For hospital discharge planning
We are built for the patient who is clinically ready and has nowhere safe to go — the avoidable bed day, the referral other placements have already refused. This packet is so you know exactly what we accept, and can keep it on file.
- Answer within one business day of a referral — yes, no, or what else we need
- A history of refusals, a behaviour plan, or a 42 CFR Part 2 record is not a reason we bounce a referral
- Send an incomplete referral rather than wait — we will tell you the one form that is missing
Facility Overview
Mai Heaven is a residential care provider building small, permanent homes with real daily support for veterans, adults with disabilities, people leaving hospital or treatment, and young people ageing out of care.
Mission & Care Philosophy
Permanent, not transitional. Small enough that staff know every resident by name. Rights published before we hold a licence, because a provider who only discloses them once you are already living there has the incentive backwards.
Admission Criteria
- Adults needing daily support who do not require 24-hour nursing or acute medical care
- Veterans, including those whose needs never fitted a standard placement
- People leaving hospital, psychiatric care, or substance use treatment
- Young people ageing out of foster care with no adult placement
- Patients described as difficult to place, or refused elsewhere
Levels of Care Provided
Residential habilitation and supported living under an HCBS waiver model. Not a skilled nursing facility, not a locked or secure unit, not an emergency shelter.
Behavioral & Medical Capabilities
Awake overnight staffing where the resident's plan requires it, medication administration, behaviour support plan implementation, and coordination with outside clinical and case management teams.
Crisis Response Process
Incidents requiring a safety plan (allegation of abuse, unauthorised restraint, elopement, death, major medical event, or anything rated serious/critical) are never closed without one on file, and state notification deadlines are tracked automatically.
Required Documentation Checklist
- Face sheet and current demographics
- Level-of-care determination or most recent assessment
- Current medication list, including PRNs
- Behaviour support plan, if one exists
- Guardianship, conservatorship or power-of-attorney paperwork
- Funding source — HCBS waiver, SSI, VA programme, private, or unresolved
- Signed release (and separate 42 CFR Part 2 consent, if applicable)
Placement Workflow
- Referral submitted and acknowledged same day
- Answer within one business day
- Pre-admission assessment
- Funding confirmation and admission date
Contact Directory
Referral portal: maiheaven.com/refer · Referrer information: maiheaven.com/for-discharge-planners · General: hello@maiheaven.com
Bed Availability Overview
Live feed: maiheaven.com/availability.json. A snapshot, not a reservation.
Professional FAQs
See maiheaven.com/for-discharge-planners for the full list.
HIPAA & Compliance Statement
We hold no operating licence and no BAA with an email provider today, so nothing clinical should be sent by email. A secure document exchange is on our roadmap; until then, documents are exchanged by the method we agree with you directly.
Other packets: MCO Provider Packet · APS / CPS Referral Packet · Community Partner Packet · Behavioral Health Unit Packet