Continuing Care
What is Continuing Care?
A Continuing Care Retirement Community (CCRC) and a Continuing Care at Home (CCAH) Program offer older adults emotional and physical security against unknown future health care needs. They also aim to reduce the burden of home maintenance and allow older adults to have some control over their remaining years without burdening their loved ones. Moving to a CCRC or obtaining CCAH services may prevent the need to make a major decision or move at a time of crisis, when it may be more difficult to determine the right choice.
Although the legal definition of “continuing care" is complex, in general it exists when all three of the following are present:
- The consumer pays an entrance fee that is, at a minimum, three times the average monthly fee;
- The provider furnishes or makes available shelter (unless a CCAH) and health-related services to persons 60 years of age or older; and
- The shelter and/or services are offered under a contract that lasts for a period of more than one year, usually for life.
There is financial risk involved in entering a continuing care contract, as large sums of money are paid in advance for future services. The Department urges anyone who is considering moving into a CCRC or obtaining CCAH services to consult with an attorney and a financial advisor familiar with these types of agreements before signing any documents.
Continuing Care Resources
- Maryland Statutes
- Code of Maryland Regulations
- CCRC Consumer Protection Laws
Comprehensive consumer information for people interested in learning more about CCRCs is available in the links provided below or by calling 410-767-1071.
- CCRC Packet Cover Letter
- Current Listing of Continuing Care Providers as of July 2025
- Lawyer Referral Services
- CCRC FAQ Worksheet
Please Note: Applications for Renewal Certificate of Registration are now submitted electronically. For questions or concerns, please email [email protected] or call 410-767-1071.
- Application for Renewal Certificate of Registration
- Statement of Intent-Feasibility Study
- Application for Feasibility Study Submission
- Application for Renovation Expansion Statement of Intent
- Application for Renovation Expansion Approval Request
- Application for Preliminary Certificate of Registration
- Application for Initial Certificate Registration
- MDOA CCRC OneStop FAQ Sheet
- Summary of Regulatory Updates FY2025
- Statement of Intent - New Project/Feasibility Study
- Application for Feasibility Study
- Application for Preliminary Certificate
- Application for Initial Certificate
- Application for Renewal Certificate of Registration