1. Program Definition and Services 

Personal Assistance Services (PAS) in Maryland, also known as in-home care or aide services, provide assistance to individuals with chronic illnesses, medical conditions, or disabilities. Services include: 

• Assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs) 

• Hands-on help with bathing, dressing, eating, and mobility 

• Light housekeeping and meal preparation 

• Delegated nursing functions 

2. Regulations 

The program is governed by COMAR 10.09.20 (Community Personal Assistance Services) and COMAR 10.09.84 (Community First Choice). 

3. Licensing or Certification 

Providers must be licensed as a Residential Service Agency under COMAR 10.07.05 to provide Level Two or Level Three home care services 

4. Responsible State Agency 

The Maryland Department of Health (MDH) administers the Personal Assistance Services program through its Medicaid division. 

5. Application Process 

The specific application process is not detailed in the available results. Providers should contact the Maryland Department of Health for application procedures. 

6. Required Documentation 

Providers must maintain: 

• Residential Service Agency license 

• Employee records including certifications and training 

• Service delivery documentation 

• Participant plans of service 

7. Timeline for Approval 

The available results do not provide a specific timeline for approval. Providers should contact the Maryland Department of Health for this information. 

8. Pre-Application Process 

There is no explicit mention of a pre-application process in the available results. 

9. Pre-Application Training 

While specific pre-application training is not mentioned, providers must ensure that: 

• Employees are certified in first aid and CPR 

• A registered nurse is employed to assess participants and delegate nursing tasks 

10.  Additional Notes 

• As of July 1, 2023, a self-directed model was proposed to allow participants to recruit, hire, train, supervise, and fire their personal assistance providers 

• Providers must allow participants to have a significant role in the delivery of their specific care 

• Services are provided in the participant's home or community residence. 

• Annual reassessments are conducted to determine continued eligibility and service needs.