Maryland’s Community Personal Assistance Services (formerly Medical Assistance Personal Care)

Waiver Description

 In 2015, Medical Assistance Personal Care became Community Personal Assistance Services. The program services are the same.

Maryland's Community Personal Assistance Services are provided in the eligible individual's home or community residence, by self-employed or agency-employed providers. Under this program 'self-employed' means the care is provided by individuals chosen by the program participants. "Agency-employed" means the care provider is chosen by the administration team. In either case, the care is paid for by the program.

Community Personal Assistance Services / MAPC assists chronically ill, frail elderly, or disabled people stay in their own home by granting personal support with basic daily tasks, such as bathing, dressing, eating and going to the bathroom. The program is administered county-by-county and care must be provided by an approved personal care provider, who is supervised by a nurse monitor.

Maryland’s Community Personal Assistance Services was formerly known as Medical Assistance Personal Care (MAPC) Program. It is anticipated that the Community Personal Assistance Services will be managed under the Community First Choice umbrella. Although there are new branding and organization structure, the program continues to aid with activities of daily living for Medicaid recipients who have a chronic illness, medical condition, or disability. 

The Maryland Department of Health and Mental Hygiene manages the budget and directs this program. 


Eligibility Guidelines

Community Personal Assistance Services / MAPC serves disabled individuals who qualify for Medicaid. There are both physical and financial criteria when determining eligibility. As MPAC merges with other programs and assumes the name Community Personal Assistance Services under the Community First Choice program, there will likely be changes to eligibility guidelines.

Functional Criteria:

Applicants must require hands-on care with their activities of daily living. Their abilities must be at the point where should they not receive assistance they would be at risk for placement in a nursing home. During the application process a county registered nurse case monitor performs an assessment of care needs.

Financial Requirements:

For applicants aged 65 and older, Maryland uses the federal benefit level to determine eligibility. Consequently, these financial requirements change each year. 

In 2017, single applicants are limited to monthly income not exceeding $2,205. 

Maryland follows the ‘name on the check’ rule when determined married applicant’s financial eligibility. Only the married applicant's income is counted while their spouse’s income is not considered when applying for Medicaid. This is only true if the spouse is not also applying for Medicaid.

Maryland limits the value of the individual's countable assets at $2,500 excluding the value of the home and other personal items. If married, the couple may possess a significantly greater amount in resources, which are allocated to the spouse who is not applying for assistance.

The financial side of Medicaid eligibility is complicated. Persons unsure of their eligibility should consult with a Medicaid professional adviser prior to application. Read more.


Benefits and Services
  • Personal Assistance - help with the activities of daily living such as dressing, eating and mobility
  • Nurse Monitoring - register nursing oversight of personal care provider services
  • Supports Planning - assistance planning for and obtaining supports to aid independence


How to Apply / Learn More

To seek assistance through Community Personal Assistance Services / MAPC program, contact the nearest county Health Department office and ask about the Personal Care Program. Contact Maryland Access Point at 1-844-627-5465 to locate the nearest office or to find out how to apply by phone. Read or download and print a brochure about the program here.