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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).

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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.

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Program Performance Measures

Program Performance MeasuresActual FY24Actual FY25Estimated FY26Target FY27Target FY28
Total number of clients currently served by Nurse Monitoring 12,7893,1663,3243,4903,664
Average number of Adult Evaluation and Review Service (AERS) assessments assigned per month 2313355390430472
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 383%58%65%65%70%
1  The enrollment for this program depends on the Maryland Department of Health (MDH) enrollment process, making it difficult to accurately predict the annual growth rate. However, based on the client count from FY25, the program estimates an approximate 5% increase.
2  The increase in the number of assessments is due to four new nurses being hired and two additional Nurse Managers. The program projects an annual 10% increase in coming years.
3  The reduction in compliance rate is primarily due to changes at the authorizing agency, Developmental Disabilities Administration (DDA),that impacted the timely review and update of person-centered plans (PCPs).
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Program Budget Changes

FY27 Recommended ChangesExpendituresFTEs
FY26 Approved1358304178.00
Enhance: Community First Choice Nurse Monitoring to Meet Increased Demand (Fully Revenue Offset)731670.00
Multi-program adjustments, including negotiated compensation changes, employee benefit changes, changes due to staff turnover, reorganizations, and other budget changes affecting multiple programs.2221870.00
FY27 Recommended1387839578.00