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Long Term Care
Home and Community-Based Services
Community Settings Final Rule
Home and Community-Based Services
Nursing Facility Services
Long Term Care Forms
Code of Maryland Regulations (COMAR)
Medicaid Provider Transmittals
Home and Community-Based Services (HCBS)
Maryland Medicaid Long Term Services and Supports enables children to remain with their families and participate in community activities.
Services range from intensive individual support services to nursing services, addressing diagnoses and helping children and families manage challenges.
Through Maryland’s Long Term Services and Supports programs, older adults and individuals with disabilities are able to access personcentered services and supports in their communities that are designed to improve their quality of life.
Please click on a link or program below to learn more.
Want to leave a nursing facility?
Money Follows the Person (MFP) Program
Get Long Term Services and Supports in the Community!
Need Resources in the Community?
Visit Maryland Access Point.
Are you a Medicaid participant in need of medical equipment, supplies or transportation?
Visit the Division of Community Support Services.
Programs and Descriptions
For a brief outline of each program, see our
2016 Bluebook Guide to Home and Community Based Programs.
The provision of hospice care is generally in the home to avoid an institutional setting and to improve the individual’s quality of life during the end of a participants' terminal illness. However, individuals eligible for Medicaid may choose to reside in a nursing facility and receive hospice care in that setting.
Programs for Older Adults and People with Disabilities
The Community Personal Assistance Services Program (CPAS; formerly MAPC), Community First Choice (CFC) and Community Options Waiver all offer a similar service package. Services vary based on eligibility. The core services are personal assistance, supports planning, and nurse monitoring. The Community Options Waiver also offers services in an assisted living.
Community Options Waiver
Community Personal Assistance Services
Community First Choice
CFC Provider Enrollment
Personal assistance provider's In-Home Supports Assurance System (ISAS)
Medical Day Care Waiver
Medical Day Care is a structured group program that provides health, social, and related support services to functionally disabled adults, age 16 and older.
Medical Day Care Waiver Fact Sheet
CMS Approved Medical Day Care Waiver
Rare and Expensive Case Management (REM)
The Rare and Expensive Case Management (REM) Program is a case management program for recipients with specified rare and expensive conditions.
Program of All-Inclusive Care for the Elderly (PACE)
is a voluntary health program designed to provide and coordinate all needed preventive, primary, acute and long-term care services so that older individuals can continue living in the community.
Waiver for Individuals with Brain Injury
The program provides opportunities for community-based services to individuals who have experienced a traumatic brain injury after the age of 17.
Brain Injury Waiver Fact Sheet
CMS Approved Brain Injury Waiver
Renewal Application for Brain Injury Waiver
Model Waiver for Disabled Children
This waiver targets medically fragile individuals including technology dependent individuals who, before the age of 22, would otherwise be hospitalized and are certified as needing hospital or nursing home level of care.
Employed Individuals with Disabilities (EID)
The EID Program provides Medical Assistance to working Marylanders with disabilities who meet the program’s eligibility criteria.
Maryland Health Homes
The program targets populations with behavioral health needs who are at high risk for additional chronic conditions, including those with serious persistent mental illness, serious emotional disturbance, and opioid substance use disorders.
The Community Pathways waiver provides services and supports to individuals, of any age, living in the community, meet the criteria for a developmental disability.
CMS Approved Community Pathways Waiver
Waiver for Children with Autism Spectrum Disorder
Autism Waiver Fact Sheet
CMS Approved Autism Waiver
(Approved July 2014)
Autism Waiver Rate Methodology Study Report
Autism Waiver Updates for Public Comment from 12/23/16 to 1/23/17
Reportable Events Policy
General Frequently Asked Questions
Estate Fact Sheet
Estate Fact Sheet (Spanish)
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