The Increased Community Services (ICS) Program is for physically disabled or frail elderly nursing home residents of Maryland who wish to move back into their own home, the home of a relative, or an assisted living residence. In addition to providing transitional assistance, this program provides long-term care supports to enable individuals to live in their community.
These supports include services such as adult medical day care, Personal Emergency Response Systems (medical alert services), home modifications, and assistance with Activities of Daily Living (ADL’s), like bathing, dressing/undressing, toiletry, and mobility.
This program is a win-win for the state of Maryland and individuals wishing to move back into the community. The expense to provide services outside of nursing facilities is less costly, thereby saving the state money, and those persons transitioning back into the community are able to live more independently.
ICS operates under Maryland HealthChoice, a section 1115 Demonstration Medicaid Waiver, and is administered by the Maryland Department of Health (MDH).
This program is nearly identical to the Maryland Community Options Medicaid Waiver, a 1915c Home and Community Based Services (HCBS) Waiver that provides long-term care services for seniors. In fact, the main difference between these two programs is that the financial eligibility requirement is different. For the Increased Community Services Program, seniors may qualify with a higher level of income.
To be eligible for the ICS Program, the following criteria must be met:
The income limit for the Increased Community Services Program, in 2023, is $2,742 per month. Persons who have monthly income greater than $2,742 can still be eligible, but must contribute income over this amount to their cost of care. Furthermore, several deductions are allowed, effectively lowering one’s countable income. This includes health insurance premiums, unpaid medical bills, and a personal allowance.
In 2023, the countable asset limit is $2,000 or $2,500, depending on eligibility category. That said, there are several resources that are not counted toward eligibility. This includes an applicant’s home (with an equity value up to $688,000), given the applicant or his or her spouse lives in it (or is returning to live it in), home furnishings, personal items, an automobile, and pre-paid funeral and burial plans.
If one is over the asset limit, it is highly recommended one seek the counsel of a professional Medicaid planner. Medicaid eligibility can be complicated, and a Medicaid planner can help reallocate assets in order to meet eligibility without violating Medicaid’s 5-year Look-Back Period. (Violating this period can result in a period of Medicaid ineligibility).
Via Maryland’s Increased Community Services Program, a variety of assistance and supports may be available:
In addition, some state Medicaid benefits are available via ICS. These include doctor/hospital/lab services, home health, pharmaceutical assistance, durable medical equipment, disposable medical supplies, and assistance with Medicare co-payments, deductibles, and premiums.
For more information or to apply for the Increased Community Services Program, contact the Maryland Department of Health at 410-767-1739, or one can call the Maryland Access Point at 844-627-5465.