Adult Day Services

Kathy Paquette 5/28/2021 State of Maine Procurement Justification Form PJF Page 3 of 4 Rev. 3/3/2020 (dsv1) Agreement Number Provider Service Start End No. of Months Rate Unit of Measure Projected Monthly Units Authorized Monthly Units Projected Amount 1 ADS-22-8912 Aroostook Area Agency on Aging Adult Day Services 7/1/2021 6/30/2022 12 $3.75 1/4 hour 800 900 $36,000.00 Adult Day Services Travel 12 $0.45 mile 0 100 $0.00 2 ADS-22-5908 Caring Hands Adult Day Services 7/1/2021 6/30/2022 12 $3.75 1/4 hour 444 500 $19,980.00 Adult Day Services Travel 12 $0.45 mile 90 180 $486.00 3 ADS-22-5910 Central Maine Area Agency on Aging Adult Day Services 7/1/2021 6/30/2022 12 $3.75 1/4 hour 400 500 $18,000.00 Adult Day Services Travel 12 $0.45 mile 0 100 $0.00 4 ADS-22-2905 City of Portland Adult Day Services 7/1/2021 6/30/2022 12 $3.75 1/4 hour 1,444 1,600 $64,980.00 Adult Day Services Travel 12 $0.45 mile 75 150 $405.00 5 ADS-22-7908 DownEast Community Partners Adult Day Services 7/1/2021

6/30/2022 12 $3.75 1/4 hour 1,889 2,000 $85,005.00 Adult Day Services Travel 12 $0.45 mile 200 300 $1,080.00 6 ADS-22-5907 MaineGeneral Rehab & LTC Adult Day Services 7/1/2021 6/30/2022 12 $3.75 1/4 hour 666 750 $29,970.00 Adult Day Services Travel 12 $0.45 mile 0 100 $0.00 7 ADS-22-2902 Brunswick Area Respite Care Adult Day Services 7/1/2021 6/30/2022 12 $3.75 1/4 hour 278 400 $12,510.00 Adult Day Services Travel 12 $0.45 mile 0 100 $0.00 8 ADS-22-7911 Robert & Mary’s Place Adult Day Services 7/1/2021 6/30/2022 12 $3.75 1/4 hour 444 550 $19,980.00 Adult Day Services Travel 12 $0.45 mile 0 100 $0.00 9 ADS-22-4904 Servants of the Cross Adult Day Services 7/1/2021 6/30/2022 12 $3.75 1/4 hour 890 1,000 $40,050.00 State of Maine Procurement Justification Form PJF Page 4 of 4 Rev. 3/3/2020 (dsv1) Adult Day Services Travel 12 $0.45 mile 500 700 $2,700.00 10 ADS-22-6903 My Friends Place Adult Day Services 7/1/2021 6/30/2022 12 $3.75 1/4 hour 400 500 $18,000.00 Adult Day Services Travel 12 $0.45 mile 0 100 $0.00 2021-05-28T06:01:31-0700 Digitally verifiable PDF exported from www.docusign.com