Medicaid Home Care Clients in Maryland: A Guide for Agencies

Maryland delivers Medicaid home care largely through Community First Choice (CFC) and related personal assistance programs. Here’s what agencies planning growth should know.

The program (MDH)

The Maryland Department of Health (MDH) administers personal assistance through Community First Choice, Community Personal Assistance Services (CPAS), and Community Options. For FY2025, Maryland reimbursed agency personal assistance at about $25.58/hour, and the state has moved to set a minimum hourly reimbursement floor for personal care aides. Confirm the current rate and program rules against the official MDH source.

See the official details at Maryland Medicaid (MDH).

What this means for agencies

  • CFC is a state-plan option (no waiver waitlist for those who qualify), which means steady demand among eligible Marylanders.
  • Supports Planners and case managers help members arrange services — relationships there matter for referrals.
  • Confirm eligibility and the specific program (CFC, CPAS, or Community Options) for each family.

Preparing to grow in Maryland

A clear website, referral relationships, and measured paid leads — screened for Maryland location, Medicaid eligibility, and genuine home-care need — build predictable census once you can handle volume.

Adult Care Network is expanding into Maryland. We’re signing founding partners now — first access to pre-qualified, screened Maryland leads delivered to your portal, matched to service area and shared with no more than three agencies, for a flat fee per qualified lead, never per enrollment. We’re a marketing-services company, not a provider.

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General information for agencies, not legal or eligibility advice. Program rules and rates change — confirm current details with the Maryland Department of Health.