Maryland action guide · Verified July 25, 2026
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Autism needs are clear; DDA eligibility is uncertain or denied

Plan decision support and adult health care

Address decision support and health transition separately; use the least restrictive decision-support option that fits the person's abilities and preferences.

Official sources checked 2026-07-25

Start here

Review alternatives to guardianship

Before you start

  • A decision-specific description of the adult’s abilities, preferences, risks, current supporters, and health-transition needs.

Who to contact

Maryland Court Help or qualified counsel for legal questions; the person’s health-care team for clinical transition.

Step by step

  1. Review supported decision-making and other less restrictive alternatives before assuming guardianship is required.
  2. Separate health-care transition tasks from legal or financial decision-support tasks.
  3. Use the DDA Healthy Living resources to plan adult providers, records, medications, communication, and changing roles.
  4. Use Maryland Court Help or a qualified lawyer for legal questions and the health team for medical-transition questions.

Expected next

A decision-support plan and a separate adult-health transition plan with named owners and next dates.

Save this proof

The options considered, the person’s preferences, professional guidance received, chosen supports, and health-transition tasks.

If this stalls or the answer is no

Use Maryland Court Help for legal-process questions and ask the current health team to identify the next transition-of-care task.

Beyond Childhood planning aid

Two-plan worksheet

A diagnosis alone does not establish a need for guardianship.

  • Decision-support question
  • What the adult can decide with support
  • Preferred supporters
  • Least restrictive workable option
  • Adult-health provider
  • Records transfer
  • Medication and communication plan
  • Next appointment

Derived from Alternatives to Guardianship, DDA Healthy Living resources

Official resources

Limits

A diagnosis alone does not establish a need for guardianship; the least restrictive workable option is case-specific.

Beyond Childhood’s checklists and prompts are planning aids derived from the linked sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, or service.

Checked sources

← Return to the Maryland Adult Autism Navigator