The Coordinating Center provides supports planning services to older adults and individuals with disabilities who live and want to remain in the community or are living in a Maryland nursing facility and want to move to a home.
Programs and services include:
- Home and Community-Based Options Waiver
- Community Personal Assistance Services (CPAS)
- Community First Choice Program (CFC)
- Increase Community Services (ICS)
Home and Community-Based Options Waiver Program
This program provides an array of home and community-based services that assist Medicaid beneficiaries to live and remain in the community of their choice. The Community-Based Options Waiver includes a combination of services provided in the past by the Living at Home Waiver and Waiver for Older Adults. These waivers were combined into one Community-based Options Waiver on January 6, 2014.
Covered Services
- Personal Assistance Services
- Case Management/Supports Planning
- Nurse Monitoring
- Personal Emergency Back-up Systems
- Transition Services
- Consumer Training
- Home Delivered Meals
- Assistive Technology
- Accessibility Adaptations
- Environmental Assessments
- Medical Day Care
- Nutritionist/Dietician
- Family Training
- Behavioral Consultation
- Assisted Living
- Senior Center Plus
Eligibility
Medical and Technical Criteria
- Individuals must have a nursing facility level of care based on a uniform medical assessment.
Financial Criteria
- An individual’s income and assets are reviewed to determine financial eligibility for Medical Assistance.
- The monthly income of an individual may not exceed 300% of SSI benefits, and the countable assets may not exceed $2,000 or $2,500 (depending on eligibility category).
- Only the income and assets of the individual (and assets of any spouse) are considered in determining financial eligibility.
Community Personal Assistance Services (CPAS)
This program provides assistance with activities of daily living to Medicaid recipients who have a chronic illness, medical condition or disability. Services are provided in the individual’s home or community residence.
Covered Services
- Personal Assistance Services
- Case Management/Supports Planning
- Nurse Monitoring
The Adult Community Services division also provides care management to individuals through the Housing Initiative Program (HIP).
Community First Choice (CFC) Program
This program provides community services and supports to enable older adults, people with disabilities and those on the Increased Community Services (ICS) program to live in their own home.
Covered Services
- Personal Assistance Services
- Case Management/Supports Planning
- Nurse Monitoring
- Personal Emergency Back-up Systems
- Transition Services
- Consumer Training
- Home Delivered Meals
- Assistive Technology
- Accessibility Adaptations
- Environmental Assessments
Eligibility
Medical and Technical Criteria
- Individuals must have an institutional level of care based on a uniform medical assessment.
Financial Criteria
- An individual’s income and assets are reviewed to determine financial eligibility for community Medicaid.
- Medicaid coverage is for individuals determined to be categorically eligible or medically needy.
- Medicaid coverage is automatically given to individuals receiving certain other public assistance, such as Supplemental Security Income (SSI), Temporary Cash Assistance (TCA), or Foster Care.
Increase Community Services
Maryland’s Increased Community Services program allows eligible individuals in nursing facilities to return to the community and receive services and supports in their own homes.
Covered Services
Personal Assistance Services
Supports Planning
Nurse Monitoring
Personal Emergency Response Systems
Assistive Technology
Environmental Assessments
Accessibility Adaptations
Consumer Training
Transition Services
Home Delivered Meals
Assisted Living
Medical Day Care
Family Training
Dietician Nutrition Services
Behavioral Consultant
Eligibility
Technical Criteria
• Individuals must be age 18 or older
• Individuals must be currently residing in a nursing facility for at least three (3) months, 30 days of which are eligible to be covered by Medicaid.
• An individual’s services in the community may not cost the Medicaid Program more than the individual’s services in the nursing facility.
• An individual must not be eligible for an existing Medicaid 1915(c) waiver.
Medical Criteria
• Individuals must meet the level of care required to qualify for nursing facility services.
Financial Criteria
• An individual participating in the Increased Community Services program shall contribute income in excess of 300% of SSI to the cost of care in the community and must meet the Program’s asset limits ($2,000 or $2,500 depending on eligibility category).
For additional information, contact Lisa Cordell BSW, Program manager at 240-571-9484 or Heather Hornedo, Program Managers of Community First Choice Programs at 240-278-8335.
Let us know how we can help!
If you have questions about services or programs of The Coordinating Center please contact us at any time. Our staff are ready to assist you.
