Maryland Medicaid Waiver Provider Enrollment Service for Assisted Living

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Turn your licensed assisted living program into a provider that can serve eligible Maryland Medicaid waiver participants.

 

Maryland's Community Options Waiver allows eligible individuals who require a nursing-facility level of care to receive services in the community — including approved assisted living services.

 

Medicaid does not pay an assisted living resident's room and board. However, for eligible participants, Medicaid may reimburse approved assisted living services provided by an enrolled and qualified provider.

 

That creates an opportunity for licensed assisted living operators to expand beyond a strictly private-pay census and build relationships with Maryland's Medicaid long-term-care system.

 

We help you navigate the provider enrollment process from start to finish.

 

What's Included:

 

✔ Maryland Medicaid provider enrollment preparation and submission

 

✔ Community Options Assisted Living Services enrollment — Provider Type 75

 

✔ Review of required licenses, certifications, staffing documents and supporting documentation

 

✔ Compliance review based on COMAR 10.09.54

 

✔ Preparation of the required Community Options Assisted Living provider documentation

 

✔ Guidance through Maryland's current Medicaid provider enrollment portal and transition requirements

 

✔ Assistance responding to Maryland Medicaid requests for additional information

 

✔ Guidance on provider numbers, billing setup and next steps after approval

 

✔ Support through enrollment-related state follow-up

 

Who This Is For:

 

Licensed Maryland assisted living operators who want to:

 

• Expand beyond private-pay residents

• Become eligible to serve qualified Medicaid waiver participants

• Develop additional referral sources

• Better understand Maryland's Medicaid long-term-care system

• Add another potential revenue stream to their assisted living business

 

You already did the hard part — getting licensed.

 

Now it's time to position your facility to participate in one of Maryland's largest long-term-care funding systems.

 

We handle the enrollment process so you don't have to figure it out alone.

 

Provider enrollment and participant eligibility are subject to approval by the Maryland Department of Health. Enrollment does not guarantee referrals, residents, reimbursement, or waiver eligibility.