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Services for Seniors Overview

Baltimore County Department of Health
6401 York Road, Third Floor
Baltimore, Maryland 21212-2130
Email: communityhealthservices@baltimorecountymd.gov

Phone: 410-887-2754
TTY users call via Maryland Relay

The Baltimore County Department of Health provides a number of services through the Bureau of Community Health Services to help keep residents in their homes. These services are primarily for disabled adults and senior citizens at risk for long term care placement. 

Adult Evaluation and Review Services (AERS)

AERS is a state-mandated program with the goal of reducing unnecessary admissions to state psychiatric facilities, nursing homes, and other long term care facilities. At-risk functionally and chronically disabled adults are assessed to determine home and community-based services that will meet their individual needs and enable them to avoid institutionalization and remain as independent as possible in the least restrictive environment.

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Case Management Program

The Case Management Program is designed to assist those clients at-risk of needing long term care services to remain in the community. The program is staffed by nurses and social workers who provide assessment, care plan development, coordination of services, and monitoring of those services to enable clients to remain in the community safely.

Any Baltimore County resident needing assistance to coordinate services enabling them to remain in a non-institutional setting may be referred for case management services.

  • A comprehensive evaluation is completed, which includes medical and nursing, functional, psychosocial, financial, and environmental components.

  • The multi-disciplinary team assists the patient, family, personal physicians, and others by developing an appropriate plan of care to help the client remain in the least restrictive environment.

  • The coordination and implementation of services and follow-up is included in the case management program. Coordinated services are on a fee-for-service basis or publicly-funded depending upon eligibility and availability.

There is no cost for the assessment and case management services.

For more information regarding the Case Management Program, call 410-887-2754, Monday to Friday between 8:30 a.m. to 4:30 p.m. or send an email to communityhealthservices@baltimorecountymd.gov

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Community Home Care Nursing Program

The Community Home Care Nursing Program consist of a team of nurses who are available to evaluate special health needs of seniors in the home setting to increase independence and provide access to needed services.

For more information regarding this program, call 410-887-2725, Monday to Friday between 8:30 a.m. to 4:30 p.m. or send an email to communityhealthservices@baltimorecountymd.gov.

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Home Health Services Program – Hospital Support Services

The Home Health Services Program enables acutely and chronically ill residents to be monitored for changes in their condition to prevent costly nursing home or hospital admissions. Home-based client education and close monitoring and communication with personal physicians are the focus for the services provided. The program is licensed by the State of Maryland as a Medicare certified Home Health agency.

Services

Home Health Services (PDF) provides intermittent skilled nursing, physical therapy, occupational therapy, speech therapy, medical social service, and home health aide to homebound Baltimore County residents under the direction of their physician. Weekend and holiday visits are made to those clients needing daily or after hours service.

Hospital Support Services – nurses also provide no cost discharge planning assistance to Baltimore County residents in conjunction with hospital staff and physicians. The goal is to coordinate a post-hospitalization plan of care that will provide a smooth transition from hospital to home with the implementation of needed services and resources such as home health nursing and physical therapy. This service is offered to clients who are being discharged from the following Baltimore County area hospitals:

  • Franklin Square Hospital Center
  • Greater Baltimore Medical Center (GBMC)
  • Johns Hopkins Bayview Medical Center
  • Northwest Hospital Center
  • St. Joseph Medical Center

Eligibility

Clients must be homebound, have a need for skilled services, and be under the care of a physician to be eligible for Home Health Services.

For more information regarding the Home Health Services Program or Hospital Support Services, call 410-887-2725, Monday to Friday between 8:30 a.m. to 4:30 p.m. or send an email to communityhealthservices@baltimorecountymd.gov.

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Medical Assistance Personal Care Services Program

The Medical Assistance Personal Care Services Program helps qualified elderly, chronically ill, or disabled persons remain in their homes by helping them with some simple daily activities such as bathing, dressing, feeding, grooming, and toileting. This program is designed for individuals who are:

  • Baltimore County residents
  • Medical Assistance and Medicaid recipients – must have a current number
  • Living in a "home"
  • Under the care of a physician
  • Unable to perform activities of daily* living
  • Chronically ill or disabled

* independently bathe, dress, toilet, feed and ambulate
 
Services are provided in the recipients' home by an approved Personal Care Provider (PDF) under the supervision of a Registered Nurse Case Monitor. The cost of these services is covered by the Maryland Medical Assistance Program.
  
For more information regarding the Medical Assistance Personal Care Services Program, call 410-887-3485, Monday to  Friday between 8:30 a.m. to 4:30 p.m. or send an email to communityhealthserivces@baltimorecountymd.gov.

Become a Personal Care Provider

View or download a copy of the Become a Personal Care Provider (PDF) brochure for information outlining eligibility, requirements and how you can apply.

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Medical Assistance Transportation Grant Program

The Medical Assistance Transportation Grant Program is funded by the State of Maryland and coordinates transportation services for Medical Assistance recipients who reside in Baltimore County, and who are in need of transportation to access medically necessary services. This program provides "last resort" transportation for ambulatory, wheelchair, and stretcher-bound recipients who have no other means available of transport to get to and from medical appointments.

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On-Site for Seniors Program

Nurses provide health assessment and information, counseling, and referrals and support services for older adults living at selected senior residential facilities.

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Statewide Evaluation Planning Services (STEPS) Program

The STEPS Program provides comprehensive evaluation and assists with care plans for individuals requiring long term care. These evaluations are conducted to determine whether community-based services could appropriately substitute for nursing facility care.

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Frequently Asked Questions

What services does medical assistance provide to help the elderly and/or disabled to remain in the community?

How can I get help for my elderly parents?

How do I get service from Home Health Services Program?

Is there a cost for Home Health Services?

How do I go about getting someone in a nursing home?

How do I get Medical Assistance?

Q. What services does medical assistance provide to help the elderly and/or disabled to remain in the community?

A. Medical Assistance provides the Medical Assistance Personal Care Services Program and Medical Assistance Transportation Grant Program.

Q. How can I get help for my elderly parents?

A. By making a referral to Adult Evaluation and Review Services (AERS) at 410-887-2754, we can make a home visit, do an assessment, and access services from the community according to need.

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Q. How do I get service from Home Health Services Program?

A. Call Home Health at 410-887-2725 and discuss your needs with an intake supervisor.

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Q. Is there a cost for Home Health Services?

A. We will bill Medicare or any other insurer, if available. We also have a sliding scale fee for those with no insurance coverage. We do not deny service due to inability to pay.

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Q. How do I go about getting someone in a nursing home?

A. First, the client should talk with his or her doctor to evaluate his/her needs. Secondly, anyone can call Adult Evaluation and Review Services (AERS) at 410-887-2754 to discuss the necessary steps for placement in a nursing home.

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Q. How do I get Medical Assistance?

A. Call the Department of Social Services at 410-853-3000 for assistance.

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Revised April 4, 2014

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