Maryland Home Care

Medicaid & CFC Home Care Services in Howard County, MD

Trusted In-Home Caregivers & Paid Family Caregiver Setup in Columbia, Ellicott City, Laurel, Clarksville, and Fulton & Surrounding Areas

Towns we cover

  • Columbia
  • Ellicott City
  • Laurel
  • Clarksville
  • Fulton
Cottage Home Care caregiver reading with a senior client at home

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Our services

Services in Howard County

Helping Your Loved Ones Live Their Best Life Possible

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  • 24/7 Care

    Extended and overnight coverage, based on caregiver availability.

  • Bathing & Toileting

    Personal care done with patience and respect.

  • Companionship

    A friendly visit and real conversation.

  • Dementia Care

    Nonmedical daily support that fits your loved one's needs.

  • Disability Support

    Hands-on help with daily tasks for adults with a disability.

  • Grooming & Hygiene

    Everyday care routines, done with dignity.

  • Light Housekeeping

    Tidying, laundry, and dishes connected to the person receiving care.

  • Meal Prep

    Meals made to fit preferences and dietary needs.

  • Medication Reminders

    A gentle nudge at the right time, as part of your care plan.

  • Personal Care

    Everyday help with the basics of daily living.

  • Safety Supervision

    An extra set of eyes for everyday hazards during care visits.

  • Transitions of Care

    Home care support after a hospital or rehab stay.

What's available depends on your needs, your care plan, and caregiver availability.

Who we help

Who we help in Howard County

  • Elderly and senior adults who need daily in-home care to stay independent at home
  • Adults with physical disabilities or chronic conditions needing care at home
  • Individuals recovering from illness or hospitalization
  • Family caregivers seeking paid elder care programs through Medicaid
  • Households that need a professional home health aide or in-home caregiver
Cottage Home Care caregiver talking with a senior and her daughter at home

Why Cottage

Why choose us in Howard County

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  1. Medicaid expertise

    We specialize in Maryland Medicaid programs that fund in-home elder care, covering personal care, activities of daily living (ADLs), and related in-home support services for eligible Howard County residents.

  2. Family caregiver enrollment

    Under CFC and certain waiver services, eligible participants in Howard County, Maryland may hire a family member or person they trust as a paid caregiver — letting a loved one get paid to provide in-home care after meeting medical and financial requirements.

  3. No waitlist for CFC

    Unlike the Community Options Waiver, Maryland's CFC program is an entitlement benefit—when you qualify, you can often start services without joining a long statewide waitlist.

  4. Private Pay flexibility

    Families in Howard County who prefer to fund senior home care directly can arrange non-medical in-home care without Medicaid enrollment, with full control over schedule, tasks, and caregiver choice.

What Maryland families say about home care

Real stories from patients and caregivers who chose Cottage Home Care Maryland

  • Maria Sanchez: I'm proud to work with Cottage Home Care Maryland LLC. Whether I'm assisting a CFC client or a Private Pay family, the agency ensures we have the resources to provide top-notch care. It's a supportive environment for staff and patients alike.
  • Robert Mitchell: Navigating the Community First Choice (CFC) program seemed complicated until I called Cottage Home Care Maryland LLC. They handled the paperwork and set me up with excellent care. I'm grateful to stay in my own home comfortably.
  • Sarah Jenkins: As a caregiver here, I appreciate how Cottage Home Care Maryland LLC manages the Community Options and CFC cases. The communication is excellent, and they truly match us with patients where we can make the biggest difference.
  • Harold Thompson: Cottage Home Care Maryland LLC goes above and beyond. From explaining the CFC benefits to ensuring my home care schedule works for me, they have been professional and caring every step of the way.

Coverage & programs

Home Care Near You in Howard County

Our office is in Columbia — Howard County is our home county. We serve families in Ellicott City, Columbia, Clarksville, Laurel, Savage, Jessup, and all surrounding areas. Howard County has one of Maryland's highest concentrations of working adults providing unpaid care to elderly parents — many qualify to be paid through CFC's self-directed option. We coordinate CFC needs assessments with the Howard County Health Department on your behalf. Spanish, Korean, Chinese, and Hindi-speaking caregivers available. Free eligibility check: (667) 400-0648.

Howard County

Community First Choice (CFC)

CFC is a Maryland Medicaid program that pays for nursing-level personal care in your home, providing care for elderly at home and adults with disabilities at little or no out-of-pocket cost. Eligible Howard County participants may receive help with bathing, dressing, meal preparation, mobility, and more. The program also supports self-directed care, allowing an approved family member or friend to be paid for providing services.

Learn about Community First Choice

Community Options Waiver (HCBOW)

The Community Options Waiver offers a broader set of in-home care services for seniors and adults who need a nursing facility level of care but wish to remain at home or in the community. Services can include personal care, adult day health, respite for family caregivers, and other supports defined in an approved plan of care. This waiver has a waitlist for community applicants; our team explains timelines and alternatives such as CFC when appropriate.

Learn about Community Options

Private Pay Home Care

Private Pay allows Howard County families to fund home care directly without Medicaid enrollment. This option is useful when you need care immediately, want services not covered by insurance, or are waiting for waiver approval. Cottage Home Care Maryland LLC can help you estimate hours and connect you with qualified in-home caregivers.

Learn about Private Pay

Not sure which one fits? Call (667) 400-0648 and we'll help you figure it out.

(667) 400-0648

How it works

How to get started

  1. 1

    Free consultation

    Call (667) 400-0648 or contact us online. We review your situation, county of residence (Howard County), and care goals.

  2. 2

    Program matching

    We determine whether CFC, Community Options Waiver, or Private Pay is the best fit based on Medicaid status, medical need, and urgency.

  3. 3

    Enrollment support

    Our staff assists with Medicaid checks, health department assessments, and provider paperwork required by Maryland.

  4. 4

    Start care at home

    Once approved, services begin in your Howard County, Maryland home with a plan tailored to your daily routine and preferences.

FAQs

Helpful Local Resources & FAQs

Still have a question?(667) 400-0648

Yes. We support eligible residents throughout Howard County and across Maryland. Our advisors work by phone and can guide you regardless of whether you live in a city, suburb, or rural part of the county.

Often, yes—through Maryland's Community First Choice program or certain waiver services if the care recipient meets Medicaid and medical eligibility. The caregiver must typically pass background checks and complete required training. Contact us to see if your family qualifies.

CFC has no waitlist for eligible Medicaid recipients, so enrollment can move forward as soon as assessments are completed. The Community Options Waiver may take longer because of the statewide Service Registry waitlist. Private Pay can often begin more quickly if you are funding care directly.

For eligible Medicaid participants, covered CFC and waiver services are provided at no cost to the participant. Private Pay rates vary by hours and level of care; call (667) 400-0648 for a personalized estimate.

Want to Be a Caregiver in Howard County?

We're looking for kind, reliable people to join our team in Columbia, Ellicott City, and Laurel and nearby communities.

Apply Now
Statewide in Maryland

Home Care in Other Maryland Counties

We serve families statewide. Select another county to view local programs, service areas, and enrollment support.

23

Counties

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Not sure which program fits your family? Our advisors serve all 24 counties at no cost.

Call (667) 400-0648