Budget Year / Version:

Program Description

  Medicaid Funded Long-Term Care Services

This program administers and operates Maryland's Long-Term Care Medicaid program, Coordination of Community Services (CCS), and Community First Choice (CFC). CFC Supports Planners and Nurse Monitors provide a continuum of services designed to allow people of all ages and in need of long-term care to live in the community, rather than in institutions. Adult Evaluation and Review Services (AERS) provides mandatory medical evaluations for clients seeking these services and for those referred by Adult Protective Services. In addition, this program area provides service coordination to eligible young people funded under the Maryland Home and Community Based Services Waiver for Children with Autism Spectrum Disorder (Autism Waiver Program).

Program Contacts

Contact Patrice McGhee, DPA of the HHS - Aging and Disability Services at 240.773.1089 or Grace Pedersen of the Office of Management and Budget at 240.773.1088 for more information regarding this department's operating budget.


Program Performance Measures

Program Performance MeasuresActual FY22Actual FY23Estimated FY24Target FY25Target FY26
Total number of clients currently served by Nurse Monitoring 12,7143,0033,3003,6303,993
Average number of Adult Evaluation and Review Service (AERS) assessments assigned per month 2273292337350350
Percent of person-centered plans in the Coordination of Community Services (CCS) program that are reviewed and updated within 365 days of the anniversary date 371%68%70%72%74%
1  In FY23, Maryland Department of Health processed new clients faster than in prior years contributing to the 10% increase in clients served. Additionally, the program saw limited client disenrollment with the end of the Public Health Emergency in May 2023.
2  The program increased its capacity to serve more clients in FY23 with additional staff. Three new staff members will each serve an additional 25 clients once fully onboarded.
3  The compliance percentage decreased in FY23 for a variety of reasons including staff turnover (including the significant amount of time it takes to onboard new staff) and delays with getting required documents from providers.

Program Budget Changes

FY25 Recommended ChangesExpendituresFTEs
FY24 Approved1085880077.00
Enhance: Medicaid Community First Choice Nurse Monitoring Services1798000.00
Enhance: Increase Services to Meet Increased Demand for the Coordination of Community Services Program628261.00
Multi-program adjustments, including negotiated compensation changes, employee benefit changes, changes due to staff turnover, reorganizations, and other budget changes affecting multiple programs.17851791.00
FY25 Recommended1288660579.00