Maryland Department of Health Developmental Disabilities Administration (DDA) division and Office of Long-Term Services and Supports division

Maryland Financial Management and Counseling Services (FMCS)



Developmental Disabilities (Adult)


Intellectual and Developmental Disabilities (Adult, 18 and under)


Aging (Adult)


Physical Disability (Adult)


Both Medicaid and Medicare (Dually Eligible) (Adult)


Chronically Ill (18 and under)



The Maryland Department of Health Developmental Disabilities Administration (DDA) division and Office of Long-Term Services and Supports division self-directed programs gives individuals and their families choice, control, and independence over their care and lives in the community.

Self-Directed Programs Supported:

Developmental Disabilities Administration (DDA)
Community Supports Waiver
Community Pathways Waiver
Family Supports Waiver

Office of Long-Term Services and Supports
Community First Choice (CFC)
Community Personal Assistance Services programs (CPAS)

Participants can 

Select services and support to meet your needs.

Manage service authorized hours to meet their assessed needs and goals

Find, hire, manage, and dismiss your careworkers.

Use MyAccount to review your budget and approved services.

Use MyAccount to monitor your careworker’s hours and spending.

Use MyAccount or Time4Care to review, approve, and submit your careworker’s timesheets.

Services include

Payroll – We process payroll for your careworker using money from your budget.

Employment tax requirements – We handle all employment-related taxes for you, including federal, state, local, and unemployment.

Monthly budget managementWe help you keep your spending on track. 

Enrollment support – We help you and your careworker with enrollment and training through your enrollment specialist,

Customer service – Our friendly and professional customer service agents are available five days a week to help you with any questions.

Service reports – With our reports you’ll always have a clear picture of the services you’ve received. 

How to get started

Take the questionnaire


Both participants (employers) and caregivers (employees) have lots of timekeeping to do when working in a self-direction program.

Time4Care is our highly rated mobile solution for Apple and Android smart devices.

Reminders to submit timesheets

Timesheet submission and approval alerts

Timesheet error checking

Offline time entry

Simple calendar interface

Privacy features


Instant timesheet approval

Works right in the MyAccount/BetterOnline portal


MyAccount has everything you need to make sure your self-direction journey is a success. Designed for participants and caregivers, it lets you complete and check all required paperwork, timesheets, budgets and spending, with a focus on making the enrollment process easy.

It’ll make smooth sailing of any choppy waters you encounter while you’re getting set up, giving you the answers and forms you need, right when you need them.

Electronic Visit Verification (EVV)

Electronic Visit Verification (EVV) is used in your program. Submit and approve timesheets with Time4Care EVV, our easy-to-use mobile app.

Download on App Store Download on Google Play

Here are some things that will help you learn more about EVV and how to use the Time4Care mobile app:

EVV and Time4Care FAQ Time4Care Quick Guide

Log in

Select the system your program uses to go to the login page.


Log time, review, approve, and submit timesheets, and handle electronic visit verification with ease.

Learn more about the benefits of Time4Care

Download on App Store Download on Google Play

Our complete web app that puts everything you need as a self-director (or case manager, or caregiver!) right at your fingertips.

Program Documents


Contact Information