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.

Quick Resources

Want to leave a nursing facility?
Need Resources in the Community?
Are you a Medicaid participant in need of medical equipment, supplies or transportation?
 Link to Maryland Access Point

Public Notice

​The Department will submit a 1915(b)(4) waiver application for its 1915(c) Home and Community-Based Options Waiver to the Centers for Medicare and Medicaid Services (CMS) to renew the waiver for five additional years. The 1915(b)(4) relates to selective contracting and allows the Department to limit the providers of case management for the Home and Community-Based Options Waiver to local Area Agencies on Aging (AAA) and agencies selected through a competitive solicitation. Public comments can be emailed to mdh.cfc@maryland.gov or mailed to the Office of Long Term Services and Supports, ATTN: 1915(b)(4) for Home and Community-Based Options Waiver Renewal Public Comment, 201 W. Preston Street, Room 121, Baltimore, MD 21201. Public comments can be submitted from November 17, 2021 through December 16, 2021. CONTACT: Mansi Shukla (410) 767-6772.

Statewide Transition Plan for Compliance with Home and Community-Based Settings Requirements (Final Rule)
CO Advisory Council Meeting
Tuesday, May 25 · 2:00 – 4:00pm
​​Phone number: (480) 939-5159‬ PIN: ‪478 653 607‬#
CO Advisory Council Meeting ​Agenda

Open for public comment May 8, 2021 through June 6, 2021.

Open for public comment January 29, 2021 through February 28, 2021.

Open for public comment January 29, 2021 through February 28, 2021.

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 2019 Bluebook Guide to Home and Community Based Programs.
Hospice Services
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.
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.
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.
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)
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.
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. 

Maryland State Department of Education (MSDE) Administered Program

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.
The Family Supports program will provide individual and family supports for children birth to 21 with developmental disabilities on the DDA Waiting List.
The Community Supports program will provide individual and family supports for people with developmental disabilities on the DDA Waiting List.
Community Pathways
The Community Pathways waiver provides services and supports to individuals, of any age, living in the community, meet the criteria for a developmental disability.

HCBS Forms