Talbot County Department of Health
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Senior Services

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The Talbot County Health Department and its state and local partners operate a number of programs aimed at meeting the health, safety, and social needs of residents as they age.

Adult Evaluation & Review Services

Adult Evaluation and Review Services (AERS) is a program which provides assistance to frail, aged, or disabled adults and children by conducting a comprehensive evaluation to identify public services available to help individuals remain in the community, or in their least restrictive environment, with as much independence as possible.   Evaluations are conducted by a licensed registered nurse or social worker.  Interpretation and translation services are available.

How to Make a Referral

Referrals are accepted by telephone, fax, mail, or in person from potential clients, their relatives, staff from agencies, and any concerned individual. 

Referred clients or their representatives are contacted by AERS staff to schedule an evaluation in their home or present location. Assessments are voluntary, free of charge, and confidential, in compliance with state and federal regulations. Referrals to other agencies are not made unless a consent form is signed.

Talbot County Health Department
Adult Evaluation and Review Services

510 Cadmus Lane
Easton, Maryland 21601

Phone: (410) 819-5600

Fax: (410) 819-5660

When to Make a Referral 

A referral to AERS should be considered whenever frail individuals, or their caregivers, need information and assistance in accessing community services such as Senior Care, medication assistance, assisted living, in-home aide services, and other public support programs.

Individuals already in a nursing facility and on medical assistance who are seeking assistance in obtaining services to return to the community should contact AERS for information about the Community Options Waiver or Community First Choice services.

An AERS evaluation is required when individuals have a positive history of mental illness, developmental disability, or both, and are seeking nursing home placement. An evaluation is also required for individuals age 65 and older who are referred for admission to a state psychiatric facility.

Medicaid Home & Community-based Services


Maryland Medicaid offers home and community-based services for:

  • Older adults;
  • Persons with disabilities; and
  • Children with chronic illnesses.

Maryland Medicaid’s home and community-based services are offered through the regular Medicaid program and special Medicaid programs called “waivers.” Each waiver has different eligibility criteria and targets a different population, such as older adults or people with a certain disability. Visit the State website linked below for more information.

Talbot Health Department Services

The Talbot County Health Department participates in the Medicaid Community Services for Older Adults and People with Disabilities listed below. The core services are personal assistance, supports planning, and nurse monitoring. The Community Options Waiver also offers services in assisted living. 

Call (410) 819-5600 for more information. 

  • Community Options Waiver
  • Community Personal Assistance Services
  • Community First Choice

Understanding Your Options

It can be overwhelming to try to understand your options for long-term services and supports. Maryland Access Point (MAP) is available to help. You can explore your options online, or visit the local MAP office.

Talbot MAP Office – Upper Shore Aging

100 Schauber Road
Chestertown, Maryland 21620

Phone: (410) 778-6000

Senior Care Program

The Talbot County Senior Care program provides case management and funds services for people 65 or older who may be at risk of nursing home placement. 

Senior Care allows seniors to live with dignity and in the comfort of their own homes and at a lower cost than nursing facility care. Senior Care provides a comprehensive assessment of an individual’s needs, a case manager to secure and coordinate services, and a pool of gap-filling funds to purchase services for individuals who meet program eligibility requirements. Services may include personal care, chore service, medications, medical supplies, adult day care, respite care, home delivered meals, transportation, and emergency response systems.

For further information on eligibility and to access Senior Care or other senior assistance programs and services, please contact:

Talbot County Health Department
Senior Care Services

Phone: (410) 819-5600

The Talbot County Senior Care Program is funded by the Maryland Department of Aging and supplemented with County support and funding. It is administered by the Talbot County Health Department in partnership with Upper Shore Aging and the Department of Social Services.

Coordination of Services

The Senior Care system of coordinated services is provided through the local aging, health and social services agencies. These services consist of screening, assessment, case management, and gap-filling services. Case management is provided both in-kind and paid for with Senior Care funds.


When individuals are referred for help, they are screened to determine if they may be eligible for Senior Care and other services. Screens may be performed by all participating agencies and include information about an individual’s age, income, assets, and functional abilities. If the individual appears eligible for Senior Care, a referral is made for a full evaluation of need.


These assessments are the evaluation of need and are conducted by Talbot County Health Department licensed registered nurses and social workers.  Upon completion of the assessment, they meet with the individuals, families, and caregivers to develop a plan of care that outlines services that the client is currently receiving and those that are still needed. 

This plan of care and assessment information is forwarded to a case manager, who meets with the client to determine the services that the client will receive. This service plan is based on the client’s wishes, as well as the availability of services and funds.

Case Management

Each Senior Care client is assigned a case manager.  The case manager is responsible for implementing the care plan. This entails seeking out and ordering services, assisting the client or the client’s family to apply for other services, client advocacy, and overseeing services that are provided.


Maryland Department of Aging

Senior Call Check Program Information

Senior Supply Drive

Talbot Senior Centers

  • Brooklett’s Place (Easton) and Bay Hundred (St. Michaels)
  • For Senior Center, Senior Health Insurance Program (SHIP), or Meals on Wheels information

Upper Shore Aging

For information on assistance programs for older adults 

Talbot County Department of Social Services

For concerns about a vulnerable adult or questions about Medicaid eligibility, Food Stamps (SNAP), or other assistance programs

Neighborhood Service Center

For housing concerns, energy assistance, or food pantry

St. Michaels Community Center

For food or senior programs

Society of St Vincent de Paul- Easton

For food pantry or other financial assistance

Delmarva Community Services

For information about public transportation or respite care services

Talbot County Commission on Aging

Supporting quality of life for Talbot County Seniors

Talbot Hospice

For hospice and palliative care programs

Eastern Shore Mobile Crisis Team

  • For behavioral or mental health support
  • Medical Adult Day Care Centers

Pleasant Day Medical Adult Day Care in Cambridge

Caroline County Adult Day Care in Denton

Shore Legal Access

For free and reduced cost legal services

Partners In Care/Community For Life

Resource for Aging in Place services 

Ridgely Lions Club

For medical equipment donations

Maryland Durable Medical Equipment Re-Use Program

get screened for pre-diabetes by contacting the Talbot County Health Department at https://diabetes.org/diabetes-risk-test