, or VA respite. To find a participating program, use the National Respite Locator run by the ARCH National Respite Network or the federal Eldercare Locator at 1-800-677-1116, both supported by the federal Lifespan Respite Care Program.,

5. VA Respite for Veteran Families

If the person you care for served in the military, the VA runs a parallel respite track. Veterans enrolled in VA health care may be able to arrange respite through their VA medical center; ask the Caregiver Support Coordinator what is authorized. The clearest respite benefit sits inside the Program of Comprehensive Assistance for Family Caregivers (PCAFC): an approved Primary Family Caregiver receives at least 30 days of respite care per year, and a spouse can serve as the caregiver. PCAFC serves veterans with a VA disability rating of 70 percent or higher who need at least six months of in-person personal care and are enrolled in VA health care. Call the VA Caregiver Support Line at 1-855-260-3274, or reach the Caregiver Support Coordinator at the Togus VA Medical Center.,

How Much Respite Does Each Program Cover?

There is no single statewide respite allowance in Maine, because each program sets its own amount. This table shows who each option covers, how the amount is decided, and what your family pays.

Program Who it covers How the amount is set What you pay
MaineCare Section 19 waiver respite Medicaid-eligible, nursing-facility level of care Through your MaineCare service plan Paid by MaineCare
Respite for ME grant Families caring for someone with dementia A set grant amount per the program Grant-funded
NFCSP respite grants Any family caregiver (age rules apply) Set locally by your Area Agency on Aging Little or no cost
VA PCAFC Approved caregivers of eligible veterans At least 30 days of respite per year Paid by the VA
Medicare hospice Someone receiving the hospice benefit Short inpatient respite stays Small coinsurance

Medicare is the narrow one: it covers respite only as short-term inpatient respite within the hospice benefit, where you pay 5% of the Medicare-approved amount, and not otherwise.

Because MaineCare's Section 19 waiver has a capped number of slots, about 4,126 statewide, a waitlist can form while your application is pending. While you wait, your regional Area Agency on Aging can provide NFCSP respite, which does not require MaineCare enrollment, and a dementia family can bridge the gap with a Respite for ME grant or private-pay adult day.

How to Start Respite Care in Maine

You do not have to understand every program before you act. One phone call opens most of these doors, and a counselor on the other end will help you sort the rest.

1
Step 1

Call the Maine ADRC at 1-877-353-3771

This reaches your regional Area Agency on Aging, the front door to NFCSP respite grants, Care Partner Supports, adult day referrals, and caregiver counseling, all at no cost.

2
Step 2

Ask MaineCare about Section 19 waiver respite

If your loved one may be Medicaid-eligible, call MaineCare at 1-800-977-6740 and request a financial and functional (nursing-facility level-of-care) assessment, then ask that respite hours be written into the care plan.

3
Step 3

Apply for a dementia respite grant if it fits

If you care for someone with Alzheimer's disease or a related dementia, ask your Area Agency on Aging about Respite for ME and the state Caregiver Respite Program.

4
Step 4

Open the VA track if your loved one is a veteran

Call the VA Caregiver Support Line at 1-855-260-3274 to ask about PCAFC respite and to reach a Caregiver Support Coordinator.

5
Step 5

Use 211 or the Eldercare Locator for anything local

Dial 211 or call the Eldercare Locator at 1-800-677-1116 for adult day directories and nearby respite while any application is pending.

Where to Get Respite Help in Maine

Maine Aging and Disability Resource Center (ADRC) Helps with: NFCSP respite grants, Care Partner Supports, MaineCare waiver information, and adult day referrals through the 5 Area Agencies on Aging. 1-877-353-3771 www.maine.gov/dhhs/oads
MaineCare Member Services Helps with: MaineCare Section 17/18/19 eligibility, personal care, and waiver respite questions. 1-800-977-6740 www.maine.gov/dhhs/oms
Alzheimer's Association 24/7 Helpline Helps with: free confidential support, crisis help, and local dementia referrals for Maine families. 1-800-272-3900 www.alz.org/maine
Eldercare Locator Helps with: connecting you to your local Area Agency on Aging and respite services anywhere in the country. 1-800-677-1116 eldercare.acl.gov/home
VA Caregiver Support Line Helps with: PCAFC respite and a Caregiver Support Coordinator for veteran families. 1-855-260-3274 www.caregiver.va.gov

Frequently Asked Questions

Does MaineCare cover respite care?

Yes. MaineCare covers respite through the Section 19 Home and Community Benefits Waiver, which funds both in-home and out-of-home respite, and through Section 17/18/19 personal care, where a family member may be able to serve as the paid provider. Ask your case manager to write respite hours into the care plan.,

Can a family member be paid to provide respite in Maine?

MaineCare Section 17/18/19 may allow family members to be paid personal care providers. Whether a spouse can specifically be the paid worker is not clearly published in secondary guidance, so confirm it directly with MaineCare at 1-800-977-6740.

Is there free respite in Maine if we don't have MaineCare?

Yes. Maine's Care Partner Supports program and NFCSP funds reach family caregivers through the state's 5 Area Agencies on Aging, and dementia families can apply for a Respite for ME grant. Call the Maine ADRC at 1-877-353-3771.,

How many respite hours will I get?

There is no single statewide respite allowance in Maine. NFCSP and Care Partner Supports amounts are set locally by your Area Agency on Aging, MaineCare respite is set through your service plan, and Respite for ME is a fixed grant. Your regional agency can tell you the current amount for your area.

What if the MaineCare waiver has a waitlist?

Section 19 waiver slots are capped, so a wait can happen. While you wait, your Area Agency on Aging can provide NFCSP respite, which does not require MaineCare enrollment, and a dementia family can use a Respite for ME grant. Call 1-877-353-3771.,

How does a veteran family in Maine access VA respite?

Veterans enrolled in VA health care can request respite through the Togus VA Medical Center. A Primary Family Caregiver approved for PCAFC receives at least 30 days of respite care per year. Call the VA Caregiver Support Line at 1-855-260-3274 to start.,

Learn More

Your next step Find personalized help matching your family to Maine respite programs at brevy.com.

The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.

BC

Brevy Care Team

Expert eldercare guidance from Brevy's team of healthcare professionals and researchers.