State Waiver Resources / Posted 12 months ago / 487 views
The Home and Community-Based Options Waiver provides services for older adults and individuals with physical disabilities in order for them to live at home or an assisted living facility instead of a nursing facility. The Maryland Department of Health administers this waiver.
Services that may be provided include:
• Assisted living services (not including room and board)
• Behavior consultation services
• Case management
• Dietitian and nutritionist services
• Medical day care
• Senior Center Plus
• All other standard Medicaid Services, including Community First Choice, if living at home.
Technical Eligibility Age 18 and older.
Eligibility for Medicaid depends on an individual’s income and assets. Individuals are encouraged to apply so that financial eligibility can be determined.
Individuals must need the level of care required to qualify for nursing facility services.
Contact the Maryland Access Point at 1-844-627-5465.
Maryland Medicaid offers home and community-based services for:
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.
Who is eligible for waiver services?
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 determinization.. 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.