Maryland Home Care Programs: CFC, Medicaid & Private Pay

Maryland funds in-home care through three programs with very different rules. CFC has no waitlist and covers most personal care. The Community Options Waiver covers more services but has a years-long waitlist — over 24,000 people are waiting statewide. Private pay has no eligibility requirement and starts within days. Our advisors sort this out at no charge.

Compare Maryland's Home Care Programs

Maryland's fastest path to Medicaid-funded home care. No waitlist — qualify and start. Baseline income limit: $350/month (most families still qualify through spend-down). Self-direct your care and hire a family member as the paid caregiver. No out-of-pocket cost.

Community First Choice highlights

  • No waitlist — qualify and start
  • Baseline income limit $350/mo (spend-down helps most qualify)
  • Self-direct care & hire a family member
  • No out-of-pocket cost
View CFC Program Details

Covers a broader range of services than CFC — assisted living support, adult day care, home modifications, and emergency response. The tradeoff: a statewide waitlist with over 24,000 people, typically a multi-year wait. We help you get on the registry and track your position.

Maryland-Community Options Waiver highlights

  • Assisted living support & adult day care
  • Home modifications & emergency response
  • Statewide waitlist of 24,000+ (multi-year)
  • We get you on the registry & track your spot
View Community Options Waiver

No Medicaid enrollment required. Pick your schedule, your caregiver, and your services. Starts within days. Good option while a Medicaid application is processing, or if your income is above Medicaid limits. No eligibility reviews or paperwork delays.

Private Pay highlights

  • No Medicaid enrollment required
  • Choose your schedule, caregiver & services
  • Starts within days
  • Great while a Medicaid application processes
View Private Pay Services

Not sure which program fits? A care advisor will help you choose.

(667) 400-0648

See which program fits your family

Answer a few quick questions. A Maryland care advisor will call you within 2 business hours with next steps — free, no pressure.