Benefits · Long Term Care

How to apply for Home & Community-Based Options Waiver + Community First Choice — Maryland

Maryland Department of Health

Who it's for

Maryland's Home and Community-Based Options Waiver and Community First Choice pay for help at home — personal assistance, nurse monitoring, home-delivered meals, equipment, and adult day services — so older adults who qualify for nursing-home level care can stay in the community. Eligibility takes a functional assessment plus long-term-care Medicaid financial rules. Start with the local Area Agency on Aging or Maryland Access Point or the waiver line 1-877-463-3464.

Requires nursing-home level of care plus long-term-care Medicaid financial eligibility (different limits than community Medicaid); the waiver has a registry/waitlist in some years.

What you'll need

  • Functional assessment (arranged through MAP/AAA)
  • Long-term-care Medicaid financial documentation

Where to apply

Apply online: official application

By phone: 1-877-463-3464

What to say when you call

"Hello, I'm calling to ask about Home & Community-Based Options Waiver + Community First Choice — Maryland. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need functional assessment (arranged through MAP/AAA), long-term-care Medicaid financial documentation — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual

Official source →Last verified · September 8, 2026

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Not legal or financial advice. The agency makes the final eligibility decision.