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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?
Maryland Access Point
Are you a Medicaid participant in need of medical equipment, supplies or transportation?
Visit the Division of Community Support Services
Draft Home and Community Based Options Waiver Amendment
Open for public comment May 24, 2019 through June 24, 2019.
Draft Autism Waiver Renewal Application
Open for public comment February 1, 2019 through March 2, 2019.
HB1696 Draft Rate Study
Section 2 of the 2018 House BIll 1696 requires the Department to compare the Medicaid rate of reimbursement with the actual cost to providers using publicly available information. The Hilltop Institute completed this
draft rate study
, which is now open for review.
Maryland Department of Health (MDH) Programs
For a brief outline of each program, see our
NEW 2018 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
In-Home Supports Assurance System (ISAS)
(for current participants)
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.
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.
CMS Model Waiver Renewal Application
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.
Behavioral Health Administration (BHA) Administered Program
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
Maryland State Department of Education (MSDE) Administered Program
Waiver for Children with Autism Spectrum Disorder
Autism Waiver Fact Sheet
CMS Approved Autism Waiver
(Approved July 2019)
Autism Waiver Rate Methodology Study Report
Draft Autism Waiver Renewal Application for Public Comment from 2/1/19 to 3/2/19
Developmental Disabilities Administration (DDA) Administered Programs
Draft amendments to the Family Supports Waiver, Community Pathways, and Community Supports Waivers are posted for public comment from February 2, 2019 through March 3, 2019. Please visit the
DDA Waiver Amendment
website for more information.
Family Supports Waiver
The Family Supports program will provide individual and family supports for children birth to 21 with developmental disabilities on the DDA Waiting List.
CMS Approved Family Supports Waiver
Community Supports Waiver
The Community Supports program will provide individual and family supports for people with developmental disabilities on the DDA Waiting List.
CMS Approved Community Supports Waiver
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
Reportable Events Policy
General Frequently Asked Questions
Estate Fact Sheet
Estate Fact Sheet (Spanish)
201 W. Preston Street, Baltimore, MD 21201-2399
(410) 767-6500 or 1-877-463-3464
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