Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Maryland?
Last verified October 17, 2026 · All Maryland resources
In Maryland, the income limit is $2,982/month and the asset limit is $2,000 single. For Maryland's home and community-based waivers, income can't exceed 300% of the SSI federal benefit rate ($2,982 a month in 2026), and resources are capped at $2,000. Maryland also has a medically needy program (income standard $350 a month and resource standard $2,500 for one person) that lets people with high medical costs spend down to eligibility; waiver participants may owe a client contribution toward their care. Home equity over $752,000 excludes an applicant from long-term care coverage.
| Program | Maryland Medicaid long-term services and supports: Home and Community-Based Options Waiver, Community First Choice, Community Personal Assistance Services, PACE and nursing facility care |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (HCBS waiver group, 300% of the SSI federal benefit rate) |
| How income is counted | special income limit (300% SSI) |
| Medically needy spend-down | Yes |
| Asset limit (single) | $2,000 single |
| Asset limit (couple, both applying) | $3,000 couple (categorically needy standard) |
| Home equity limit | $752,000 |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Maryland Medicaid waivers that pay for home care.
How to apply in Maryland (Maryland Department of Health, Medicaid (Medical Care Programs Administration))
What should you confirm with the state?
Ask Maryland Medicaid how income over the waiver limit is treated before applying.
More for Maryland
Medicaid eligibility by state: other states
Related guides
Operations
Private Pay vs. Medicaid: Choosing Your Agency's Payer Mix
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.
Simple pricing
From $199 /month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.