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What Caregiver Retention Strategies Actually Work on a Small Budget?
Give caregivers the hours you promised, keep clients close, pay accurately and recognize good work. Twelve low-cost ideas and how to measure them.
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Banned below wage threshold. Maryland voids non-compete and conflict-of-interest (moonlighting) provisions for employees earning $22.50 an hour or less in 2026, which covers most hourly caregivers. Licensed health care workers who provide direct patient care and earn $350,000 or less are also covered. Agreements protecting client lists and client information are still allowed.
| Status | Banned below wage threshold |
|---|---|
| Wage threshold | Non-compete and conflict-of-interest provisions are void for employees earning 150% of the state minimum wage or less. With the state rate at $15.00 an hour in 2026, that is $22.50 an hour (roughly $46,800 a year at full time). |
| Healthcare-specific rule | Non-competes are void for employees licensed under the Health Occupations Article who provide direct patient care and earn $350,000 or less. Above $350,000 they are limited to 1 year and 10 miles from the primary workplace. |
| Client non-solicitation | The ban does not apply to provisions about taking or using a client or patient list or other proprietary client-related information. |
| Statute | Md. Code, Lab. & Empl. § 3-716 |
| Latest change | 2025-07-01 |
That is usually handled in the client service agreement, not the caregiver's contract: some agencies charge a placement or conversion fee if a client hires a caregiver directly. Whether that clause is enforceable is a contract question, so have a local employment lawyer review it.
Caregivers paid more than $22.50 an hour who are not licensed under the Health Occupations Article are outside the ban.
General information, not legal advice.
Workforce
Give caregivers the hours you promised, keep clients close, pay accurately and recognize good work. Twelve low-cost ideas and how to measure them.
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Services, rates, minimums, cancellations, billing, overtime and termination, with a fill-in template and the state disclosure rules that shape it.
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