Maryland Developmental Disability Self-Directed Home Nursing Case Management

May 10, 2024

Looking for in-home care that you can direct yourself? Community Health and Education Services (CHES) (240-755-5591) offers a range of self-directed nursing support services for individuals with developmental disabilities and can work with you to create a unique care plan.

Your care plan has a big impact on your day-to-day quality of life. Choosing a compassionate care provider dedicated to understanding and meeting your unique needs makes all the difference.

Get the professional self-directed in-home nursing support services you need from CHES! Go to

CHES' certified, experienced staff offers the highest level of self-directed care services, including nursing consultation and nursing case management and delegation.

Nursing Consultation Services

CHES' nursing consultation services are administered by a Registered Nurse (RN) who has completed the DDA-approved RN training.

This type of self-directed care includes a comprehensive nursing assessment, a self-administration assessment, and an HRST rating or reviewing session with the patient, nurse, and involved family members.

You'll get assistance in developing your healthcare protocols and methods for communicating with doctors, as well as support in identifying community healthcare resources.

Nursing Case Management & Delegation

The nursing case management and delegation service is required if your paid staff or family members will be administering medication or completing treatments.

With this type of self-directed care, the dedicated DDA-approved RN develops the patient's care plan with input from the patient and their family or staff. The RN will also train your staff to complete all the tasks listed on your care plan, and then delegate to and supervise the staff.

Choosing The Best Plan For You

Depending on your Health Risk Screening Tool (HRST) level, medication and care needs, current caregiver situation, and other factors, CHES can develop the best care plan to meet your unique condition.

Nursing consultation service from CHES includes up to four visits, with a maximum of 16 hours, per year, while the nursing case management and delegation service includes nurse visits at least every 45 days.

If you or your loved one has cerebral palsy, autism, spina bifida, or other developmental disabilities, visit the CHES website to determine which type of self-directed nursing service is right for you. You can also contact CHES' compassionate team by phone or email to begin the process of developing a self-directed care plan.

Learn more and start developing your best self-directed in-home care plan with CHES today by visiting

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