The Maryland Medicaid answer, verified
Yes - the Community Options Waiver (also called the Home and Community-Based Options Waiver) covers 'assisted living services' delivered in a licensed Assisted Living Program, but those services may not include room and board; the resident pays the provider's room-and-board charge from their own income, keeping only a personal needs allowance. There is a waitlist - families must first get on the Community Options Waiver Registry via Maryland Access Point. Here is what that means in practice for Landover Hills families - eligibility, what waivers cover, and what stays out of pocket.
Assisted living near Landover Hills compares against a national median of $6,200 a month - and Maryland's own median of $7,172, ranked #12 of 50 states.
A semi-private nursing home room runs $9,581 a month at the 2025 national median - the number Landover Hills families weighing skilled care start from.
In-home care averages $35 an hour nationally - about $80,080 a year at 44 hours a week for Landover Hills households.
Medicaid is the payer of last resort for long-term care, and whether it helps with assisted living depends entirely on your state. Yes - the Community Options Waiver (also called the Home and Community-Based Options Waiver) covers 'assisted living services' delivered in a licensed Assisted Living Program, but those services may not include room and board; the resident pays the provider's room-and-board charge from their own income, keeping only a personal needs allowance. There is a waitlist - families must first get on the Community Options Waiver Registry via Maryland Access Point. Nursing home care is covered in every state for those who qualify financially - assisted living is the state-by-state question.
The honest Maryland answer, verified against official sources: Yes - the Community Options Waiver (also called the Home and Community-Based Options Waiver) covers 'assisted living services' delivered in a licensed Assisted Living Program, but those services may not include room and board; the resident pays the provider's room-and-board charge from their own income, keeping only a personal needs allowance. There is a waitlist - families must first get on the Community Options Waiver Registry via Maryland Access Point. Eligibility is strict - income and asset limits apply, and there is typically a five-year look-back on gifts and transfers - so families planning a Medicaid path should talk to an elder law attorney early.
The 2026 numbers
| Care type | 2025 national median | What it covers |
|---|---|---|
| In-home care | $35/hour | Non-medical help at home - meals, bathing, companionship |
| Adult day care | $95/day | Daytime supervision and activities, evenings at home |
| Assisted living | $6,200/month | Housing plus daily-living help; care-level fees extra |
| Memory care | typically 20-40% above assisted living | Secured dementia care with higher staffing |
| Nursing home (semi-private) | $9,581/month | 24/7 skilled medical care |
| Nursing home (private room) | $355/day | Same care, private room |
Find senior care options near Landover Hills
These platforms show communities and home-care agencies near you with pricing guidance. Advisors are free to families - providers pay them, as they do this site.
Disclosure: this is an independent guide. If you connect with a provider through a link here, the platform may pay this site a referral fee. That fee never changes your price - and it never changes what the inspection records say.
Maryland: Medicaid, prices and the inspection file
| Question | Maryland answer |
|---|---|
| Medicaid & assisted living | Yes - the Community Options Waiver (also called the Home and Community-Based Options Waiver) covers 'assisted living services' delivered in a licensed Assisted Living Program, but those services may not include room and board; the resident pays the provider's room-and-board charge from their own income, keeping only a personal needs allowance. There is a waitlist - families must first get on the Community Options Waiver Registry via Maryland Access Point. |
| State median, assisted living | $7,172/month (#12 of 50 states) |
| Licensing & inspection records | Maryland Department of Health, Office of Health Care Quality (OHCQ) |
Maryland licenses 'Assisted Living Programs' (ALPs) - one category that spans two-resident group homes up to buildings with 100+ units - and classifies each resident's care as Level 1 (low), Level 2 (moderate) or Level 3 (high). The governing regulations, COMAR 10.07.14, were extensively revised effective April 28, 2025.
This guide is research, not advice: an independent summary of published costs and state rules. It is not a care provider, placement agency, law firm or financial advisor - care and Medicaid decisions deserve professional advice for your family's situation.
What this means for Landover Hills families
The home-versus-community math is mostly hours: in-home care at $35 an hour serves people who need help, not supervision. Past roughly 40 hours a week - or any point where safety needs someone present around the clock - assisted living at $6,200 a month usually costs less than equivalent home coverage.
This guide is research, not advice: an independent summary of published costs and state rules. It is not a care provider, placement agency, law firm or financial advisor - care and Medicaid decisions deserve professional advice for your family's situation.
Common questions
Can a facility evict my parent?
Yes - discharge policies allow it for reasons like funds running out, care needs exceeding what the license covers, or behavior issues. Read the discharge clause before signing and get the funds-run-out answer in writing; involuntary moves are the outcome families regret most.
When should we start looking?
Before the crisis. Good communities near you have waitlists, and emergency placements take whatever bed is open at premium rates. Touring while your parent is stable costs nothing, builds the shortlist, and turns a future emergency into a phone call.
What is memory care and why does it cost more?
Memory care is assisted living specialized for dementia - secured areas, higher staffing, trained caregivers - and typically prices 20-40% above standard assisted living in the same market. If dementia is in the picture, ask specifically about memory-care rates and staff training, not the general rate.
Does long-term care insurance actually help?
If your parent bought a policy years ago, yes - claim it early, as most policies have elimination periods before benefits start. Buying new coverage in one's 80s is generally not realistic. Check old files: policies bought decades ago are routinely forgotten and unclaimed.
Should my parent stay home with help or move to assisted living?
Run the hours math first: in-home care at about $35 an hour serves people who need help, not round-the-clock supervision. Below about 30-40 hours a week, home usually costs less; past that - or when safety needs someone always present - assisted living's $6,200 median often buys more coverage. The right answer follows the care needs, not the buildings.
Find senior care options near Landover Hills
These platforms show communities and home-care agencies near you with pricing guidance. Advisors are free to families - providers pay them, as they do this site.
Disclosure: this is an independent guide. If you connect with a provider through a link here, the platform may pay this site a referral fee. That fee never changes your price - and it never changes what the inspection records say.
Prices in nearby cities
Laurel · Laytonsville · Leonardtown · Loch Lynn Heights · Lonaconing · Luke · Manchester · Mardela Springs · Martin's Additions · Marydel · Middletown · Midland