Maryland Cuts Home Services for Medicaid Beneficiaries with Complex Medical Needs
Maryland's Department of Health has reduced funding for disability services that enable Medicaid beneficiaries with complex medical needs to remain in their homes and communities rather than institutional settings. The cuts eliminate respite care for family caregivers, staffing for safety needs, and community inclusion programming, affecting beneficiaries who rely on self-directed services because they require nursing-level care. The state is also requiring family caregivers to provide more unpaid care to maintain eligibility for paid nursing services. The changes disproportionately impact individuals ineligible for traditional provider service models due to medical complexity.
These service reductions affect Maryland's compliance with Medicaid home and community-based services requirements under the Americans with Disabilities Act and Olmstead obligations to serve people in the least restrictive setting.
LTSS · Managed Care
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