Written by a parent, not a doctor. Nothing here is medical advice.

Maryland Department of Health

Community First Choice · About this organization

What you get

Help with accessibility adaptations, assistive technology, emergency-response systems, home-delivered meals, nurse monitoring, personal assistance, supports planning and transition services.

How to start

Contact the program office to arrange your assessment and application.

Good to know

  • Cancer alone does not establish institutional level of care; full Medicaid and assessment are required.

The details, as published

B-ALL is in scope Not Published

Community First Choice provides home and community supports to full-benefit Maryland Medicaid participants who live in the community and meet institutional level of care. The package can include personal assistance, accessibility adaptations, assistive technology, home-delivered meals, nurse monitoring, emergency-response systems, supports planning, and transition services; there is no published age limit.

What help you may get

Meals And Food

Community First Choice — meals and food

Community First Choice provides home and community supports to full-benefit Maryland Medicaid participants who live in the community and meet institutional level of care. The package can include personal assistance, accessibility adaptations, assistive technology, home-delivered meals, nurse monitoring, emergency-response systems, supports planning, and transition services; there is no published age limit.

Amount not published

Can cover

  • Accessibility adaptations
  • Assistive technology
  • Emergency-response systems
  • Home-delivered meals
  • Nurse monitoring
  • Personal assistance
  • Supports planning
  • Transition services

Medical And Insurance Costs

Community First Choice — medical and insurance costs

Community First Choice provides home and community supports to full-benefit Maryland Medicaid participants who live in the community and meet institutional level of care. The package can include personal assistance, accessibility adaptations, assistive technology, home-delivered meals, nurse monitoring, emergency-response systems, supports planning, and transition services; there is no published age limit.

Amount not published

Can cover

  • Accessibility adaptations
  • Assistive technology
  • Emergency-response systems
  • Home-delivered meals
  • Nurse monitoring
  • Personal assistance
  • Supports planning
  • Transition services

Navigation Guides And Advocacy

Community First Choice — navigation guides and advocacy

Community First Choice provides home and community supports to full-benefit Maryland Medicaid participants who live in the community and meet institutional level of care. The package can include personal assistance, accessibility adaptations, assistive technology, home-delivered meals, nurse monitoring, emergency-response systems, supports planning, and transition services; there is no published age limit.

Amount not published

Can cover

  • Accessibility adaptations
  • Assistive technology
  • Emergency-response systems
  • Home-delivered meals
  • Nurse monitoring
  • Personal assistance
  • Supports planning
  • Transition services

Practical Items And Home Help

Community First Choice — practical items and home help

Community First Choice provides home and community supports to full-benefit Maryland Medicaid participants who live in the community and meet institutional level of care. The package can include personal assistance, accessibility adaptations, assistive technology, home-delivered meals, nurse monitoring, emergency-response systems, supports planning, and transition services; there is no published age limit.

Amount not published

Can cover

  • Accessibility adaptations
  • Assistive technology
  • Emergency-response systems
  • Home-delivered meals
  • Nurse monitoring
  • Personal assistance
  • Supports planning
  • Transition services

Why this may help

Meals And Food: Home-delivered meals can be included in the broader home-support plan.

Medical And Insurance Costs: Assistive technology and nurse monitoring can help you manage care at home.

Check the main eligibility rules

Diagnosis

B-ALL is in scope. Conditionally relevant when B-ALL-related needs satisfy Medicaid and institutional-level assessment rules.

Age

The program does not publish an age limit.

Treatment status

No specific treatment status is published.

Where you live and where your child is treated

Where your family lives

You must live in: MD.

Where your child is treated

No treatment-location restriction is published.

How to get started

Get ready to call

Does a social worker or care team need to start it? No. A required care-team start is not published; the family can use the available route below.

Who can start: Parent Or Guardian, Patient, Caregiver

  1. Contact Maryland Access Point or the program office for assessment and application.

Ways to apply or ask

Documents to prepare

The program does not publish a document checklist. Ask before gathering paperwork.

Availability and timing

ProgramActive
ApplicationsNot Published
Funding or spaceNot Published
Application windowRolling
Last checkedAug 24, 2026

Limitations and things to confirm

  • Cancer alone does not establish institutional level of care; full Medicaid and assessment are required.
  • How are child-specific institutional-level and service-authorization decisions made?

Official sources

Program details were last verified Aug 24, 2026. Availability can change, so check the official program before applying.

Official program