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The Brain Injury Waiver provides services to individuals who are currently residing in state psychiatric hospitals, state-owned and operated facilities, chronic hospitals that are accredited for brain injury rehabilitation, or for whom Maryland is paying for services in an out-of-state facility.
Services that may be provided include:
• Case management
• Day habilitation
• Individual support services
• Medical day care
• Residential habilitation
• Supported employment
• All other standard Medicaid services
Age 22 to 64. The brain injury must have occurred after the age of 17.
Eligibility for Medicaid depends on an individual’s income and assets. Individuals are encouraged to apply so that financial eligibility may be determined.
Individuals must be diagnosed with a brain injury and meet the level of care required to qualify for nursing facility or chronic hospital services.
Contact the Behavioral Health Administration at: • 410-402-8476
• TTY: 1-800-735-2258
• 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.
Individuals must meet medical, financial, and technical criteria to qualify for Medicaid-funded services. This guide outlines the basic eligibility criteria for each waiver program.
Financial eligibility is based on both income and assets. Certain waiver programs may accept individuals with a different level of income than other traditional Medicaid programs. In these waivers, the monthly income limit in 2019 is $2,313. Assets may not exceed $2,000 or $2,500, depending on eligibility category. The income standard is updated annually.
Income includes, but is not limited to:
• Wages, social security benefits, veteran’s benefits, pensions, annuities,
self-employment income, and disability benefits.
Assets include, but are not limited to:
• Cash, bank accounts, stocks, bonds, mutual funds, and life insurance.
An individual’s home value may also be considered when calculating assets.
Individuals should not try to determine eligibility for waiver programs or any other Medical Assistance program based
on the information provided in this website, but should contact agency for eligibility determinination.. Trained Eligibility Case Managers make the final eligibility determination.
Medical and functional needs will be assessed during the application process. For some programs, a trained professional can go to an individual’s home to assess health status and need for services.
Most waivers target a specific age group or persons with a particular disability. Maryland Medicaid programs are available only to Maryland residents.