Maryland Department of Health
Model Waiver for Medically Fragile Children · About this organization
What you get
The Model Waiver helps chronically ill or severely impaired children receive Medicaid and intensive services at home instead of a nursing facility or chronic hospital.
How to start
Phone The Coordinating Center and request the Model Waiver request Team.
Good to know
- Cancer alone does not establish institutional level of care.
- A treating professional must give the published clinical verification or authorization.
The details, as published
The Model Waiver helps chronically ill or severely impaired children receive Medicaid and intensive services at home instead of a nursing facility or chronic hospital. It requires institutional level of care, approval by age 21, child-only financial eligibility, safe and cost-neutral community care, and registry intake; the current official page states that a waitlist exists.
What help you may get
Medical And Insurance Costs
Model Waiver for Medically Fragile Children — medical and insurance costs
The Model Waiver helps chronically ill or severely impaired children receive Medicaid and intensive services at home instead of a nursing facility or chronic hospital. It requires institutional level of care, approval by age 21, child-only financial eligibility, safe and cost-neutral community care, and registry intake; the current official page states that a waitlist exists.
Amount not published
Can cover
- Case management
- Home-health aide services
- Medicaid benefits
- Medical day care at age 16 or older
- Physician-supported care planning
- Private-duty nursing
Navigation Guides And Advocacy
Model Waiver for Medically Fragile Children — navigation guides and advocacy
The Model Waiver helps chronically ill or severely impaired children receive Medicaid and intensive services at home instead of a nursing facility or chronic hospital. It requires institutional level of care, approval by age 21, child-only financial eligibility, safe and cost-neutral community care, and registry intake; the current official page states that a waitlist exists.
Amount not published
Can cover
- Case management
- Home-health aide services
- Medicaid benefits
- Medical day care at age 16 or older
- Physician-supported care planning
- Private-duty nursing
Practical Items And Home Help
Model Waiver for Medically Fragile Children — practical items and home help
The Model Waiver helps chronically ill or severely impaired children receive Medicaid and intensive services at home instead of a nursing facility or chronic hospital. It requires institutional level of care, approval by age 21, child-only financial eligibility, safe and cost-neutral community care, and registry intake; the current official page states that a waitlist exists.
Amount not published
Can cover
- Case management
- Home-health aide services
- Medicaid benefits
- Medical day care at age 16 or older
- Physician-supported care planning
- Private-duty nursing
Why this may help
Medical And Insurance Costs: The waiver combines Medicaid coverage with private-duty nursing and other intensive home services.
Check the main eligibility rules
Diagnosis
B-ALL is in scope. Conditionally applicable when B-ALL-related medical fragility satisfies the institutional-level, financial, safety, and cost-neutrality rules.
Age
Age 0 to age 21, measured at application.
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
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
- Call The Coordinating Center and request the Model Waiver Intake Team.
Ways to apply or ask
- Phone · Open form or page · 410-987-1048
Documents to prepare
The program does not publish a document checklist. Ask before gathering paperwork.
Availability and timing
| Program | Active |
|---|---|
| Applications | Waitlist |
| Funding or space | Not Published |
| Application window | Rolling |
| Last checked | Aug 24, 2026 |
- Current waitlist length is not published.
Limitations and things to confirm
- Cancer alone does not establish institutional level of care.
- Program is waitlisted and current capacity is not published.
- What is the current waitlist and how is cancer-related medical fragility assessed?
Official sources
Program details were last verified Aug 24, 2026. Availability can change, so check the official program before applying.
- Model Waiver for Medically Fragile Children · checked Aug 27, 2026