up
Budget Year / Version:
anchor

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).

Explore
anchor
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.

anchor

Program Performance Measures

Program Performance MeasuresActual FY23Actual FY24Estimated FY25Target FY26Target FY27
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 168%83%85%85%85%
Average number of Adult Evaluation and Review Service (AERS) assessments assigned per month 2292313388463538
Total number of clients currently served by Nurse Monitoring 33,0032,7892,9283,0743,227
1  The compliance percentage increased in FY24 largely because the Developmental Disabilities Administration (DDA) initiated an "auto approve" process in the system. Person-centered plans that fit into a particular category are automatically approved. This opened up DDA's capacity to review.
2  The program hired more staff to serve the community in FY24. Three additional team members will be able to assess an additional 25 clients each per month.
3  In FY24 following the end the public health emergency order, Maryland Department of Health (MDH) started removing clients who were not qualified to remain in the program, including Medicaid ineligible clients, deceased clients, and clients who no longer reside in Maryland. That and the slow processing of plan of services by MDH resulted in fewer new clients enrolling in the program (MDH assigns DHHS new clients).
anchor

Program Budget Changes

FY26 Recommended ChangesExpendituresFTEs
FY25 Approved1288660579.00
Multi-program adjustments, including negotiated compensation changes, employee benefit changes, changes due to staff turnover, reorganizations, and other budget changes affecting multiple programs.696436-1.00
FY26 Recommended1358304178.00