Maryland CPAS Eligibility 2026: Your Essential Guide
Understanding CPAS eligibility is the first step to keeping your loved one at home. We break down the medical requirements, financial criteria, residence rules, and application process into a clear plan for your family.
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Program Overview
Understanding CPAS Eligibility
CPAS is a State Plan entitlement — meaning there is no waitlist. The program serves older adults and individuals with disabilities who need help with daily living activities while remaining in their homes and communities.
Compared to the CO Waiver, CPAS is more accessible because it does not require a nursing facility level of care. If you need assistance with at least one Activity of Daily Living (ADL), you may qualify.
Ao contrário de muitas opções complexas de waiver do Medicaid, o programa CPAS de Maryland é um direito do Plano Estadual, o que significa que indivíduos elegíveis podem receber benefícios sem lista de espera.
O programa fornece serviços domiciliares e comunitários para indivíduos que precisam de assistência com atividades diárias, não apenas para aqueles que necessitam de cuidados em nível de instituição de enfermagem, ajudando as pessoas a permanecerem em segurança em casa enquanto recebem o suporte de que precisam.
Medical Necessity Requirements
CPAS requires a demonstrated medical need for assistance with daily living — but the threshold is more accessible than other Maryland programs
ADL Requirement
CPAS requires assistance with at least one Activity of Daily Living (ADL). This is more accessible than the CO Waiver and CFC, which require a full nursing facility level of care.
Independence Focus
The Maryland Department of Health designed CPAS to help individuals maintain their independence. The program supports those who need moderate assistance without requiring the higher level of care associated with nursing home placement.
Financial Eligibility Criteria
You must qualify for Maryland Medicaid first. Multiple pathways are available depending on your situation.
O Medicaid de Maryland tem múltiplos caminhos de elegibilidade, e os limites de renda variam dependendo da idade, tipo de programa e situação familiar. Muitos indivíduos que inicialmente parecem estar acima da renda ainda se qualificam por meio de um dos seguintes:
SSI Pathway
SSI recipients automatically qualify for Maryland Medicaid, simplifying the CPAS application process.
Medically Needy (Spend-Down)
If your income exceeds the standard limit, you may still qualify by applying medical expenses toward the income threshold.
Asset Limits
Approximately $2,500 for an individual and $3,000 for married couples. Primary residence is typically excluded from the asset calculation.
Because eligibility rules are complex and updated annually, we strongly recommend contacting Family Love Care for a free eligibility pre-screening before drawing any conclusions about whether you qualify.
Residence Requirements
CPAS services must be delivered in an approved community setting — not in institutional facilities
Approved Settings
- Your own home
- Home of a family member or friend
- Approved community-based environments
Not Available In
Assisted Living Facilities
CPAS is not available for individuals residing in assisted living facilities. If a higher level of care is needed, the CO Waiver may be more appropriate.
O programa é projetado para fornecer serviços de cuidados pessoais em casa, permitindo que os indivíduos permaneçam conectados à sua comunidade e rede de apoio.
Supports Planning and Case Management
Personal Plan of Care
After CPAS approval, you begin supports planning and case management. A supports planner is assigned to develop your personal plan of care, outlining the specific services and hours you receive.
This plan is tailored to your unique needs and is regularly reviewed to ensure it continues to serve you effectively.
Nurse Monitoring
Nurse monitoring is included with CPAS. A registered nurse (RN) conducts periodic visits to ensure:
- Care plan is medically appropriate
- Services are meeting current needs
- Changes in condition are identified and addressed
O planejamento contínuo de suportes e o monitoramento de enfermagem ajudam a garantir que seus serviços e suportes de longo prazo permaneçam eficazes, adaptáveis e alinhados com sua saúde e segurança em casa.
Self-Direction: Choose Your Own Caregiver
One of the most valuable benefits of CPAS is the ability to select who provides your care
Com a auto-direção, você pode:
- Selecionar um familiar ou amigo de confiança como seu cuidador remunerado
- Ter maior controle sobre seu horário diário de cuidados e necessidades de suporte
Independentemente de quem presta os cuidados, todos os cuidadores devem ser empregados por meio de uma Agência de Serviços Residenciais (RSA) licenciada, como a Family Love Care. A agência cuida da folha de pagamento, retenção de impostos e conformidade em nome do cuidador, para que você possa se concentrar em receber os cuidados de que precisa.
The Application Process
The CPAS application process takes approximately 3 months. Here are the steps in order.
Initial Contact
Reach out to Family Love Care for a free CPAS eligibility pre-screening. Our team will guide you and connect you with Maryland Access Point (MAP) to begin the official application.
Medicaid Enrollment
You must have active Maryland Medicaid before a CPAS application can move forward. If you are not yet enrolled, apply through Maryland Health Connection or your local Department of Social Services.
Nurse Assessment
After Medicaid approval, a state nurse conducts an in-home assessment to evaluate your functional needs, confirming you require assistance with at least one ADL.
Supports Planning
Once approved, a Support Planning Agency (SPA) develops your personalized Plan of Service, outlining your approved personal care services and hours.
Caregiver Setup
Family Love Care onboards your chosen caregiver and ensures all requirements are met, including training, payroll, and ongoing support.

Expert Guidance
How Family Love Care Helps You Navigate CPAS
Family Love Care specializes in navigating the CPAS eligibility process without confusion. Our team provides end-to-end support so your family can focus on care, not paperwork.
What FLC Helps With:
- Understanding CPAS eligibility for personal care services
- Preparing for functional assessment and supports planning
- Helping families establish paid caregivers
- Coordinating documentation
- Ongoing guidance to maintain and maximize benefits
Conforme programas como CPAS e Community First Choice (CFC) continuam a se expandir em 2026, o acesso a suporte confiável em casa é mais importante do que nunca para idosos e indivíduos com deficiência.
A Family Love Care trabalha em conjunto com a estrutura do Maryland Department of Health para ajudá-lo a navegar pelos requisitos e acessar os cuidados de que precisa, para que você possa permanecer em segurança em casa e se concentrar na sua saúde e família.
Frequently Asked Questions
Common questions about Maryland CPAS eligibility
Cuide de um Ente Querido —
E seja pago!
Com Family Love Care, você pode ser pago para cuidar de um familiar ou amigo!
Pago pelo Medicaid!
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Seus dados são seguros, privados e em conformidade com a HIPAA.