In Maryland, Medicaid provides eligible low-income adults and children with access to a full range of health care services for free or at a minimal cost.
St. Mary’s County residents up to age 64 may be eligible for Medicaid if their income is no more than $1,436 per month (at or below 138% of the federal poverty level).
For seniors aged 65 and older, people with disabilities and chronically ill children, Maryland Medicaid administers several Long-Term Services and Supports waiver programs that have varying income and other requirements dictating eligibility.
Benefits of Medicaid include:
- Clinic and emergency services
- Inpatient and outpatient hospital care
- Home health services and hospice care
- Physical therapy
- Mental health services
- Medical equipment
- Laboratory services
- Personal care and transportation services
- Home and community-based waiver services
For seniors interested in participating in a Medicaid LTSS waiver program providing services in an assisted living setting, a few options are available.
Community Options Waiver St. Mary’s County seniors who require a nursing home level of care and need assistance performing regular activities of daily living including eating, bathing and dressing may be eligible for the
Community Options waiver.
Community Options benefits include:
- Assisted living services
- Home-delivered meals
- Personal assistance
- Prescription drugs
- Mental health services
- Transition services, case management and supports planning
- Laboratory services and medical equipment
- Doctor and hospital visits
To qualify for waiver benefits, seniors must meet specific income and asset requirements:
- Earn no more than 300% of monthly SSI benefits ($2,313 per month)
- Have assets totaling no more than $2,000, not including a personal residence, primary vehicle, furnishings and personal belongings
- If married, a non-applicant spouse may retain countable assets of up to $126,420
Seniors can apply for the Community Options waiver by calling Maryland Access Point at (844) 627-5465. While a waiting list exists for seniors living outside a nursing home, St. Mary’s County residents can call program coordinator Daphne Bennear at (301) 475-4200, ext. 71069, or email her at
Daphne.Bennear@stmarysmd.com for more information.
Increased Community Services The
Increased Community Services program may be an option for St. Mary’s County seniors who live in a nursing home, would like to move to an assisted living setting and earn income over the Community Option waiver limits.
ICS program benefits include:
- Assisted living services
- Doctors and hospital visits
- Nutrition and dietitian services
- Transition services
- Pharmaceutical and laboratory services
- Supports planning
- Home health and day care services
Seniors must meet the following criteria to qualify:
- Have lived in a nursing facility for at least three months and have been eligible for Medicaid for at least 30 of those days
- Be ineligible for any other Medicaid waiver program
- Require a nursing home level of care costing no more outside a nursing facility than within one
- Be willing to contribute income over 300% of SSI benefits toward assisted living services
- Have no more than $2,000 in assets not including a personal home, vehicle or personal belongings
To apply for the Increased Community Services program, seniors should call (844) 627-5465 or the
St. Mary’s Maryland Access Point program coordinator Jennette Beyer at (301) 475-4200, ext. 71057.