Rainbow Adult Day Health Care

Eligibility

General

People who meet Maryland Medicaid nursing-facility medical and financial criteria; not limited solely to adults age 65 or older.

What it provides

• Authorized Medicaid nursing-facility care; resident contribution and covered services are subject to current rules.

Eligibility

General

Veterans or eligible survivors who qualify for VA Pension or Survivors Pension and meet the additional Aid and Attendance or Housebound criteria. Service, discharge, family status and pension eligibility rules also apply.

MD specifics

A federal VA pension benefit; Aid and Attendance and Housebound enhancements cannot be received together.

What it provides

• A higher pension ceiling for eligible Aid and Attendance or Housebound recipients. Actual pension equals the applicable annual maximum minus countable income; the two enhancements cannot be paid together.

Eligibility

General

Adults 18 or older who need nursing-facility-level care, have lived in a nursing facility at least six months with Medicaid eligibility for at least 30 consecutive days, and are not eligible for an HCBS waiver or PACE. Community living must be safe and cost no more than institutional care.

MD specifics

Referral must come from Medicaid’s Eligibility Determination Division; there is no direct application.

What it provides

• Approved services may include assisted living; personal assistance; medical day care; respite; adaptations and supports planning.

Eligibility

General

Age 18 or older, nursing-facility level of care, safely living at home/community, meeting Medicaid requirements and cost-effectiveness rules; cannot simultaneously join another waiver or PACE.

MD specifics

Community applicants join a registry and await invitation. A person whose nursing-facility services have been Medicaid-paid for at least 30 days may apply without that wait.

What it provides

• Medicaid benefits including Community First Choice plus authorized waiver services such as assisted living; behavioral consultation; case management; family training and medical day care.

Eligibility

General

People of any age with full Medicaid, living in a community setting and needing help with at least one activity of daily living.

MD specifics

State-plan benefit with no age limit.

What it provides

• Personal assistance; nurse monitoring and supports planning; plus other covered Medicaid benefits.

Eligibility

General

People of any age with full Maryland Medicaid who need an institutional level of care and live in a community setting.

What it provides

• Authorized personal assistance; supports planning; nurse monitoring; accessibility adaptations; assistive technology; meals; emergency response systems and transition services.

Eligibility

General

People age 16 or older with full Medicaid, nursing-facility-level care needs and a medical order for day care. They may not be enrolled in another waiver and community services must cost no more than institutional care.

What it provides

• Authorized medical day care including nursing; medication monitoring; meals; activities; therapies; social work and transportation.

Eligibility

General

Maryland resident for at least six months, Medicare recipient and enrolled in a prescription-drug plan, meeting SPDAP income requirements.

MD specifics

Not restricted to age 65 and older.

What it provides

• Assistance with eligible Medicare prescription-plan premiums.

Eligibility

General

Medicare beneficiaries meeting the applicable state Medicare Savings Program eligibility rules.

MD specifics

Applications are administered by the state Medicaid program.

What it provides

• Assistance with Medicare premiums and; for qualified QMB beneficiaries; Medicare-covered deductibles and coinsurance. The qualifying category determines which costs are paid.