Your Rights & Privacy
Important information about your privacy, rights, and how we protect your information
Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our Commitment to Your Privacy
MC Community Services is committed to protecting the privacy and security of your protected health information (PHI). We are required by law to maintain the privacy of your health information and to provide you with notice of our legal duties and privacy practices.
How We May Use and Disclose Your Health Information
For Treatment
We may use and disclose your health information to provide, coordinate, or manage your behavioral health services. This includes coordination with other healthcare providers, your treatment team, and specialists involved in your care.
For Payment
We may use and disclose your health information to obtain payment for services provided to you. This includes billing MaineCare and providing necessary information for claims processing.
For Healthcare Operations
We may use and disclose your health information for our healthcare operations, including quality assessment, improvement activities, case management, care coordination, and compliance reviews.
Your Rights Regarding Your Health Information
- Right to Request Restrictions: You may request restrictions on certain uses and disclosures of your health information.
- Right to Access: You have the right to inspect and obtain a copy of your health records.
- Right to Amend: You may request that we amend your health information if you believe it is incorrect or incomplete.
- Right to an Accounting: You have the right to request a list of certain disclosures we have made of your health information.
- Right to Request Confidential Communications: You may request that we communicate with you in a specific way or at a specific location.
- Right to a Paper Copy: You have the right to obtain a paper copy of this notice upon request.
Special Protections for Minors
As we primarily serve children under 21, parents or legal guardians typically have the right to access their child's health information and make healthcare decisions. However, Maine law provides certain exceptions where minors may consent to their own treatment or control access to their records.
Questions or Complaints
If you have questions about this notice or wish to file a complaint about our privacy practices, please contact:
Attention: Privacy Department
58 Enfield Road, Lincoln, ME 04457
Phone: (207) 794-3133
Email: [email protected]
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at:
Phone: 1-800-368-1019
Online: HHS Office for Civil Rights Portal
Effective Date: January 1, 2025 | Last Revised: January 2025
Non-Discrimination Notice
MC Community Services complies with applicable Federal civil rights laws and does not discriminate on the basis of:
- Race
- Color
- National origin
- Age
- Disability
- Sex
- Gender identity
- Sexual orientation
- Religion
- Ancestry
- Marital status
- Genetic information
We Provide Free Services to Help You Communicate With Us
For People with Disabilities:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats)
- Auxiliary aids and services
For People Whose Primary Language Is Not English:
- Qualified interpreters
- Information written in other languages
If you need these services, please contact us at (207) 794-3133. We will make every effort to accommodate your needs.
Filing a Discrimination Complaint
If you believe that MC Community Services has failed to provide these services or discriminated in another way, you can file a grievance with:
58 Enfield Road, Lincoln, ME 04457
Phone: (207) 794-3133
Email: [email protected]
You can also file a civil rights complaint with:
U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
Phone: 1-800-368-1019
TDD: 1-800-537-7697
Online Portal
Maine DHHS ADA/Civil Rights Coordinator
11 State House Station
Augusta, Maine 04333-0011
Phone: 207-287-3707
Maine Relay: 711 (TTY)
Email: [email protected]
Complaint & Grievance Procedures
We are committed to addressing your concerns promptly and fairly. If you have concerns about the services you or your child receives, we encourage you to speak with us directly so we can work together to resolve the issue.
How to File a Complaint or Grievance
-
Step 1: Contact Us Directly
We encourage you to first discuss your concerns with your child's Behavioral Health Professional (BHP) or their supervisor. Many issues can be resolved quickly through direct communication.
Contact: Your BHP's Supervisor, our Clinical Director, or the MC Community Services Owner
Phone: (207) 794-3133 -
Step 2: Formal Written Complaint
If the issue is not resolved to your satisfaction, you may file a formal written complaint with our management team.
Send written complaints to:
MC Community Services
Attention: Grievance Department
PO Box 158
Lincoln, ME 04457
Email: [email protected]We will acknowledge receipt of your complaint within 3 business days and provide a written response within 30 days.
