Maryland’s Medicaid program provides free or low-cost health coverage to eligible seniors in Calvert County. Qualified individuals receive a variety of benefits from Medicaid and their Managed Care Organization (MCO). Medicaid covers services, such as emergency medical transportation, diabetes care services, clinic services, hospice care, medical equipment and supplies, mental health treatment, physical therapy and personal care services.
To receive Medicaid coverage, Calvert County seniors must meet the state’s eligibility requirements. They must be current residents of Maryland and a U.S. citizen or qualified immigrant. Maryland counties have different income limits for applicants over 65, and Calvert County seniors should contact their local Department of Human Services for the exact requirements. The state’s standard income limits can be used as a guideline, however; the annual income limit for individuals is $16,612 and $22,490 for couples. If seniors receive Supplemental Security Income (SSI), they automatically qualify for Medicaid.
Once accepted into the Medicaid program, seniors receive an insurance card in the mail and asked to select a Managed Care Organization (MCO). These organizations cover basic services, including doctor visits, prescription drugs and hospital services, and each have a specific network of doctors, hospitals and pharmacies. In Calvert County, available MCOs include Aetna Better Health, Amerigroup Community Care, Kaiser Permanente, Maryland Physicians Care, Priority Partners and University of Maryland Health Partners.
Maryland’s Medicaid program does not cover assisted living costs. Seniors who need financial assistance for assisted living fees will need to apply to one of Maryland’s waiver programs.
Home and Community-Based Options Waiver
The Home and Community-Based Options Waiver helps older adults live comfortably in a home or community-based setting. The available waiver services include assisted living, Senior Center Plus, case management, dietitian and nutritionist services and behavioral consultation.
To receive assistance, seniors must require a nursing home level of care and be financially eligible for medical assistance. Depending on their eligibility category, applicants cannot exceed countable asset limits of $2,000 or $2,500.
This program is part of the state’s Long Term Services and Supports (LTSS). Seniors who receive LTSS Personal Assistance Services can review their history, eligibility or plans via the MyLTSS website.
If Calvert County seniors have questions about the Home and Community-Based Options Waiver, they can call Maryland Access Point at 1 (844) 627-5465.
Increased Community Services Waiver
Calvert County seniors currently living in nursing homes may be eligible for the Increased Community Services (ICS) waiver. The ICS facilitates transitions between nursing homes and home and community-based environments. It covers assisted living costs (not room and board), as well as personal assistance services, supports planning, assistive technology and nurse monitoring.
This waiver is designed for seniors whose incomes exceed the limits for the Home and Community-Based Options Waiver. To be financially eligible, seniors must meet asset limits ($2,000 or $2,500) and contribute any income over 300% of SSI to their care costs. To meet the medical requirements, they must need a nursing home level of care, and to meet the technical requirements, they must be residing in a nursing home facility for three months or more prior to application.
For more information, Seniors can apply for Medicaid via the myDHR website. They can also download and complete an application, or request an application from their local Department of Human Services. Seniors can call the Maryland Health Center support at 1 (855) 642-8572.