Maryland Medicaid offers home and community-based services for:
- Older adults;
- Persons with disabilities; and
- Children with chronic illnesses.
Maryland Medicaid’s home and community-based services are offered through the regular Medicaid program and special Medicaid programs called “waivers.” Each waiver has different eligibility criteria and target a different population, such as older adults or people with a certain disability.
Public Notice: Statewide Transition Plan for Compliance with Home and Community-Based Settings Requirements (Final Rule) - Revised 03/09/2023
Request for Public comment: Compliance with Home and Community-Based Settings Requirements (Final Rule) Heightened Scrutiny
The purpose of the Home and Community-Based Settings Requirements final rule is to ensure that individuals receive Medicaid Home and Community-Based Services (HCBS) in settings that are integrated and that support full access to the greater community. These requirements maximize the opportunities for participants in HCBS programs to have access to the benefits of community living and to receive services in the most integrated setting.
The Maryland Department of Health (MDH) identified this provider site that has characteristics of an institution or appears to isolate and/or limit integration from the broader community for individuals who receive Medicaid HCBS. This provider site has been identified for a process referred to as a heightened scrutiny review. Heightened scrutiny means that this specific provider site has characteristics of an institution and/or appears to isolate and/or limit integration from the broader community.
In accordance with the federal HCBS regulations found at 42 CFR Section 441.301(c)(4)(5) and Section 441.710 (a)(1)(2), the MDH will submit the following provider site to the Centers for Medicare & Medicaid Services (CMS) for a heightened scrutiny review:
Assisted Living Facility:
- Copper Ridge Assisted Living
The MDH is posting this facility of presumptive heightened scrutiny provider sites for
public comment from November 20, 2025, through December 19, 2025. Public comments can be emailed to
[email protected], mailed to the MDH, Office of Long Term Services and Supports, ATTN: HCB Settings Rule Public Comment, 201 W. Preston Street, Room 136, Baltimore, MD 21201, or provided in person at the Local Health Department. Public comments can be submitted from November 20, 2025 through December 19, 2025. Any questions regarding the public comment period can be sent to Lisa Toland 410-767-5792 or
[email protected].