External Complaint Options
You also have the right to file complaints with:
MaineCare Services
Director, MaineCare Services
11 State House Station
Augusta, Maine 04333-0011
Phone: 1-800-977-6740 (TTY: 711)
Office of Advocacy
For individuals receiving Developmental Disability or Brain Injury Services:
Maine DHHS Office of Aging and Disability Services
Phone: 1-800-452-1926
www.maine.gov/dhhs/oads
Filing a complaint will not affect the services you receive. We prohibit retaliation against anyone who files a complaint or grievance.
Service Eligibility & Coverage
MC Community Services provides MaineCare-covered behavioral health services under two sections of the MaineCare Benefits Manual: Section 28 (Adaptive Skills Training) and Section 65 (Behavioral Health Services including outpatient therapy and assessments).
Section 28: Adaptive Skills Training
Section 28 services are designed for children with cognitive impairments and functional limitations who need help building life skills.
Age Requirements
- Children and young adults under age 21
- Services may continue through age 20 for those already receiving services
Qualifying Diagnoses
Children must have one or more of the following:
- Cognitive impairments affecting daily functioning
- Functional limitations requiring support
- Autism Spectrum Disorder
- Pervasive Developmental Disorder - Not Otherwise Specified (PDD-NOS)
- Other developmental or behavioral health conditions as determined by assessment
How to Access Section 28 Services
-
MaineCare Enrollment
Child must be enrolled in MaineCare
-
Assessment
Complete comprehensive assessment with qualified provider
-
Prior Authorization
Obtain approval through Acentra Health (Maine's ASO)
-
Service Delivery
Begin receiving individualized support services
Section 28 Covered Services Include:
- Individual Treatment Planning (ITP)
- Behavioral Health Professional (BHP) services
- Skills training and development
- Community integration support
- Family support and training
- Crisis intervention when needed
- Coordination with other providers and school teams
Section 65: Behavioral Health Services
Section 65 of the MaineCare Benefits Manual covers a broad range of behavioral health services including outpatient therapy and clinical assessments for MaineCare members.
Our Section 65 Services
- Outpatient Therapy – Individual therapy for adults addressing stress, anxiety, depression, trauma, and other mental health concerns. In-person and telehealth options available.
- Diagnostic Assessments – Comprehensive psychological evaluations using standardized assessment tools to determine diagnoses and inform treatment planning.
- Adaptive/Functional Assessments – Assessments using tools such as Vineland, ABAS, Bayley, and Battelle scales to measure adaptive functioning and developmental skills.
Section 65 Eligibility
- Must be enrolled in MaineCare
- Services must be medically necessary
- Services must be provided by qualified, licensed providers
- Some services may require prior authorization
Service Area: In-person services available in the greater Lincoln area. Telehealth services available statewide for eligible members.
Contact us at (207) 794-3133 and we'll guide you through the process. We can help determine which services may be appropriate for you or your child and assist with the referral process.
Provider Credentials & Licensing
MC Community Services maintains all required licenses and certifications to provide high-quality Section 28 and Section 65 behavioral health services in Maine.
Our Credentials
Agency Licensing
- Licensed Mental Health Agency by Maine DHHS
- MaineCare Enrolled Provider for Section 28 and Section 65 Services
- Compliant with CMR 10-144 Chapter 123, Behavioral Health Organizations Licensing Rule
- Community Support Module certification
- Adaptive Skills Training authorization
Our Staff Qualifications
Behavioral Health Professionals (BHPs)
- Certified by Maine DHHS
- Completed required training modules
- Background checks cleared
- Ongoing professional development
Clinical Team
- Licensed clinical professionals
- Specialized training in child development
- Trauma-informed care certified
- Regular supervision and consultation
Ongoing Training
- Mandatory reporter training
- HIPAA compliance training
- Crisis intervention techniques
- Cultural competency education
Quality Assurance
We maintain high standards through:
- Regular internal quality reviews
- MaineCare compliance audits
- Client satisfaction surveys
- Continuous improvement initiatives
- Plan of Corrective Action (POCA) process when needed
You may verify our agency's licensing status and any staff member's credentials by contacting:
Maine DHHS Licensing Unit: (207) 287-9300
MaineCare Provider Services: 1-866-690-5585
Questions About Your Rights?
We're here to help. Contact us anytime with questions about privacy, rights, or our services.