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Maryland Medicaid Waiver for Older Adults

What are Medicaid Waivers?
Medicaid pays for long term care services in nursing homes.  For nursing home qualified persons that choose to live at home or in a residential community, Medicaid will pay for those services if they can be obtained at a lower cost.  These are called Home and Community Based Services, Waiver Funded Services, Medicaid Waivers or simply Waivers.
 
  Overview of the Waiver for Older Adults
This Maryland state Medicaid waiver allows individuals 50+ that need nursing home level care, to receive that care in their home or group living community, such as assisted living.  There is a cap on enrollment in this program so waiting lists may exist.
  Qualifications for Maryland’s Waiver for Older Adults
In addition to being aged 65 or older and requiring nursing home level care, participants must be financially qualified for Medicaid.

Qualifying for Medicaid is a complicated process involving a review of a family’s income, assets and asset transfers as far back as 5 years.  Rules change by state and there are many exceptions, but typically monthly income cannot exceed $2,000 and “countable asset” limits, excluding the car and home, range from $2,000 to $8,000.  

Not qualifying for Medicaid can be devastating to the comfort of an individual, their family’s finances and even their health.  For these reasons, Medicaid planners exist to ensure families have the best chance of acceptance into the program.  With care costing $1000’s / month, there is a strong incentive to use a Medicaid Planner.  Find assistance applying for Medicaid.
  Services Provided under the Waiver for Older Adults
  • 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
  Availability of the Waiver for Older Adults
This program is available statewide however enrollment is limited by the state.  Check with your local Area Agency on Aging for enrollment information.



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