Medicaid Health-Related Services & Supports

This PowerPoint presentation provides information about the Home and Community Based Long Term Care Services and Supports programs, including an overview of the programs and enrollment process. You may also find more information on the Maryland Department of Health website.

  1. Community Options Waiver
  2. Community First Choice
  3. Community Personal Assistance
  4. Provider Enrollment
  5. Contact Us

Community Options Waiver (CO) serves individuals who are medically, technically and financially eligible for services in a community setting. 

Eligible individuals must:

  • Be age 18 or over
  • Choose to receive services in the community
  • Have a cost neutral plan of services that supports the individual living safely in the community
  • Require a nursing facility level of care

Application Process

Anyone currently living in a nursing facility and receiving long-term care Medicaid can apply to receive services in the community. Please contact your social worker at the nursing facility to begin the process. The Community Options Waiver (CO) is currently not accepting applications from the community but individuals who are interested in being screened for services can contact the Maryland Access Point (MAP) number at 301-600-1234. Once screened an individual’s name will be added to the Statewide Registry and they will be notified by the Maryland Department of Health when they are eligible to apply for services.


View the Overview of services covered by the Community Options Waiver. A summarized list is as follows: 

  • Assisted living
  • Personal assistance services
  • Nurse monitoring
  • Support planning services
  • Environmental assessment
  • Environmental accessibility adaptations
  • Assistive  technology
  • Behavior consultation services
  • Respite care services
  • Personal Emergency Response System
  • Home delivered meals
  • Dietitian and nutritionist services
  • Family and consumer training
  • Medical adult daycare
  • Senior center plus services
  • Transition services