Waiver Enrollment Process
How to Start Getting Paid for Family Caregiving in Maryland
Step 2
Start HCBS Referral
Contact the Maryland Department of Health or Maryland Access Point to request a referral for Home and Community-Based Services (HCBS) such as Community First Choice (CFC):
This begins the eligibility process.
Step 3
Choose a Support Planning Agency
After the referral is submitted, the person receiving care can select a Support Planning Agency to guide the process.
If no selection is made within 21 days, one will be assigned automatically.
Your support planner will help coordinate the next steps.
Step 4
Complete the State Assessment
The Local Health Department (or Telligen) will contact the person receiving care to schedule a functional needs assessment.
This evaluation determines the level of help needed.
Tip: Answer questions based on your worst day without assistance so your needs are accurately represented.
Step 5
Create Your Plan of Service
Your Support Planner will help develop a Plan of Service (POS).
This plan outlines:
- The number of care hours needed
- The types of services required
-
Your selected home care provider
The POS is then submitted to the Maryland Department of Health for approval.
Step 6
Caregiver Onboarding
The caregiver completes onboarding with Concierge Home Care of Maryland, including:
- Background check
- CPR certification
-
Orientation and payroll setup
Step 7
State Approval Letter
If approved, the person receiving care will receive an official letter confirming:
- Approved services
- Authorized care hours
The official service start date
Important: Paid care cannot begin before this start date.
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