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Home and Community-Based Services (HCBS)

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)​

Request for Public Comment - 1915(b)(4) for Community First Choice — Renewal Application

The Maryland Department of Health (MDH) will submit a 1915(b)(4) FFS Selective Contracting Waiver application for its Community First Choice (CFC) program to the Centers for Medicare and Medicaid Services (CMS). The 1915(b)(4) allows the MDH to limit the providers of case management, nurse monitoring, and transition services for the CFC program. Case management providers are limited to local Area Agencies on Aging (AAA) and agencies selected through a competitive procurement. Nurse monitoring providers are limited to Local Health Departments and transition services are limited to a single statewide contractor selected through a competitive procurement. 

Public comments can be emailed to mdh.cfc@maryland.gov or mailed to the MDH, Office of Long Term Services and Supports, ATTN: 1915(b)(4) for CFC Waiver Public Comment, 201 W. Preston Street, Room 135, Baltimore, MD 21201. Public comments can be submitted from April 25, 2024 through May 24, 2024.

Contact: Fiona Fennel Pryce 410-767-1483