Home and Community Based Waiver for
Older Adults

Medicaid Waiver for Older Adults

General Information

Home and Community Based Waiver for Older Adults

The purpose of the Medicaid Waiver for Older Adults is to enable individuals who are aged 50 and over who require long-term care services to remain in a community setting even though their advanced age or disability would warrant placement in a long term care facility. The Waiver allows services that are typically covered by Medicaid only in a nursing facility, to be provided to eligible persons in their own homes or in assisted living facilities.

The Medicaid Waiver for Older Adults, which is administered by the Maryland Department of Aging and a network of 19 Area Agencies on Aging, may provide services to low-income adults living at home or in licensed assisted living facilities, and are: at least 50 years old, have a monthly income of no more than 300% of SSI, have assets that are no more than $2,000, and qualify for nursing facility level of care.

For information on Medicaid’s Policy on Property Liens and Estate Recoveries please review the MEDICAL ASSISTANCE (MEDICAID) PROPERTY LIENS & ESTATE RECOVERY FACT SHEET.

Services provided under the waiver may include:

  • Assisted living services
  • Assistive devices
  • Behavior consultation services
  • Case management (administrative service through Area Agencies on Aging)
  • Dietitian / Nutritionist services
  • Environmental modifications & assessments
  • Family or consumer training
  • Home-delivered meals
  • Medical day care
  • Personal care
  • Personal emergency response systems
  • Respite care
  • Senior Center Plus

Waiver recipients are also entitled to receive the following services under State Plan Medicaid:

  • Disposable medical supplies
  • Durable medical equipment
  • Home health care
  • Limited pharmacy services
  • Medicaid acute, primary, & preventive services

Individuals living in the community who are interested in applying for the Waiver should add their name to the Waiver Services Registry. The number to the Registry is 1-866-417-3480 (toll free). The State will notify registrants as slots become available.

There is open enrollment to the program for interested nursing home residents whose stay has been paid for by Long Term Care Medicaid for 30 or more days. Applications are available by contacting the local AAA.

For more information on the Medicaid Home and Community Based Services Waiver, contact your local Senior Information and Assistance office.

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Reportable Events

In August 2005 the Waiver Reportable Event Policy went into effect. This policy applies to all waiver applicants, participants and enrolled provides. It establishes reporting requirements and time lines for significant events involving individuals applying to and enrolled in the program. The Reportable Event Policy was revised as of April 1, 2010.

Provider Information

Thank you for visiting this portion of our website. The provider information was compiled based on current information in MDoA’s Waiver Provider database. Corrections to this information should be sent to the Waiver Unit: Click here to send an e-mail.

If you are a participant in the program: You have a choice when selecting a waiver provider from the provider list. Please remember to coordinate changes in your Waiver Services provider with your assigned Waiver case manager before initiating a new service or changing an existing service or service provider.

Not sure who your case manager is?

Contact the Waiver Unit: Click here to send an e-mail.

Medicaid Waiver Provider Information

If you are interested in providing one or more of the Waiver services listed above you may call (410)767-1118 to request an application. All Waiver providers must be approved Medicaid providers and appropriately certified.

Notices for All Waiver Providers:

Personal care providers should review the memo regarding proposed changes to the personal care program.

Assisted Living Service providers should review DHMH Transmittal number 21 outlining a change in the reimbursement policy.

Every Personal Care Service provider should review the DHMH Transmittal number 18.
This policy requires the use of a revised personal care and nurse monitoring time sheets and introduces other new forms to be completed by nurse monitors. These forms may be found on the DHMH website.

Providers enrolled to provide Assistive Equipment and Devices and providers enrolled in Environmental Accessibility Adaptations should review DHMH Transmittal number 23.
It describes a change in where these claims are to be sent for payment and provides other information pertinent to timely payment of these claims.

Personal Care aide Credentialing - Personal care providers should review the Waiver for Older Adults Transmittal number 38 regarding the personal care aides credentialing requirements.

Information on The No Cost Voluntary Tax Witholding for Independent Personal Care Providers. can be found in the following packet: Voluntary Tax Witholding

Monthly Employee List Reports - Every personal care agency provider enrolled under the Waiver for Older Adults Program are required to submit a completed listing of all current employees serving the Waiver clients.

  • Click here to download the Policy.
  • Click here to download the digital form.

Billing Process Change

Effective June 1, 2013 the Maryland Department of Aging will no longer be accepting and processing for most Waiver for Older Adults Waiver services. For more information and assistance on e-Claim process contact the Provider Information Call Center at 410-767-5503 or 1-800-445-1159.


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Updated Provider News

Important information for participants and providers on changes to the program.

Billing Process Change
Effective June 1, 2013 the Maryland Department of Aging will no longer be accepting and processing for most Waiver for Older Adults Waiver services. Click here for the new policy memo and training flyer.

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