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adult day, respite, long term services and supports, Medicaid, Alzheimer's disease, dementia, family caregivers


In Maine and nationally, adult day services tend to be underfunded and underutilized compared to other types of long term services and supports (LTSS). In part, investment in adult day services is hampered by a lack of standardized data collection and limited research on issues of accessibility, cost-effectiveness, and the impact of adult day services on the broader health system. Lack of uniformity in state regulatory frameworks for licensing, program design, service delivery, and other administrative requirements further complicates cross-state comparisons. Considering these limitations, a key goal of this report is to provide a more detailed and comprehensive understanding of the current capacity and role of adult day services providers in Maine, the regulatory environment in which they operate, barriers and challenges to access and operations, and potential opportunities for expanding access.

For more information, please contact Elizabeth Gattine,


This report was made possible with funding and support from the Maine Health Access Foundation (MeHAF). MeHAF is Maine’s largest non-profit health foundation dedicated to promoting access to quality healthcare, especially for those who are uninsured and underserved, and improving the health of everyone in Maine. To learn more about MeHAF, please visit

The authors would like to thank those adult day service providers who shared information relevant to this report, in particular those who offered and took time to participate in key informant interviews with us. The authors would also like to thank Becky Wurwarg from the Cutler Institute for her assistance in data visualization and design of this report. Background vector image on cover and throughout report by Vecteezy.

Funding Organization

Maine Health Access Foundation (MeHAF)



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