Everything You Want To Know

Medicaid / Maryland

Medicaid for Home Care in Maryland

Medicaid Certified Home Care Agency in Maryland

Homecare agencies looking for a Maryland Medicaid claim must be a certified HHA (Home Health Agency) and must follow certain regulations. Regulations are different in different states, and the homecare agency needs to provide certifications along with a valid license. Detailed information is provided by the individual state’s Department of Human Services or Bureaus of Licensing and Certification.

Governing Body: Maryland Medicaid


Medicaid in Maryland, commonly known as Medical Assistance (MA), is a wide-ranging health care program funded by the state and federal governments to provide health coverage to low-income individuals. When it comes to long term care of a senior, blind, and disabled people, Maryland provides Long Term Services and Supports (LTSS) program. The FPL limit for individuals in 138%. Pregnant women and children are now eligible at higher limits because of Medicaid expansion.

Medicaid Programs:

  • Community Personal Assistance (CPAS)
  • Community First Choice Program (CFC)
  • MCHP Premium
  • Medical Day Care
  • Increased Community Services (ICS)
  • Maryland Women’s Infant and Children (WIC) Program
  • Community Options Medicaid Waiver (CO)
  • Community Pathways Medicaid Waiver

Income Requirements:

  • Individuals from 19 to 64 years with an income of $16,643 to $57,022
  • Children with income from $25,447 to $87,185
  • Pregnant women have a cap of up to $109,085 for a family of eight

Application Process:

The application process for accessing Medicaid for Maryland residents is easy, and anyone can apply for the available Medicaid programs by visiting Maryland Health Connection or through the Enroll MHC app.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

    Be Medicaid Ready with CareSmartz360
    • Create, Review & Approve Claims
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    • Supports All Medicaid Payers
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    • Claims submission in 837P, 837I format

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