Maryland Personal Assistance Agency Policy Manual

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The Maryland Personal Assistance Agency Policy Manual provides a comprehensive operational guide for agencies delivering personal assistance services to individuals with disabilities, chronic conditions, or age-related needs throughout Maryland. This manual is developed in alignment with the Code of Maryland Regulations (COMAR), including COMAR 10.09.20 and related provisions governing personal assistance under Medicaid waiver programs, as well as requirements established by the Maryland Department of Health (MDH) and the Maryland Medicaid program. The manual outlines policies and procedures covering service eligibility and authorization, person-centered care planning, attendant qualifications and training, service delivery documentation, client rights and responsibilities, health and safety standards, emergency preparedness, and quality assurance. It supports compliance with Medicaid-funded programs such as the Community First Choice (CFC), Community Options Waiver, and other long-term services and supports (LTSS) initiatives. Serving as an essential resource for agency staff and administrators, this manual ensures the delivery of safe, high-quality, and individualized personal assistance services, while maintaining full regulatory compliance with Maryland’s licensing, Medicaid, and program integrity standards.