Home and Community-Based Options Waiver/CFC/MAPC
The Coordinating Center’s Adult Community Services division provides supports planning services to individuals with disabilities and special needs and older adults, who live in the community and want to remain in the community or are living in a Maryland nursing facility and want to move to a home.
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 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 (PDF) 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
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.
Medical Assistance Personal Care (MAPC) Program
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).
