Community First Choice (CFC) in Maryland.

No waitlist. Spouses can be paid caregivers. Maryland’s CFC program may pay you for the care you’re already providing.

Maryland’s home care entitlement, built to keep people out of nursing facilities.

Community First Choice is a Medicaid State Plan Option created by the Affordable Care Act. It aids elderly and disabled Maryland residents who would otherwise require nursing home care. There are no caps on enrollment — anyone who meets the requirements can receive services. Official program: Maryland Department of Health, 410-767-1739.

Caregiver eligibility

Step by step.

Confirm Medicaid enrollment

The person receiving care must have full Maryland Medicaid (Medical Assistance) before applying to CFC. Our team helps with this process if Medicaid is not yet in place.

Complete the assessment

Financial eligibility is determined by the local Department of Social Services. Medical eligibility is determined through an assessment by your local health department.

Enroll through a Medicaid personal assistance agency

Once eligibility is confirmed, the caregiver must be employed through a licensed agency. Grateful Home Care handles enrollment, connects you with a fiscal intermediary for payroll, and ensures nothing stalls.

Straight answers.

No. Community First Choice is an entitlement program — any eligible Maryland Medicaid recipient is
entitled to services. There is no enrollment cap.

Yes, in eligible arrangements. CFC self-direction allows spouses to serve as paid personal care workers,
provided the spouse is not also the participant’s legal guardian or program representative. This is more
permissive than most states, including Michigan.

Most families move through enrollment in a matter of weeks. Our team tracks every step and keeps
families updated throughout.

Ready to start the CFC enrollment process?

Maryland: (443) 000-0000 • Same-day coordinator response.