Services for Adults

Downeast Horizons has been serving adults with developmental disabilities from Bar Harbor to Brewer for 50 years. Downeast Horizons employs 130 individuals who provide supportive care to approximately 200 adults with developmental disabilities throughout Hancock, Penobscot, Piscataquis and Waldo counties.

Funding & Eligibility

The services Downeast Horizons provides are funded through MaineCare. The sections that regulate our services are found in the MaineCare Benefits Manual , Chapter II, Section 21 and Section 29.

Section 21, Home and Community Waiver: Individuals qualify for Home Supports, Community Supports/Day Program, Employment and Work Supports, and Home Accessibility Adaptations. For more information, see the MaineCare Benefits Manual Ch. II Sect. 21.

Section 29, Community Supports Waiver: Individuals qualify for Community Supports/Day Program, Employment and Work Supports. These individuals are not eligible for Residential Services Home Supports.


Qualifications for MaineCare Services under Section 21 or 29:

  • Individual is age eighteen (18) or older.
  • Has Mental Retardation or Autistic Disorder
  • Meets the medical eligibility criteria for admission to an Intermediate Care Facility for Persons with Mental Retardation (ICF/MR) as set forth under the MaineCare Benefits Manual, Chapter II, Section 50
  • Does not receive services under any other federally approved MaineCare home and community-based waiver program; and meets all MaineCare eligibility requirements as set forth in the MaineCare Eligibility Manual.

All agency-sponsored activities are paid for by Downeast Horizons.