Community Living


I​n-Home Supports and Services

​Programs for All Ages

Below is a list of programs that provide services and supports to individuals with disabilities regardless  of their age. 

The Community First Choice (CFC) Program provides community services and supports to enable older adults and individuals with disabilities to live in their own homes. Some supports include: personal assistance services, personal emergency response systems, assistive technology, accessibility​ adaptations, consumer training and home delivered meals. Individuals must meet an institutional level  of care and be financially eligible for community Medicaid. For more information, contact Medicaid’s  Long Term Care and Waiver Services at: 410‐767‐1739 or 1‐877‐463‐3464 or for MD Relay Service 1‐800‐ 735‐2258. Visit the Maryland Department of Health website for more information. 

The Community Personal Assistance Services (CPAS) Program provides in‐home personal care, supports planning and  nurse monitoring services to individuals with disabilities or chronic medical conditions who qualify for  Medicaid. Services may be provided in the workplace. This program is administered through the local health departments. For more information, contact your local health department or the Maryland Department of Health at 410‐767‐1739 or 1‐877‐463‐3464 or for MD Relay Service 1‐800‐ 735‐2258. 

The Community Pathways Waiver is administered by the Developmental Disabilities Administration  (DDA) under the Department of Health . The waiver offers a wide array of services  to eligible individuals with an intellectual or developmental disability which is provided by licensed  provider agencies or independent providers under self‐directed services. There is a waiting list to receive  services and funding availability is based on need. For more information or to apply for the waiting list,  contact the DDA headquarters  online by phone at 410‐767‐5600. You can also contact your regional office directly. 

The Low Intensity Support Services (LISS) program grants eligible applicants limited funding for services and items to support identified needs. LISS funding is distributed based on a random selection and meeting eligibility requirements. LISS provides  funding for various individual support services and family support services to include: personal and  attendant care, respite care, and other services to maximize independence, productivity, and integration  within the community. For more information, visit DDA’s website or access the 2018 LISS Applicant and Family Reference Guide​.   

The Community Supports Waiver, approved in December 2017 by the Centers for Medicare and Medicaid Services, is administered by the Developmental Disabilities Administration (DDA) under the Department of Health which expects to initiate services in February 2018. The program will provide individual and family supports to 400 people with developmental disabilities on the DDA Waiting List and will have an overall budget cap of $25,000/year. See DDA's website for more information.