Waiver Enrollment Process

How to Start Getting Paid for Family Caregiving in Maryland

Step 1

Check Medicaid Status

The person receiving care must have active Maryland Medicaid with a valid coverage group.

Do they currently have active Medicaid?
Yes (👉🏽 Go To Step 2)
No (👉🏽 Apply for Medicaid)

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):
Maryland Department of Health: 410-767-1739
Maryland Access Point: 844-627-5465
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.

Ready For The Next Step?

If you’d like Concierge Home Care of Maryland to be your HCBS home care provider, let us know below. Whether you’re the person receiving care, a family or friend caregiver, or helping someone move through the waiver process, our team will follow up to confirm where things stand and what comes next.

Your Contact Info

Who Are You?

Additional Info

Which Step Are You Currently On In The Waiver Enrollment Process?

Best Time To Call You Back

Preferred Day(s)
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@2026 Concierge Home Care of Maryland

RSA-02155 – Medicaid Provider # 890094900

Licensed as a residential service agency by the Maryland Department of Health, Office of Health Care Quality.

Licensed as a residential service agency by the Maryland Department of Health, Office of Health Care Quality.

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Apply Through DSS

If Medicaid is not active, the person receiving care must apply through the Department of Social Services (DSS) before moving forward.