Maryland Community First Choice CFC: Get Paid to Provide Care
The Community First Choice (CFC) program allows eligible caregivers to be paid for providing in-home care through Maryland Medicaid. CFC is an entitlement program with no waiting list.
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Program Overview
What is the Community First Choice CFC Program?
在Maryland，许多家庭护理人员全心致力于在家支持亲人。虽然这种护理是出于爱和奉献，但也可能给家庭带来经济压力。通过Maryland Medicaid提供的Community First Choice (CFC)计划，符合条件的护理人员可以获得提供居家护理的报酬——认可他们的付出并帮助提供应有的经济支持。
Maryland Department of Health认识到，老年人和残疾人在能够留在自己家中时，通常能获得更好的健康结果。通过Community First Choice计划，Maryland通过扩大家庭和社区服务的获取来帮助减少对护理院的依赖。
The Community First Choice (CFC) program is an entitlement-based Maryland Medicaid initiative. Unlike some other Medicaid waiver programs, CFC does not have a waiting list. If an individual qualifies, they are entitled to receive services right away.
One of the most valuable features is the consumer-directed care option, which allows participants to choose their own caregiver—such as a trusted family member or friend—while maintaining control over how their care is delivered.
Eligibility Requirements
To qualify for CFC, the individual needing care must meet eligibility requirements established by the Maryland Department of Health, based on both clinical need and financial eligibility.
Clinical Requirement
Clinical Eligibility
The individual receiving care must meet a "nursing facility level of care," meaning they require assistance with activities of daily living, such as bathing, dressing, or meal preparation. A nurse from the local health department or a state-contracted agency will conduct a medical assessment to determine the level of care required.
Financial Requirement
Financial Eligibility: Income and Assets
Because this is a Medicaid program, there are strict income and asset limits. However, many individuals may qualify through multiple Medicaid pathways.
Income
For a single person, the income limit is generally tied to SSI standards or a percentage of the federal poverty level.
Assets
For an individual, asset limits are typically capped at $2,500 (does not include primary home, household furnishings, personal effects, and a vehicle).
Married Couples
If a married couple is involved, the rules become more complex. Maryland uses “Spousal Impoverishment” rules to protect the non-applicant spouse.
配偶在Maryland居家护理中的角色
在Community First Choice (CFC)等Maryland Medicaid计划中，区分配偶的财务资格规则和谁可以成为有偿护理人员很重要。
对于Medicaid资格，当只有一方配偶申请时，州政府允许保护非申请方配偶的某些收入和资产。这些“配偶贫困化保护”帮助确保健康配偶能够保持财务稳定。
另外，在Maryland的消费者自主护理模式下，如果满足所有计划要求，配偶可以成为有偿护理人员。这为家庭提供了更大的灵活性，让护理留在家中，同时通过Medicaid获得补偿。
通过MAP获取社区服务
要开始Maryland Medicaid和CFC/CPAS申请流程，我们建议从Family Love Care开始。我们的团队将进行资格预筛选，帮助您了解选项，并指导您完成后续步骤。
如果您符合条件，我们将为您推荐适当的州政府入口——例如Maryland Access Point (MAP)——并帮助确保您的申请正确提交并顺利推进。
作为Maryland长期护理服务的主要资源，MAP作为家庭和社区服务计划的“前门”，将申请人与必要的州政府部门和支持规划机构（SPA）连接，进行评估和护理规划。
一旦确认资格，支持规划师将帮助制定护理计划，包括个人援助、独立生活支持和扩展的社区服务。该计划体现了社区优先的理念，帮助个人留在家中而不是进入护理设施。
Benefits of the Community First Choice Program
The CFC program offers a broad range of benefits designed to support both the caregivers and the program participants.
Financial Support
Family caregivers can receive a competitive hourly wage, providing much-needed financial assistance.
Health & Safety
CFC includes support for home modifications and assistive technology.
Ongoing Support
Participants receive ongoing support from a support planner to adjust the care needed as time goes on.
Nurse Monitoring
Regular visits from a nurse ensure the health and medical stability of the client.
Licensed Residential Services Agency
Why Trust Family Love Care for Your CFC Journey?
While CFC is a Maryland Medicaid State Plan benefit, all personal assistance services must be provided through a licensed agency. In Maryland, caregivers cannot work directly with the state—they must be employed by an approved provider like Family Love Care.
Our team manages the administrative side of care, including caregiver onboarding, payroll, tax withholding, and ongoing support, while also providing the required caregiver training, nursing supervision, and clinical oversight to ensure full compliance with Maryland Medicaid standards.
我们理解Maryland的家庭希望在家中获得可信赖的、有爱心的护理。通过CFC等计划，我们帮助符合条件的护理人员获得报酬，同时在熟悉的环境中支持亲人——将个人置于每项护理决策的中心。
社区优先：独立生活的未来
Maryland致力于扩大社区服务，让家庭能够在熟悉的环境中照顾亲人。Community First Choice (CFC)计划是实现这一目标的关键举措。通过提供财政援助和支持服务，该州帮助老年人和残疾人在家中安全、有尊严地生活。
如果您目前正在为亲人提供无偿护理，Maryland Medicaid可能会提供帮助。无论您是配偶还是成年子女，Community First Choice (CFC)计划旨在支持家庭护理人员。
The Path to Enrollment: A Step-by-Step Guide
Initial Contact
Reach out to Family Love Care for a quick CFC eligibility pre-screening. We’ll guide you through the process and connect you with Maryland Access Point (MAP).
Nurse Assessment
A nurse will visit to verify the nursing facility level of care and determine your ADL needs.
Support Planning
Work with a planner to define the services you need, including personal assistance and meal preparation.
Agency Selection
Family Love Care, a licensed RSA, onboards your caregiver, provides training, and manages payroll and ongoing support.
立即联系我们获取持续支持
了解Maryland Medical Assistance和Department of Health可能让人感到不知所措，但您不必独自面对。联系Family Love Care了解您如何通过Community First Choice (CFC)计划获得照顾亲人的报酬。我们的团队随时帮助您确认资格并开始申请。
Frequently Asked Questions
Common questions about the Maryland CFC program
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