MaineCare enrollment, housing, transportation, job placement, tertiary medical scheduling, court and reentry documentation. Your case manager handles the real-life infrastructure so the clinical work is not happening on top of unresolved logistics. Built into every Enso program, not billed as a separate package.
Case management is not a referral line and it is not a billable add-on. It is a named person on your team whose job is to make sure recovery is not asking you to solve six logistical problems before your next appointment.
Replacing a lost ID, enrolling in MaineCare, navigating Medicare paperwork, and walking OHH or STR clients through the eligibility steps most providers leave to chance. We do the calls and the followups.
Placement into one of our five MARR Level II and III recovery residences when a sober-living setting is the right fit, plus shelter and transitional referrals and applications for permanent supportive housing. We also talk to landlords on behalf of clients when that is what the situation needs.
Bus tokens, gas vouchers, ride coordination, and direct transport for clients who do not have reliable wheels. Most disengagement in rural outpatient programs is silently a transportation problem. We treat it as a clinical problem.
Vocational rehab referrals, resume help, employer relationships across central and southern Maine, connections to job training programs, and the court-mandated employment verification many clients need on a deadline. Reentry coordination from county jails included.
Booking appointments with primary care, dental, hepatology, infectious disease, and outside mental health specialists. We follow up on whether the appointment actually happened and reschedule when it did not. Continuity of care is a team responsibility, not a referral handoff.
Court compliance letters, probation and parole documentation, reentry coordination, custody-related letters, and family liaison work. We have written letters that moved sentencing dates and family-court calendars. That work is part of treatment, not separate from it.
Maybe you’re a client who has nowhere to sleep does not stay in care, or a client who cannot get to Augusta or Sanford on a Tuesday morning does not stay in care. Or maybe even a client whose probation officer needs a letter by Friday and does not get one is not making it to the next visit.
Case management is the part of Enso’s program that takes those structural questions seriously enough to assign a person to them. The medical work and the therapy and the recovery residence network are real, but the case manager is what keeps them stitched together.
That is what we mean when we talk about being the last house on the block. Read more about the Enso program model.
Case management isn’t a separate tier of care and it’s not bolted on. The same case manager who handles intake stays with you through MAT induction, IOP, outpatient maintenance, and the open-ended period after.
Insurance and prior authorization handled in parallel with the first medical visit. We are not asking a client to clear a paperwork hurdle before they are stable on medication.
MAT at Enso →Transportation, housing, court letters, and family work happen alongside the three-day-a-week clinical schedule. The case manager attends the case conference; nobody is being handed off.
IOP at Enso →Case management persists through outpatient maintenance and beyond formal program completion. The discharge clock does not run on the wraparound work the way it runs on counseling sessions.
OPT at Enso →No. Case management is built into the program for every Enso client at no separate cost. It is covered by MaineCare, Medicare, and the major private plans we work with. There is no add-on bill and no separate authorization step.
Yes, in almost every case. The same person who handles intake stays with you through MAT induction, IOP if you join it, outpatient maintenance, and the long arc after. Continuity is the point. We will only switch case managers if you ask us to or if scheduling makes it unavoidable.
Yes, with your written consent. We provide signed compliance letters, attendance verification, milestone documentation, and direct communication with probation, parole, and court personnel. This is routine work for us. Reentry coordination from county jails is part of the same workflow.
Yes. Five of our recovery residences are MARR Level II and III certified and run inside the Enso network across Augusta and Sanford. When a sober-living setting is the right fit we place clients there. When it is not, we work shelter and transitional referrals, help apply for permanent supportive housing, and talk to landlords on a client’s behalf.
Yes. We connect clients to Maine Vocational Rehab and job training programs, help with resumes and interview prep, maintain employer relationships across central and southern Maine, and handle the verification paperwork many clients need for court or licensing boards. We do not pretend that one resume review fixes a long employment gap, and we stay with the work.
Your case manager schedules it for you, follows up to confirm the appointment happened, and reschedules when it did not. We coordinate with primary care, dental, hepatology, infectious disease, and outside mental health specialists. Continuity of care is not a referral handoff for us.
With your written consent, yes. We work with parents, partners, adult children, and chosen family members on housing decisions, transportation logistics, and treatment milestones. Without your consent we cannot disclose anything, including the fact that you are in care with us.
Case management does not end on a discharge date. Outpatient maintenance clients still have a case manager. Clients who have moved on from formal treatment can still call when life pushes back. The relationship is open-ended. There is no insurance clock running on case management contact the way there is on therapy sessions.
If insurance, housing, transportation, or a court date is the thing standing between you and a first visit, that’s where we start. Fill out the form and we’ll take it from there. Prefer to call? Admissions runs Monday through Friday, 8:00 AM to 4:30 PM.
