These videos give an overview of the various Home and Community-Based Services (HCBS) available in Maryland for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Maryland. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
Respite Care Services in Maryland are designed to give short-term relief to primary caregivers of individuals with developmental disabilities, chronic illnesses, or significant care needs. These services can be planned or provided on an emergency basis and are funded through Maryland Medicaid and the Developmental Disabilities Administration (DDA) under various Home and Community-Based Services (HCBS) Waivers, including the Community Pathways, Community Supports, and Family Supports Waivers.
Residential Habilitation
Residential Habilitation Services in Maryland offer supervised, structured living arrangements for individuals with developmental disabilities who require ongoing support. These services are authorized under the Maryland Developmental Disabilities Administration (DDA) and funded through the Community Pathways Waiver, designed to help individuals live as independently as possible in homes they choose.
Supported Employment
Supported Employment Services in Maryland are designed to assist individuals with intellectual and developmental disabilities (IDD) in securing and maintaining competitive, integrated employment. These services are offered under the Maryland Developmental Disabilities Administration (DDA) through the Community Pathways Waiver, Community Supports Waiver, and the Family Supports Waiver (for transition-aged youth).
Personal Assistance
Personal Assistance Services (PAS) in Maryland help individuals who need assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) to live safely and independently in their homes and communities. These services are funded under Maryland Medicaid, specifically through Home and Community-Based Services (HCBS) Waivers such as the Community First Choice (CFC) Program, Community Options Waiver, and Increased Community Services (ICS).
Skilled Nursing
Skilled Nursing Services in Maryland offer clinical care by licensed nurses to individuals with medical conditions requiring assessment, treatment, and monitoring. These services are provided through Home and Community-Based Services (HCBS) waivers such as the Community Pathways Waiver, Community First Choice (CFC), and the Community Options Waiver. Services can be delivered in homes, schools, or community settings.
Day Program
Day Program Services in Maryland offer structured, person-centered activities during daytime hours to promote independence, build life skills, and foster community involvement for adults with intellectual and developmental disabilities. These services are funded through the Maryland Developmental Disabilities Administration (DDA) under the Community Pathways Waiver, Community Supports Waiver, and, in some cases, the Family Supports Waiver for transition-aged youth.
Family Support Services
Family Support Services in Maryland are designed to strengthen families caring for individuals with developmental disabilities or autism. These supports offer relief, training, and resources to caregivers, ensuring individuals can remain at home while their families receive the help they need to reduce burnout and promote family stability. Services are authorized and funded under the Maryland Developmental Disabilities Administration (DDA) through the Family Supports Waiver, and in some cases through the Community Supports and Community Pathways Waivers.
Assistive Technology
Assistive Technology (AT) Services in Maryland are designed to help individuals with disabilities gain greater independence, communication, mobility, and access to their environment. These services are offered under Maryland Medicaid Home and Community-Based Services (HCBS) programs, especially through the Developmental Disabilities Administration (DDA) and Community First Choice (CFC) program. Assistive Technology may include both the provision of the device and the training needed to use it effectively.
Home Modification
Home Modification Services in Maryland involve making physical changes to a participant’s residence to support their health, independence, and ability to remain safely at home. These services are provided under the Maryland Medicaid Home and Community-Based Services (HCBS) programs, including the Community First Choice (CFC) program and the Developmental Disabilities Administration (DDA) Waivers: Community Pathways, Community Supports, and Family Supports.
Community Support Living
Community Supported Living Arrangements (CSLA), also known as Community Supported Living Services (CSLS) in Maryland, are designed to help individuals with developmental disabilities live in homes they choose, either alone or with housemates, while receiving individualized support. These services focus on promoting independence, community inclusion, and person-centered care, and are primarily funded under Maryland's Developmental Disabilities Administration (DDA) Waivers, including the Community Pathways Waiver and the Community Supports Waiver.
Case Management
Case Management Services in Maryland play a vital role in ensuring individuals with intellectual and developmental disabilities receive coordinated, person-centered, and outcome-driven services. While most traditional case management is delivered through Coordination of Community Services (CCS) agencies authorized by the Maryland Developmental Disabilities Administration (DDA), Medicaid also funds various forms of Targeted Case Management (TCM) and Supports Planning Services under programs like Community First Choice (CFC) and Community Options Waiver.
Home Health
Home Health Care in Maryland involves the provision of skilled nursing, personal care, therapy, and social services to individuals in their own homes. These services are authorized through Maryland Medicaid, including programs like the Community First Choice (CFC), Community Options Waiver, and Model Waiver, and are licensed by the Office of Health Care Quality (OHCQ) as Residential Service Agencies (RSAs).
Meal & Nutrition
Meal and Nutrition Services in Maryland provide individuals with disabilities, chronic health conditions, or functional limitations access to nutritious meals and dietary counseling that promote wellness and reduce health risks. These services are authorized through various Home and Community-Based Services (HCBS) programs, including the Community First Choice (CFC) program and the Developmental Disabilities Administration (DDA) Waivers: Community Pathways, Community Supports, and Family Supports.
Therapeutic Integration
Therapeutic Integration Services in Maryland are structured, community-based support services for children with intellectual and developmental disabilities. These services focus on enhancing socialization, adaptive behavior, and community participation in a group setting. They are authorized under the Maryland Developmental Disabilities Administration (DDA), primarily through the Family Supports Waiver and sometimes through Community Supports and Community Pathways Waivers for transitional-aged youth.
Adult Day Care Services
Adult Day Care Services, formally known as Adult Medical Day Care (AMDC) in Maryland, offer structured, daytime care for adults with physical, cognitive, or medical conditions who benefit from health monitoring, social engagement, and personal care while living in the community. Services are licensed by the Office of Health Care Quality (OHCQ) and may be funded through Medicaid’s Community Options Waiver or Community First Choice (CFC).